Developmental/Intellectual Disabilities

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Support Needs of People With I/DD and Co-Occurring Mental Health Challenges and Their Families

This brief focuses on the needs of individuals with intellectual and developmental disabilities who are also experiencing mental illness. The Arc explored the unique challenges faced by these individuals through focus groups and national panels. This brief summarizes the findings from these activities and includes recommendations for the development of new training, systems change activities, research, and greater public awareness around I/DD and mental health issues.

Short URL: http://www.nasuad.org/node/71336

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Medicaid Home and Community-Based Services Enrollment and Spending

This issue brief highlights Medicaid HCBS enrollment and spending data from the Kaiser Family Foundation's 17th annual state survey. The report found that nearly all Medicaid HCBS enrollment (86%) and spending (93%) went to services provided at state option. This optional nature of most HCBS covered populations and services puts individuals at risk of losing services if the current structure of Medicaid financing were to change.

Short URL: http://www.nasuad.org/node/71326

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Driverless Cars and Accessibility – Designing the Future of Transportation for People with Disabilities

This report highlights the potentially transformational power of autonomous vehicles (AVs). AVs have the opportunity to significantly benefit individuals with disabilities, but only if automakers work to ensure accessible design. The report states that key partners must work together on universal design now so that AVs can be developed to meet every potential driver's needs from the beginning, including wheelchair users.

Short URL: http://www.nasuad.org/node/71325

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Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: 2019 Update

This toolkit summarizes LTSS reform strategies adopted by state innovators. It identifies concrete policy strategies, operational steps, and federal and state authorities that states have used to advance LTSS reforms. It also includes specific case studies and advice for other states looking to implement similar reforms. In addition, CHCS has published a brief for state legislators looking for a summary of options for developing LTSS policies.

Short URL: http://www.nasuad.org/node/71239

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Promising Practice Profiles

These profiles include promising practices that agencies use to conduct education and outreach to inform consumers about benefits, and to help aging and disability professionals connect clients to benefits, such as the Medicare low-income subsidies, SNAP, and LIHEAP. The tip sheets include practices about: engaging consumers through fun and interactive games; a system for providing comprehensive eligibility information; and tools to simplify benefits information for staff.

Short URL: http://www.nasuad.org/node/71169

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Home and Community-Based Services Beyond Medicaid: How StateFunded Programs Help Low-Income Adults with Care Needs Live at Home

This paper focuses on how state-funded home and community-based services programs can support low-income older adults. It highlights promising practices that support maximum independence for low-income older adults and/or people with physical disabilities and their family caregivers. The paper explores programs across nine states, including Washington state’s emerging innovation: the Medicaid Transformation demonstration.

Short URL: http://www.nasuad.org/node/71163

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Advancing Value & Quality in Medicaid Service Delivery for Individuals with Intellectual & Developmental Disabilities

While healthcare payment systems are moving toward paying for value, the unique needs of individuals with I/DD and their families means that the transition toward alternative payment models (APMs) for Medicaid-funded services must be undertaken carefully. This white paper includes 14 payment reform principles to guide the development and assessment of new and emerging APMs for Medicaid I/DD services. The paper also includes 13 recommendations for current and future APMs for I/DD services.

Short URL: http://www.nasuad.org/node/71064

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Value-Based Payment in Medicaid Managed Long-Term Services and Supports: A Checklist for States

Medicaid value-based payment (VBP) models tie payment to outcomes including quality of care, health status, and costs. This guide presents a checklist of four issues for consideration as states identify issues to consider when developing and adopting value-based payment (VBP) models for HCBS within managed long-term services and supports (MLTSS) programs. The guide also reviews strategies for stakeholder engagement.

Short URL: http://www.nasuad.org/node/71057

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Addressing Social Determinants of Health via Medicaid Managed Care Contracts and Section 1115 Demonstrations

This report examines 40 Medicaid managed care contracts and 25 approved Section 1115 demonstrations. It identifies common themes across state approaches to incentivizing and requiring SDOH-related activities. CHCS also provides several additional policy recommendations for bolstering SDOH investment in state Medicaid offices.

Short URL: http://www.nasuad.org/node/70963

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