Physical Disabilities

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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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Workplace Accommodations: Low Cost, High Impact

This report from the Job Accommodation Network (JAN) analyzes the benefits and costs of workplace accommodations. JAN publishes this annual report using data from a survey they conduct with employers who contact them for specific information about workplace accommodations and/or the ADA. This year's results show that the majority of accommodations, 59 percent, were cost-free, while the typical cost of other accommodations was $500.

Short URL: http://www.nasuad.org/node/70924

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Potential Changes to Medicaid Long-Term Care Spousal Impoverishment Rules: States’ Plans and Implications for Community Integration

On Thursday, November 15, 2018, the Kaiser Family Foundation (KFF) published an issue brief exploring the upcoming changes to spousal impoverishment policies in Federal Medicaid HCBS policy. This report provides an explanation of why spousal impoverishment policies exist, the changes made by the Affordable Care Act (ACA), and the potential implications of the expiration of these ACA changes.

Short URL: http://www.nasuad.org/node/70901

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Electronic Visit Verification: A Blueprint for Self-Direction

This brief outlines successful EVV implementation in self-direction. Successful implementation is defined as one that protects and upholds the participant's choice and control over their services and supports while strengthening program integrity. The brief describes the functionality required to support self-direction, including flexible scheduling, protocols for EVV system use in areas without internet access, and workflows that support participant control of workers' hours.

Short URL: http://www.nasuad.org/node/70895

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Travel Patterns of American Adults with Disabilities

This issue brief uses data from the 2017 National Household Travel Survey (NHTS) to examine the daily travel patterns of American adults with travel-limiting disabilities. It also explores data from the 2001 and 2009 NHTS to illustrate trends over time. Several groups of technologies might help people with disability-related transportation limitations, but people with disabilities use them less.

Short URL: http://www.nasuad.org/node/70877

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Getting To Equal: The Disability Inclusion Advantage

This report examines data from the Disability Equality Index and identifies forty-five companies with strong leadership in areas specific to disability employment and inclusion. Accenture analyzed their financial performance and found that, on average over the four-year period, these companies had twenty-eight percent higher revenue, double the net income, and thirty percent higher economic profit margins than their peers.

Short URL: http://www.nasuad.org/node/70876

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Has the Promise Been Kept? Federal Enforcement of Disability Rights Laws

This report assesses the degree to which the Equal Employment Opportunity Commission and the U.S. Access Board have addressed the recommendations issued in the 2000 NCD report, "Promises to Keep: A Decade of Federal Enforcement of the Americans with Disabilities Act". NCD also uses the framework developed in this previous report to evaluate how various agencies implement and enforce the Americans with Disabilities Act and other federal disability rights laws and programs.

Short URL: http://www.nasuad.org/node/70860

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States Focus on Quality and Outcomes Amid Waiver Changes: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2018 and 2019

This recently released report examines the reforms, policy changes, and initiatives that occurred in FY 2018 and those adopted for implementation for FY 2019. The report focuses on changes in eligibility, managed care and delivery system reforms, long-term services and supports, provider payment rates and taxes, covered benefits, and pharmacy and opioid strategies.

Short URL: http://www.nasuad.org/node/70859

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A comparison of nursing home usage in states with and without Medicaid Managed LTSS

This study from Milliman highlights the success that MLTSS programs have had in reducing institutional care for older adults and people with disabilities compared to states operating a fee for service system, both in absolute numbers as well as the acuity level of consumers receiving services in nursing facilities.

Short URL: http://www.nasuad.org/node/70858

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