California

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Reimbursement for Evidence-Based Health Promotion Programs in the Community: Strategies and Approaches to Medicaid and Medicare Advantage Coverage

NCOA and Health Management Associates (HMA) have released a new report detailing eight strategies and approaches to expand funding for evidence-based health programs. NCOA and HMA reviewed five states and one city- California, Colorado, Maine, Massachusetts, New York City, and Washington- with community-based organizations that have strong partnerships with Medicaid agencies and managed-care organizations.

Short URL: http://www.advancingstates.org/node/72186

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Learning from New State Initiatives in Financing Long-Term Services and Supports

This report examines how states can help finance LTSS. It analyzes emerging LTSS social insurance strategies in six states: Washington, Hawaii, Maine, California, Michigan, and Minnesota. The report includes information from 42 stakeholder interviews in these states and outlines lessons learned during the policy change process.

Short URL: http://www.advancingstates.org/node/72108

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Facilitating Community Transitions for Dually Eligible Beneficiaries

This case study explores how health plans can help rebalance LTSS for dually eligible members. It looks at two California health plans who successfully transitioned dually eligible members from institutional to community settings. The case study uses these two examples to identify key elements for supporting dually eligible individuals with LTSS needs during the transition to living in the community.

Short URL: http://www.advancingstates.org/node/71856

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A Healthy Smile Never Gets Old: A California Report on the Oral Health of Older Adults

This report from the Center for Oral Health highlights how an alarming number of Californians age 65 years and older are suffering from untreated tooth decay and poor oral health. This report includes a series of recommendations to eliminate barriers to care and improve oral health.

Short URL: http://www.advancingstates.org/node/70297

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Priced Out: The Housing Crisis for People with Disabilities

This report documents the nationwide housing affordability crisis experienced by people with disabilities. The report discusses how in 2016, millions of adults with disabilities living solely on Supplemental Security Income (SSI) found that renting even a modest unit in their community would require nearly all of their monthly income. The report offers policy recommendations to address this crisis.

Short URL: http://www.advancingstates.org/node/70024

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Report to the President and Congress: The Money Follows the Person (MFP) Rebalancing Demonstration

This report presents the findings and conclusions of this national evaluation of the MFP demonstration. The MFP Rebalancing Demonstration program launched more than nine years ago. There are 44 grantee states, and as of the end of calendar year 2015, grantee states had transitioned a total of 63,337 Medicaid beneficiaries from long-term institutional care to community residences and home and community-based LTSS.

Short URL: http://www.advancingstates.org/node/69994

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Bridging the Health and Housing Gap Transitioning Medicaid Recipients from Institutions to the Community in the Context of Housing Shortages and Affordability

This report reviews federal health and housing policies, noting the barriers created that seniors with clinically-driven housing insecurity must navigate. It also reviews a series of initiatives that ACAP members are undertaking to address housing as a social determinant for this vulnerable population, with examples from California, Ohio, and North Carolina.

Short URL: http://www.advancingstates.org/node/69937

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Emerging Innovations in Managed Long-Term Services and Supports for Family Caregivers

This paper provides direct insights from managed care leaders about family caregiver supports and provides examples of how progressive managed care plans are supporting family caregivers who are caring for plan members with LTSS needs. The paper discusses how it is important to understand and address family caregivers’ roles and their needs in order to have a high-performing LTSS system, because the family provides the lion’s share of LTSS to people who need help.

Short URL: http://www.advancingstates.org/node/69915

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