E-CLIPS CLEARINGHOUSE CLIPS

Dear Ghulamnabi, State Medicaid Directors' letters are used to provide States with guidance and clarification on current information pertaining to Medicaid policy and Medicaid data issues. The intent of these letters is not to establish policy, but to ensure consistency and better serve the States. Review the State Balancing Incentive Payments Program Letter released on September 12, 2011.

CMS State Medicaid Directors Letter: State Balancing Incentive Payments Program

Summary: This letter provides guidance to States on the implementation of Section 10202 of the Affordable Care Act, which establishes the State Balancing Incentive Payments Program hereafter referred to as the Balancing Incentive Program. This letter provides a high-level overview along with the required structural changes and timeframes for implementation. Also review the attached Section 10202 Initial Announcement. Topic(s): Affordable Care Act (ACA) Source: CMS More Info: http://www.hcbs.org/moreInfo.php/nb/doc/3659

Federal Financing of Supported Employment and Customized Employment for People with Mental Illnesses: Final Report
Summary: A review of the federal financing mechanisms used by state agencies to implement the evidence-based employment models (IPS and CE) come with the recognition that the federal financing of employment services for people with serious mental illness is a shared responsibility across multiple federal agencies. Improvements in this shared responsibility can lead to more effective support for these evidence-based employment models at the state and local levels. Topic(s): Employment Programs, Long-Term Care, Mental Health Source: Assistant Secretary for Planning & Evaluation More Info: http://www.hcbs.org/moreInfo.php/nb/doc/3658

Health Disparities Chart Book on Disability and Racial and Ethnic Status in the United States Charles
Summary: Report illustrates the need for careful planning on how to address the health disparities experienced by persons with disabilities into the next decade. Because the perception that disability is solely an aging phenomenon, current analysis to people of working age (18-64) is limited. Also, little research compares the health disabilities to that of other racial and ethnic minority groups. The report suggests the time is now for a national plan to address disparities. Topic(s): Developmental/Intellectual Disabilities, Physical Disabilities, Psychiatric Disabilities/Mental Illness Source: Institute on Disability/ University of New Hampshire

More Info: http://www.hcbs.org/moreInfo.php/nb/doc/3656

Medicaid Home- and Community-Based Care Spending: DataBrief No. 15

Summary: The latest brief describes Medicaid expenditures in 2009, showing that 45% of its total long-term care dollars nationally were spent on home- and community-based services. The findings in this analysis are based on the CMS Form 64 data published by Thomson Reuters, detailing each states Medicaid expenditures. Topic(s): Affordable Care Act (ACA), Financing HCBS, Long-Term Care, Money Follows the Person Source: The Scan Foundation More Info: http://www.hcbs.org/moreInfo.php/nb/doc/3654

Medicaid-Funded Home- and Community-Based Services: Long-Term Care Fundamentals No. 9

Summary: The latest in a series provides background on the landscape of home- and community-based long-term care services funded by Medi-Cal, California's Medicaid program. In-Home Supportive Services (IHSS) is the largest personal care program in the nation. Topic(s): Affordable Care Act (ACA), Financing HCBS, Long-Term Care Source: The Scan Foundation More Info: http://www.hcbs.org/moreInfo.php/nb/doc/3653

MIG Outreach Materials - Alabama

Summary: How is the state of Alabama reaching out to consumers and employers with important information regarding help for persons with disabilities who want to work or return to work? To find out, explore several examples of state-wide outreach: two newsletters put out by "BamaWorks", Alabama's MIG program, a brochure, and a website. May be replicable by other states seeking to provide outreach for their own MIG programs. Topic(s): Developmental/Intellectual Disabilities, Employment Programs, Medicaid Infrastructure Grant, Physical Disabilities Source: Grantee produced, Alabama More Info: http://www.hcbs.org/moreInfo.php/nb/doc/3541

Strengthening the Aging Network Issue Brief: The Affordable Care Act: New Option for Providing Long-Term Services and Supports
Summary: The Affordable Care Act of 2010 offers a number of options and financial incentives for states seeking to expand their systems of long-term services and supports. Many of these opportunities can be leveraged to work together and to build on existing initiatives. Key provisions of the ACA are summarized, followed by considerations for states seeking to take advantage of these new opportunities. Topic(s): Affordable Care Act (ACA), Aging Issues, Money Follows the Person Source: NASUAD More Info: http://www.hcbs.org/moreInfo.php/nb/doc/3655

Supporting Massachusetts Executive Branch to Become a Model Employer of People with Disabilities: Findings from Focus Groups with ADA Coordinators, Hiring Managers and Employees with Disabilities

Summary: Unemployment rates among people with disabilities is historically high. In Massachusetts, a Disability Task Force on Employment was formed in May 2008 to take a critical look at the Executive Branchs current policies and practices and search for best practices in the public and private sector that pertain to recruiting, hiring, accommodating, promoting and retaining people with disabilities in the workplace. This report presents a summary of the focus group findings. Topic(s): Accessibility, Developmental/Intellectual Disabilities, Employment Programs, Medicaid Infrastructure Grant, Physical Disabilities, Psychiatric Disabilities/Mental Illness Source: Grantee produced, Massachusetts More Info: http://www.hcbs.org/moreInfo.php/nb/doc/3596

What is a Medicaid Waiver? Long-Term Care Fundamentals #8

Summary: This issue of Fundamentals describes Medicaid waivers and how they are generally used by states. It also describes the various types of waivers currently operational in California. The paper offers a broad overview of Research and Demonstration ProjectsSection 1115 Waivers; Program Waivers Section 1915(b) and 1915(c) Waivers and Section 1915 (b) and (c). Review the matrix which summarizes the difference. Topic(s): Affordable Care Act (ACA), Long-Term Care Source: SCAN Foundation More Info: http://www.hcbs.org/moreInfo.php/nb/doc/3652

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