This report gives a description of the policies and practices, residents, and staff in the segment of the assisted living facility (ALF) industry that provides the highest level of services and privacy. It reports data on a nationally representative sample of residents and staff in ALFs classified as providing relatively high services or offering
This report describes a range of approaches state Medicaid agencies use to coordinate health services and to coordinate long-term care services with health services for beneficiaries with chronic conditions. It then describes in detail two innovative programs: Georgia's SOURCE program and the Indiana Chronic Disease Management Program. [66 PDF pag
The evaluation of Cash and Counseling is the first to use a randomized design to compare service use and quality under traditional versus consumer-directed approaches to Medicaid supportive services. As part of the evaluation, this paper presents results for the children and parents who participated in Florida's Cash and Counseling demonstration
U.S. Department of Health and Human Services
An Analysis of Federal and State Policies Affecting Services to Mentally Retarded and other Developmentally Disabled Persons: State Perspectives Final Report
Tecla Jaskulski and Rebecca Weader
Macro Systems, Inc.
PDF Version (156 PDF pages)
This report addresses the liability issues that may arise in government-sponsored consumer-directed personal assistance programs (CDPAS). In analyzing these issues, the report focuses on the programs implemented in Arkansas, Florida and New Jersey as part of the Cash and Counseling Demonstration, but also briefly addresses variations on the liabil
This study analyzes how federal policies and programs influenced state policy choices with respect to expanding family and community care. The study presents an in-depth review of six state mental retardation/developmentally disabled service systems (Colorado, Illinois, Michigan, Nebraska, Texas and Virginia). Data collection and analysis emphasiz
U.S. Department of Health and Human Services
Autonomy of Abandonment: Changing Perspectives on Delegation
Donna L. Wagner, Ph.D., Pamela Nadash, B.Phil., and Charles Sabatino, J.D.
National Council on the Aging
PDF Version (82 PDF pages)
Continuing Care Retirement Communities (CCRCs) are presently becoming a more viable option for seekers of long-term care for the elderly. CCRCs have been recognized for their unique strategy of combining various levels of health care within one community setting, as well as their potential for providing cost-effective care. As the industry undergo
In 1992, the National Academy for State Health Policy published ABuilding Assisted Living For The Elderly Into Public Policy: A Guide For States@ to help state policy makers examine an emerging concept for providing residential, home like settings for elders. The Guide examined the confusion surrounding the use of the term "assisted living" and th
Federal disability programs, which provide services such as cash support, health care coverage, and direct supportive services to eligible people with disabilities, are typically limited to people under the age of 65. This entry of the Encyclopedia of Financial Gerontology contains information about the Americans with Disabilities Act and nine maj
This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief presents the fundamentals of Medicaid liens what they are, why they are permitted, and how they are applied by state Medicaid programs. Liens are a tool that states may use to ensure their right to recover past Me
This paper provides an overview of public financing of long-term care services for the elderly under Medicare, Medicaid and other public programs. Recent program data on public spending for both nursing home and home care services are presented, as well as selected data on recent expenditure trends, particularly under Medicare and Medicaid. Long-t
This report provides an overview of the major federal assistance programs targeted on non-elderly persons with disabilities. Program descriptions include expenditures, trends, the number and characteristics of recipients, eligibility rules, recent program history and legislative changes, and interactions with other federal programs.
As part of DALTCP's National Study of Assisted Living for the Frail Elderly, the National Academy for State Health Policy has been conducting annual surveys of all state licensing and housing finance agencies involved in assisted living, as well as of Medicaid agencies that provide funding for assisted living. This report summarizes the assisted l