This report describes how the state of Oregon designed and implemented its Exceptional Needs Care Coordinator (ENCC) function, assesses the extent to which this role is meeting the state's objectives, and discusses design elements that support the state's objectives. In order to provide a background for the discussion, we first describe the contex
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Further Progress, Persistent Constraints: Findings From a Second Survey of the Welfare-to-Work Grants Program
This report presents the early implementation findings from HHS' congressionally mandated evaluation of the Department of Labor's Welfare-to-Work Grants Program. Based on a survey of all WtW grantees conducted from November 1999 to February 2000, it provides descriptive information on the status of WtW programs, enrollment levels, job placements,
The purpose of the synthesis paper is to review, summarize, and discuss the significance of available research findings on the frontline long-term care (LTC) workforce since 1999, in both home and community-based and nursing home settings. This paper provides an updated review of the status of empirical findings, focusing on what has been learned
The Office of the Assistant Secretary for Planning and Evaluation (ASPE), in close collaboration with the Health Resources and Services Administration (HRSA), contracted with NORC to conduct an assessment of information technology use in ambulatory care health centers whose funding is administered by HRSA's Bureau of Primary Healthcare (BPHC).
This report reviews and summarizes the research literature on cost-effectiveness of home and community-based services. [32 PDF pages]
Public Financing of Home and Community Services for Children and Youth with Serious Emotional Disturbances: Selected State Strategies
Strengthening the financing of intensive home and community services for youth with serious emotional disorders (SEDs) brings into play a complex set of policy issues, regulatory constraints, and payment mechanisms. This report presents critical background information on these topics. It describes important system-of-care principles that have sh
Findings presented in this report are based on information derived from three sources — a review of the literature, discussions with national experts on naturally occurring retirement communities (NORCs), and case studies of NORCs and their associated services programs in five Agency on Aging demonstration sites. In each of the five demonstrati
The report analyzes the experiences of welfare "cyclers" (those who received welfare benefits during three or more discrete spells during a four-year observation period) using five MDRC studies of welfare reform initiatives during the mid- to late-1990s. Overall, cyclers constituted a relatively small portion of the welfare caseload (9 percent). C
The Role of Home and Community-Based Services in Meeting the Health Care Needs of People with AIDS: Final Report
This is the final report for the project, "Role of Home and Community-Based Services in Meeting the Health Care Needs of People with AIDS," conducted by Mathematica Policy Research, Inc. for the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation (ASPE). The goal of the project was to assist
An Examination of Issues Related to How HCBS Programs Operate Within Fixed Budgets and to the Administrative Linkages Between Eligibility Determination, Needs Assessment and Care Planning Functions
This paper reports the findings of an exploratory study to document and analyze selected best practices related to state-administered home and community-based services (HCBS) programs.
The final report (Volume I) presents the results of an evaluability assessment of child care options for work-welfare programs. The project examined current work-welfare programs in selected states across the country and explored the evaluative issues regarding the role of child care in these programs. Volume II (State Discussion Summaries, Head S
A Profile of Medicaid Institutional and Community-Based Long-Term Care Service Use and Expenditures Among the Aged and Disabled Using MAX 2002
This report examines how person-level data in the Medicaid Analytic eXtract (MAX) data system can be used to better understand Medicaid long-term care service use and expenditures, and to evaluate the utility of MAX data for further study of long-term care.
The focus of this study is on the key events that individual children may experience in the public child welfare service system. This report discusses the importance of this type of research, the issues that can be addressed with the information produced, an initial set of analyses addressing key questions in child welfare and an agenda for future
U.S. Department of Health and Human Services An Evaluation of the Veterans Administration Housebound and Aid and Attendance Allowance Program John M. Grana, Ph.D., and Sandra M. Yamashiro, M.P.A. Project HOPE, Center for Health Affairs April 15, 1987 PDF Version: http://aspe.hhs.gov/daltcp/reports/vahbap.pdf (152 PDF pag
As part of ASPE's ongoing support for federal collaboration on early childhood research through the Science and Ecology of Early Development (SEED) initiative, ASPE and the Administration for Children, Youth, and Families (ACYF) contracted with Child Trends to develop profiles of early childhood measures. This project produced a compendium of earl
Pathway to the Future: How Workforce Development and Quality Jobs Can Promote Quality Care Conference Package
This document is the information package given to the attendees of the conference “Pathway to the Future: How Workforce Development and Quality Jobs Can Promote Quality Care.” The held in Washington, D.C. on May 23-25, 2004, and was sponsored by the U.S. Department of Health and Human Services and the U.S. Department of Labor.
This 2007 compendium describes regulatory provisions and Medicaid policy for residential care settings in all 50 states and the District of Columbia. It updates an earlier report completed in 2004. Information was collected between February and November 2007 by reviewing state websites and regulations, and calling key state contacts to verify info