DALTCP provides leadership on HHS policies that support the independence, health and productivity of elderly individuals and people with disabilities. DALTCP staff work on long-term care, post-acute care, personal assistance services, family care giving, integrated care (including for dual eligibles), rehabilitative services, employment of people with disabilities, mental health parity, and the direct care workforce.
Division of Behavioral Health and Intellectual Disabilities Policy
The Division of Behavioral Health and Intellectual Disabilities Policy focuses on financing, delivery, and quality of services and supports for individuals with mental illnesses, substance use disorders, or intellectual disabilities. Areas of focus include coverage and payment issues in private insurance, Medicaid and Medicaid, quality and consumer protection issues, and programs and policies of HHS agencies as they affect adults, children and youth with mental health conditions, substance abuse, or intellectual disabilities.
Division of Long-Term Care Policy
The Division of Long-Term Care Policy focuses on the long-term care and personal assistance needs of people of all ages with chronic disabilities. Areas of focus include assessing the interaction between health care, chronic care, long-term care, and supportive services needs of persons with disabilities across the age spectrum; determining service use and program participation patterns; and coordinating the development of long-term care data and policies that affect the characteristics, circumstances, and needs of people with long-term care needs, including older adults and people with disabilities.
Division of Disability and Aging Policy
The Division of Disability and Aging Policy is responsible for policy development, coordination, research and evaluation of policies and programs focusing on persons with disabilities and older Americans. This includes measuring and evaluating the impact of all programs authorized by the Older Americans Act. Aging activities related to older Americans are carried out in coordination with other HHS agencies and organizations. The Division is also responsible for supporting the development and analysis of crosscutting disability and aging data and policies within the Department and in other federal agencies.
- Acute/Long-Term Care Integration
- Aging Services
- Behavioral Health
- Care Coordination -- Medicaid Health Homes and Primary and Behavioral Health Integration
- Dual Eligibles
- Elder Rights/Adult Protective Services
- Falls Prevention
- Housing with Services
- Informal Caregiving
- Long-Term Care Financing
- Long-Term Care Insurance
- Medicaid Home and Community-Based Services (HCBS)
- Mental Health Parity and Addiction Equity Act (MHPAEA)
- Residential Care
- Serious Mental Illness -- Early Intervention and Evidence-Based Practices
- Skilled Nursing Facilities/Nursing Facilities (SNF/NF) and Nursing Home Quality
Across the country, state and local officials are increasingly focused on improving health outcomes for people living with mental illness or substance use disorders. This brief analyzes national data on behavioral health and reviews published research focused on how Medicaid expansion under the Affordable Care Act advances the goal of improving treatment for people with behavioral health needs.
This memorandum describes the ongoing implementation and impacts of a program the Support and Services at Home (SASH) program. The program is intended to improve health and decrease health care expenditures among elderly residents of affordable housing developments. Using claims data for a sample of Medicare fee-for-service (FFS) beneficiaries, the evaluation analyzed health care utilization and expenditures among SASH participants and a comparison group of Medicare beneficiaries living in affordable housing properties in Vermont.
Amy Kandilov, Vincent Keyes, Noëlle Siegfried, Patrick Edwards, Ann Larsen, Kevin Smith, Celia Eicheldinger, Nancy McCall, Martijn Van Hasselt, and Doug Raeder RTI International Alisha Sanders and Robyn Stone LeadingAge Printer Friendly Version in PDF Format (71 PDF pages)
Twenty-one states applied and were approved to participate in the Balancing Incentive Program enacted in the 2010 Affordable Care Act which offered enhanced Federal Financial Participation to states that were eligible for the program because their FY 2009 Medicaid spending on home and community-based services (HCBS) was less than 50% of their total Medicaid spending on long-term services and supports (LTSS).
Sarita L. Karon, PhD, Molly Knowles, MPP, Brieanne Lyda-McDonald, MS, Trini Thach, BS, and Joshua M. Wiener, PhD RTI International Diane Justice, MA, Scott Holladay, MPA, and Kimm Mooney, BA National Academy for State Health Policy Mary Sowers, BA National Association of State Directors of Developmental Disability Services Printer Friendly Version in PDF Format (36 PDF pages)
The Affordable Care Act included several provisions designed to increase the provision of Medicaid home and community-based services (HCBS) and to improve the infrastructure for provision of those services. States that were, in 2009, spending less than 50% of total Medicaid long-term services and supports (LTSS) expenditures on HCBS were eligible to participate in the Balancing Incentive Program. Participating states receive an enhanced federal match rate for HCBS services.
Sarita L. Karon, PhD, Molly Knowles, MPP, Brieanne Lyda-McDonald, MS, Trini Thach, BS, and Joshua M. Wiener, PhD RTI International Diane Justice, MA, Scott Holladay, MPA, and Kimm Mooney, BA National Academy for State Health Policy Mary Sowers, BA National Association of State Directors of Developmental Disability Services Printer Friendly Version in PDF Format (39 PDF pages)
Survey for Caregivers Supporting a Person with a Disability Outside of the Disability Support Service System
Abt Associates Printer Friendly Version in PDF Format (32 PDF pages)
DEVELOPMENT OF A NATIONAL ADULT PROTECTIVE SERVICES DATA SYSTEM: NAMRS PILOT FINAL REPORT (VOLUME 1)
VOLUME 1: PILOT OVERVIEW AND FUTURE RECOMMENDATIONS
DEVELOPMENT OF A NATIONAL ADULT PROTECTIVE SERVICES DATA SYSTEM: NAMRS PILOT FINAL REPORT (VOLUME 2)
VOLUME 2: SYSTEM DOCUMENTATION
DEVELOPMENT OF A NATIONAL ADULT PROTECTIVE SERVICES DATA SYSTEM: NAMRS PILOT FINAL REPORT (Volume 1)
VOLUME 1: PILOT OVERVIEW AND FUTURE RECOMMENDATIONS Y. Yuan, S. Leelaram, S. Dahbour, M. Greene, A. Acker and E. Swartz WRMA, Inc. Printer Friendly Version in PDF Format (250 PDF pages) ABSTRACT:
DEVELOPMENT OF A NATIONAL ADULT PROTECTIVE SERVICES DATA SYSTEM: NAMRS PILOT FINAL REPORT (Volume 2)
VOLUME 2: SYSTEM DOCUMENTATION Y. Yuan, S. Leelaram, S. Dahbour, M. Greene, A. Acker and E. Swartz WRMA, Inc. Printer Friendly Version in PDF Format (72 PDF pages) ABSTRACT
Feasibility Study for Demonstration of Supported Education to Promote Educational Attainment and Employment among Individuals with Serious Mental Illness: Final Report
Heather Ringelsen, PhD, and Amy Ryder-Burge, MS RTI International Marsha Langer Ellison, PhD, Kathleen Biebel, PhD, and Shums Alikhan, BA University of Massachusetts Medical School Printer Friendly Version in PDF Format (143 PDF pages)
Unlicensed care homes provide room, board and some level of services for two or more unrelated individuals, but are not licensed or certified by the state. These homes often serve very vulnerable individuals such as individuals with serious mental illness or other disabilities, or older adults with functional limitations and limited financial resources. Some of these homes are legally unlicensed while others operate illegally.
Angela M. Greene, Michael Lepore, Linda Lux, Kristie Porter, and Emily Vreeland RTI International Printer Friendly Version in PDF Format (81 PDF pages)
Predictors of Job Satisfaction and Intent to Leave among Home Health Workers: An Analysis of the National Home Health Aide Survey
Jess Wilhelm, MASocial & Scientific Systems, Inc. Natasha Bryant, MALeadingAge Janet P. Sutton, PhDSocial & Scientific Systems, Inc. Robyn Stone, ScDLeadingAge
Douglas A. Wolf Aging Studies Institute, Syracuse University Abstract
Joshua M. Wiener, PhD, Sarita L. Karon, PhD, Mary McGinn-Shapiro, MPP, Brieanne Lyda-McDonald, MS, and Trini Thach, BSRTI International Diane Justice, MA, Scott Holladay, MPA, and Kimm Mooney, BANational Academy for State Health Policy Mary Sowers, BANational Association of State Directors of Developmental Disability Services August 2015 ABSTRACT
Communicating necessary and timely information to providers across the continuum of care is central to providing coordinated care. This report focuses on the information exchange processes of integrated care models that provide care for populations with long-term service and support (LTSS) needs. Individuals with LTSS needs require a number of people to be involved to provide care and support, and all of these providers require specific information elements about each individual. Integrated care models' primary focus is on care coordination among a large range of provider types.
Molly McGinn-Shapiro, MPP, Susan Mitchell, BS, Edith G. Walsh, PhD, Magdalena Ignaczak, BS, and Lawren Bercaw, MPP, MA RTI International Printer Friendly Version in PDF Format (79 PDF pages)
Joshua M. Wiener, Galina Khatutsky, Angela M. Greene, Trini Thach, and Benjamin AllaireRTI International Derek BrownWashington University July 30, 2015ASPE Policy Forum
Brenda Spillman and Timothy Waidmann
Briefing for ASPE Long-Term Care Financing Colloquium Melissa Favreault Washington, DC
Allison Carbonaro and Helen Lamont Office of the Assistant Secretary for Planning and Evaluation July 2015 Printer Friendly Version in PDF Format: http://aspe.hhs.gov/pdf-report/affordable-care-act-and-caregivers-research-brief (4 PDF pages)