Reports

National welfare reform legislation in 1996 created the Temporary Assistance for Needy Families (TANF) Program, which imposed time limits on cash assistance receipt and broadened and strengthened mandates for clients to work or engage in work-related activities.

Past studies by federal agencies examined the impact of the Balanced Budget Act of 1997 policies on beneficiaries and providers. While documenting changes in the supply of home health agencies (HHAs), these studies concluded that agency closings did not cause a shortage of Medicare home health providers and that beneficiaries' access to services were not generally affected.

This report describes the implementation of IndependentChoices by synthesizing information from in-person interviews with program staff, a mail survey of program counselors, and telephone interviews with consumers who had the opportunity to receive the program allowance.

This report addresses the liability issues that may arise in government-sponsored consumer-directed personal assistance programs (CDPAS).

In the study described in this report, the authors used the Medicaid Statistical Information System (MSIS) files to examine the use and costs of Medicaid services for beneficiaries with mental illness in one state (New Jersey). This report includes an overview of findings on service use and costs for beneficiaries with mental illness compared with services for other Medicaid beneficiaries.

ASPE initiated a study of WIA and TANF coordination to understand better and assess the degree to which TANF and WIA programs work together to further their mutual policy goals at a time when both programs were undergoing congressional reauthorization.

Jennifer Schore and Barbara Phillips Mathematica Policy Research, Inc.

By Kerry Kemp,Health Systems Research, Inc.

GOAL 1: Reduce the major threats to the health and well-being of Americans Objective 1.1 Reduce behavioral and other factors that contribute to the development of chronic diseases Objective 1.2 Reduce the incidence of sexually transmitted diseases and unintended pr

Evaluation Activities of the U.S. Department of Health and Human Services"ForewordThis report, Performance Improvement 2004: Evaluation Activities of the U.S. Department of Health and Human Services, complies with Section 241(b) of the Public Health Service Act, as amended by the Preventive Health Amendments of 1993.

Serving TANF and Low-Income Populations through WIA One-Stop Centers Report on Highlights of Site Visits Prepared for:Office of the Assistant Secretary for Planning & Evaluation U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Using MSIS Data to Analyze Mental Health Service Use and Expenditures for Medicaid Beneficiaries with Mental Illness in New Jersey in 1999

This paper — which is one of a series of Appendices included in the demonstration's final report — describes New Jersey's nursing home transition program, called Community Choice. Community Choice is one of the first permanent, publicly funded nursing home transition programs in the United States.

U.S. Department of Health and Human Services Community Choice: New Jersey's Nursing Home Transition Program Steve Eiken MEDSTAT December 22, 2003 http://aspe.hhs.gov/daltcp/reports/2003/NJtrans.pdf (26 PDF pages)

U.S. Department of Health and Human Services   Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States Executive Summary

This paper examines the role that states play in providing early childhood education. It reviews evidence on states’ level of support for pre-kindergarten programs, the quality and effectiveness of state-funded pre-kindergarten, and state efforts to build integrated, comprehensive, early childhood systems for children from birth through age five that have a focus on school readiness.

This paper — which is one of a series of Appendices included in the demonstration's final report — describes Texas' nursing home transition grant.

This paper — which is one of a series of Appendices included in the demonstration's final report — describes Arkansas' Passages program. The case studies provide useful information as states consider nursing home transition efforts or implement nursing home transition programs.

This paper — which is one of a series of Appendices included in the demonstration's final report — describes describes an initiative called Pennsylvania Transition to Home (PATH), is one of a series of nine case studies presenting results from the Demonstration.

This paper — which is one of a series of Appendices included in the demonstration's final report — describes an initiative called One-to-One: Vermonters in Transition (One-to-One), is one of a series of nine case studies presenting results from the Demonstration.

This paper — which is one of a series of Appendices included in the demonstration's final report — describes Florida's Nursing Home Transition Grant Project, is one of a series of nine case studies presenting results from the Demonstration. The case studies provide useful information as states consider nursing home transition efforts or implement nursing home transition programs.

This paper, which is one of a series of Appendices included in the demonstration's final report, describes Colorado's nursing home program. Unlike other Nursing Home Transition Demonstration Grants, Colorado's grant focused on preventing nursing home admissions, rather than assisting people who want to move into the community.

To date, there has been little research on how states use Medicaid to pay for services for elderly persons in residential care settings. This report is intended to fill that gap, by describing in depth how six states use their Medicaid programs to fund residential care services for elderly persons. These states are Florida, Minnesota, North Carolina, Oregon, Texas, and Wisconsin.

President Bush signed Executive Order 13217 on June 18, 2001, "to place qualified individuals with disabilities in community settings whenever appropriate...so as to ensure that all Americans have the opportunity to live close to their families and friends, to live more independently, to engage in productive employment, and to participate in community life." This paper provides an overview of c

Janet O'Keeffe, Dr.P.H., R.N., Christine O'Keeffe, B.A., and Shulamit Bernard, Ph.D. RTI International

I. IntroductionWhether or not children will be successful students depends greatly on the quality of their experiences in early childhood. Research has demonstrated the value of providing comprehensive interventions for developing the knowledge and skills that prepare children for kindergarten and for closing the school achievement gap for economically disadvantaged students.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Passages: Arkansas's Nursing Home Transition Program Michael Schaefer and Steve Eiken MEDSTAT December 26, 2003 PDF Version: http://aspe.hhs.gov/daltcp/reports/2003/ARtrans.pdf (20 PDF pages)

U.S. Department of Health and Human Services Fast Track and Other Nursing Home Diversion Initiatives: Colorado's Nursing Home Transition Grant

U.S. Department of Health and Human Services One-to-One: Vermont's Nursing Home Transition Program Steve Eiken, Marjorie Hatzmann and Anthony J. Asciutto MEDSTAT December 19, 2003 PDF Version: http://aspe.hhs.gov/daltcp/reports/2003/VTtrans.pdf (19 PDF pages)

U.S. Department of Health and Human Services Partnerships for Community Living: Florida's Nursing Home Transition Program Michael Schaefer and Steve Eiken MEDSTAT December 23, 2003 PDF Version: http://aspe.hhs.gov/daltcp/reports/2003/FLtrans.pdf (20 PDF pages)

U.S. Department of Health and Human Services Pennsylvania Transition to Home (PATH): Pennsylvania's Nursing Home Transition Program

Federal Financial Participation in State Assistance Expenditures; Federal Matching Shares for Medicaid, the State Children's Health Insurance Program, and Aid to Needy Aged, Blind, or Disabled Persons for October 1, 2004 Through September 30, 2005 [Federal Register: December 3, 2003 (Volume 68, Number 232)]

U.S. Department of Health and Human Services Update of ASPE Activities Related to Community-Integration Executive Order for People with Disabilities

Draft Final Report Delivery Order 27 Under Contract No. HHS-100-97-0017 Authors: Kathy Langwell Cynthia Helba Jo Ann Kauffman

U.S. Department of Health and Human Services

Contents Update on the Status of Program Operations Post-WtW Plans Adjustments Related to TANF Policies Adjustments Related to WIA Policies Adjustments Due to the Economy

U.S. Department of Health and Human Services U.S. Department of Labor Measuring Long-Term Care Work: A Guide to Selected Instruments to Examine Direct Care Worker Experiences and Outcomes Executive Summary

This report provides an update on the status of WtW program operations and post-WtW plans for the eleven evaluation study sites as the five-year grant periods draw to a close.

This Guide was developed to help long-term care providers devise appropriate surveys for measuring the experiences, behaviors and outcomes of Direct Care Workers (DCW) which might influence DCW retention and the long-term care work environment.

This paper reports on (1) what is known about the status of states' minimum nursing staff ratios and (2) findings from case studies that examine states' experiences with implementing or modifying these standards in a selected number of states.

By: Demetra Smith Nightingale, Carolyn Taylor O'Brien, Michael Egner, Nancy Pindus, and John Trutko (The Urban Institute)

Jane Tilly, Dr.P.H., Kirsten Black, M.P.P., and Barbara Ormond, Ph.D.The Urban Institute