Reports

Issues For Agencies and Applicants, Including Immigrants and Limited English Speakers

ForewordPerformance Improvement 2003: Evaluation Activities of the U.S. Department of Health and Human Services i

Twenty-one states have implemented "wage pass-through" programs with the stated expectation that doing so will help address the shortage of direct care workers employed by long-term care providers in their states. A wage pass-through is an additional allocation of funds provided through Medicaid reimbursement for the express purpose of increasing compensation for direct care workers.

U.S. Department of Health and Human Services State Wage Pass-Through Legislation: An Analysis WORKFORCE ISSUES: No. 1 Institute for the Future of Aging Services December 20, 2002 PDF Version

This report compares medication use in long-term care facilities and community settings for Medicare beneficiaries with heart conditions. The purpose of this comparison was to evaluate the utility of a new file of institutional drug use in the Medicare Current Beneficiary Survey (MCBS), the premier source of health care information on the Medicare population.

U.S. Department of Health and Human Services

Contents

This paper presents an analysis of workers who persistently have low earnings in the labor market over a period of three or more years. Some of these workers manage to escape from this low-earning status over subsequent years, while many do not. Using data from the Longitudinal Employer Household Dynamics (LEHD) program at the U.S.

This research, while directly supported by the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, (grant number 01ASPE372A to the Urban Institute) and by funding from the Rockefeller/Sage Foundation is a part of the U.S.

Submitted to:Department of Health and Human ServicesAssistant Secretary for Planning and Evaluation Submitted by: Westat Chapin Hall Center for Children James Bell Associates

Health Care Coverage Among Child Support-Eligible Children By: Laudan Y. Aron Submitted to:Department of Health and Human Services Office of the Assistant Secretary of Planning and Evaluation December 2002

Brenda C. Spillman, Senior Research AssociatKorbin Liu, Principal Research AssociateCarey McGilliard, Research Assistant Urban Institute PDF Version: http://aspe.hhs.gov/daltcp/reports/2002/rltct.pdf (34 PDF pages)

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, 2002 Through September 30, 2003 [Federal Register: November 30, 2001 (Volume 66, Number 231)] [Notices] [Page 59790-59793]

I . Introduction and Overview BackgroundIn its report for the FY 2002 Appropriation for the Department of Health and Human Services, the Conference Committee stipulated for the fifth year that research within the Office of the Secretary should be dedicated to study the outcomes of welfare reform:

Content Literature Review Need for Post-Adoption Services PAS Programs in Operation or Development Evaluation of PAS Case Studies of PAS Programs Need for Post-Adoption Services

Contents

Contents Need for Post-adoption Services Program Structure and Services Program Development Program Goals and Eligibility Program Structure Services Offered Su

Contents Key Findings Conclusions Endnotes Major welfare reform legislation and a strong economy have led to dramatic declines in welfare caseloads during the mid- and late-1990s, with many recipients leaving welfare and finding employment.

The Summary Report presents a brief description of each study component, with a concluding discussion of the current status of post-adoption services and strategies to move the field forward.

In this paper, the authors use data from the Medicare Current Beneficiary Survey, which represents the full Medicare population, regardless of living arrangement, to describe characteristics of elderly residents of both types of facility and the characteristics of the facilities. Our sample is limited to beneficiaries age 65 or older.

The analysis of secondary data explored whether administrative data could be used to better understand the use of adoption subsidies for purchase of services and to describe the disruption, dissolution, and displacement of adoptions.

The Case Study component of the study used interviews with state adoption program managers and post adoption services coordinators/providers as well as focus groups with adoptive parents. Site visits to programs in five states — Georgia, Massachusetts, Oregon, Texas, and Virginia — included well-regarded programs that varied in structure and services offered.

This report looks at the changing nature of the caseload by examining the characteristics and circumstances of three groups: people who leave welfare and stay off for at least a year (leavers), people who stay on welfare persistently (stayers), and people who cycle on and off the rolls (cyclers).

By: Anu Rangarajan, Carol Razafindrakoto, and Walter Corson Mathematica Policy Research, Inc Submitted to: Assistant Secretary for Planning and Evaluation (ASPE)

Submitted by: Deborah Gibbs and Kristin Siebenaler RTI International Richard P. Barth University of North Carolina School of Social Work Contract No. 100-99-0006

Submitted by: Deborah Gibbs and Kristin Siebenaler RTI International(1) Richard P. Barth University of North Carolina School of Social Work Contract No. 100-99-0006

Submitted by: Deborah Gibbs and Kristin Siebenaler RTI International Richard P. Barth University of North Carolina School of Social Work Contract No. 100-99-0006

Submitted by: Deborah Gibbs and Kristin Siebenaler RTI International Richard P. Barth University of North Carolina School of Social Work Contract No. 100-99-0006

This report looks at the changing nature of the caseload by examining the characteristics and circumstances of three groups: people who leave welfare and stay off for at least a year (leavers), people who stay on welfare persistently (stayers), and people who cycle on and off the rolls (cyclers).

Issue Papers on Foster Care and Adoption Adoption Dynamics: Comparative Results for Subpopulations by Fred H. Wulczyn Chapin Hall Center for Children at the University of Chicago November 2002

Submitted to: Andrew Rock, Task Order ManagerOffice of Planning and EvaluationDepartment of Health and Human Services200 Independence Ave., SW, Suite 447-DWashington, DC  20201

Submitted to: Andrew Rock, Task Order Manager Office of Planning and Evaluation Department of Health and Human Services

  Overview   [For a complete overview, see the Advancing States' Child Indicators Initiatives]

Contents  

Contents Introduction Overview of DSH Funding Policies What Is a Safety Net Hospital? How Should Financial Vulnerability Be Defined? Framework for Analyzing DSH Allocation Policies Hospital Data Set and