Community Resilience and Recovery Initiative: Final Evaluation Report
In 2010, in response to the recession and the slow recovery process, the Substance Abuse and Mental
Health Services Administration (SAMHSA) launched the Community Resilience and Recovery
Initiative (CRRI). CRRI was a multi-level, place-based demonstration project aimed at helping grantee
communities cope with the ongoing behavioral health effec
CRRIfr.pdf
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Interstate Variation and Progress Toward Balance in Use of and Expenditure for Long-Term Services and Supports in 2009
State long-term care (LTC) financing and delivery systems and, in particular, Medicaid funded LTC have long been criticized for being “institutionally biased.” Shifting the balance in publicly-funded LTC provision away from institutional care (nursing homes, long-term hospitals, intermediate care facilities for the intellectually disabled) tow
ProgBal.pdf
Non-Elderly Disabled Category 2 Housing Choice Voucher Program: An Implementation and Impact Analysis
The Non-Elderly Disabled Category 2 (NED2) Housing Choice Voucher Program, a joint effort
between the Department of Housing and Urban Development and the Centers for Medicare and
Medicaid Services, aimed to increase access to affordable housing for non-elderly people (age 62 and
under) with disabilities currently residing in institutions, such
Cat2Housing.pdf
Medicaid-Financed Institutional Services: Characteristics of Nursing Home and ICF/IID Residents and Their Patterns of Care
Although states have begun to rebalance their long-term care systems toward a greater emphasis on home and community-based services (HCBS), many low-income elderly, persons with physical disabilities, and persons with intellectual/developmental disabilities (I/DD) continue to reside in institutions such as nursing homes or intermediate care facili
MFIS.pdf
An Investigation of Interstate Variation in Medicaid Long-Term Care Use and Expenditures Across 40 States in 2006
State long-term care (LTC) financing and delivery systems and, in particular, Medicaid funded LTC have long been criticized for being “institutionally biased.” Shifting the balance in publicly-funded long-term care provision away from institutional care (nursing homes, long-term hospitals, intermediate care facilities for the intellectually di
40State.pdf
Picture of Housing and Health: Medicare and Medicaid Use Among Older Adults in HUD-Assisted Housing
This paper describes the results of a pilot test to link HUD administrative data to CMS claims data.
The project was successful in matching files for 12 geographic areas using 2008 claims. The results
show that older adults receiving HUD assistance have higher Medicare and Medicaid utilization than
individuals in the community not receiving HUD
HUDpic.pdf
Participant-Directed Services in Managed Long-Term Services and Supports Programs: A Five State Comparison
As of the beginning of 2013, 16 states had Medicaid managed long-term services and supports (MLTSS) plans available, with enrollment being either mandatory or voluntary for target populations that varied by state (e.g., elderly, younger adults with adult-onset disabilities, persons with intellectual or other developmental disabilities). In 13 of t
5LTSS.pdf
![The "Value Added" of Linking Publicly](https://aspe.hhs.gov/system/files/styles/list-page-thumbnail/private/default_images_reports/default_report_image06.jpg?itok=xiF-9oVT "Image of The "Value Added" of Linking Publicly Assisted Housing for Low-Income Older Adults with Enhanced Services: A Literature Syntheses and Environmental Scan")
The "Value Added" of Linking Publicly Assisted Housing for Low-Income Older Adults with Enhanced Services: A Literature Syntheses and Environmental Scan
This paper reviews the literature on effectiveness on existing models of affordable housing with health or supportive services. The review found a range of program models, including a variety of types of services, and delivery methods (congregate or scattered-site). There were benefits to residents including meeting unmet needs for services, impro
ValueAdd.pdf
Design of a Demonstration of Coordinated Housing, Health and Long-Term Care Services and Supports for Low-Income Older Adults
This conceptual framework examines the possible ways that housing sites can link health and long-term services and supports, and potential ways that HUD and HHS could design a demonstration of such a model. [31 PDF pages]
lioaDemo.pdf
Understanding Medicaid Home and Community Services: A Primer, 2010 Edition
ASPE is releasing a 2010 update of "Understanding Medicaid Home and Community Services, A Primer". This is an update of the well-received document ASPE released in 2000 to address conflicting understanding and interpretation of Medicaid home and community-based services options. The 2000 "Primer," as it has come to be called, has served as a def
primer10.pdf
Medicaid and Permanent Supportive Housing for Chronically Homeless: Literature Synthesis and Environmental Scan
This report reflects existing published and unpublished literature on permanent supportive housing (PSH) for people who are chronically homeless. It has a particular focus on the role that Medicaid currently plays in covering the costs of the supportive services that help people keep their housing and improve their health and quality of life. In a
ChrHomlr.pdf
National Conference on Home Care Quality: Issues and Accountability--Volume I Proceedings
To better understand the actual nature of quality problems in home care and the difficulties that home care agencies and state officials face in assuring quality of care, DALTCP sponsored a practitioners conference on quality assurance in home care. The conference included researchers and federal and state regulatory officials and emphasized the e
88cfproc.pdf
Home Modifications: Use, Cost, and Interactions with Functioning Among Near-elderly and Older Adults
This report analyzes new data from an experimental module to the 2006 Health and Retirement Study on assistive home features for near-elderly and older adults. In 2006, two-thirds of the population born in 1953 or earlier (ages 52 and older) had one or more assistive home features, about one-third added at least one of these features, and 40% use
homemod.pdf
Childless Elderly Beneficiaries' Use and Costs of Medicare Services: Final Report
This report focuses on findings for the cost analyses that use the 1994 National Long-Term Care Survey as a baseline and 1995-1998 costs as outcomes. Additional findings, using other years, or usage rather than cost outcomes, were generally consistent with these basic findings. Only for 1995 did the authors find that total Medicare costs were lowe
childless.pdf
The Home Health Aide Partnering Collaborative: Implementation Manual
The Home Health Aide Partnering Collaborative is a quality improvement project developed and implemented at the Visiting Nurse Service of New York. The primary purpose of the Collaborative was to enhance the quality of work life for home health aides while improving outcomes for home health patients. This Implementation Manual emerged out of the l
HHAPartmnl.pdf
Home Health Aide (HHA) Partnering Collaborative Evaluation: Final Report
The purpose of this evaluation was to assess the impact of the "Home Health Aide (HHA) Partnering Collaborative" a quality improvement initiative implemented at the Visiting Nurse Service of New York in three main areas: (1) patient outcomes; (2) patient service use; and (3) aide job perceptions and retention. The Collaborative was des
HHAPartfr.pdf
Summary of Long-Term Care Provisions Under the Health Security Act
The long-term care component of the Health Security Act encompasses six key elements: (1) a new home and community-based services program; (2) improvements in long-term care coverage under Medicaid; (3) private long-term care insurance standards and tax incentives; (4) tax incentives that help individuals with disabilities to work; (5) a demonstra
ltcpsum.pdf
HHA Partnering Collaborative Evaluation: Practice/Research Brief
This brief describes the key components of the HHA Partnering Collaborative model, implementation challenges and successes, and the results and implications from the evaluation. [9 PDF pages]
HHAPartrb.pdf
Gauging the Use of HCBS Supports Waivers for People with Intellectual and Developmental Disabilities: Final Project Report
This report contains the following major sections: Methods. This section briefly describes how the information contained in this report was obtained and compiled. HCBS for People with I&DD. This section provides background information concerning the role that Medicaid HCBS waivers play in supporting people with I&DD, critical factors affec
gaugingfr.pdf
gaugingfr-appendA.pdf
gaugingfr-appendB.pdf
gaugingfr-appendC.pdf