ACROSS THE STATES. florida PROFILES OF LONG-TERM SERVICES AND SUPPORTS. by Ari Houser Wendy Fox-Grage Kathleen Ujvari NINTH EDITION AARP

Size: px
Start display at page:

Download "ACROSS THE STATES. florida PROFILES OF LONG-TERM SERVICES AND SUPPORTS. by Ari Houser Wendy Fox-Grage Kathleen Ujvari NINTH EDITION AARP"

Transcription

1 ACROSS THE STATES PROFILES OF LONG-TERM SERVICES AND SUPPORTS florida by Ari Houser Wendy Fox-Grage Kathleen Ujvari 99-0 AARP 0 NINTH EDITION

2 Introduction Across the States 0: Profiles of Long-Term Services and Supports is the ninth edition of the AARP Public Policy Institute s state long-term services and supports reference report. This short report provides key long-term services and supports information for a single state. Complete data for all states are contained in the full report and executive summary. Published for the past 8 years, the Across the States series was developed to help inform policy discussions among public and private sector leaders in long-term services and supports throughout the United States. Across the States 0 presents comparable state-level and national data for more than 0 indicators, drawn together from a wide variety of sources into a single reference. This publication presents up-to-date data and is displayed in easy-to-use maps, graphics, tables, and state profiles. Across the States 0 comes in two volumes: A full report with an overview of key findings and trends, maps and graphs, and individual profiles for each state, the District of Columbia, and the nation as a whole. The full report provides a comprehensive picture of long-term services and supports in each state. An executive summary with an overview of key findings and trends, and ranking tables for each indicator, such as percentage of Medicaid long-term services and supports spending for older people and adults with physical disabilities going to home and community-based services. This permits readers to easily see variations among states. Some of the indicators in Across the States 0 may be found in prior editions. Please exercise caution when making comparisons with information in earlier editions due to changes in the source or definition. Complete descriptions of all indicators, and how they may differ from previous editions, can be found in the Data Documentation section in the back of the full report. Data sources and descriptions of indicators are only found in the full report, not in the executive summary. Additional indicators on health care spending, health status, and health care utilization for the age 50+ population can be found in another AARP Public Policy Institute report, Quick Health Facts 00: Selected State Data on Older Americans. Copies of Across the States 0 are available free of charge. To order, please call the AARP Public Policy Institute at (0) or jgasaway@aarp.org. The full report and executive summary are also available on the web. The most recent edition of Across the States can be found at

3 AARP Public Policy Institute Population & Projections Year All ages State Pop. (,000s) 9,70,76 9,08 % of Total Population Rank 3 3,3 376,660 3,7 % Change from 0 Rank +9% +5% % +38% Age ,657 3,873,788 9.% 5.7% 6.% % 6.% 6.6% +6% +3% 7 +% +9% Age ,5 5,67 6, %.9% 3.3% 5 3.6% 9.8% 0.% +65% +98% % +07% Age ,76,7,859 9.%.0% 9.8% 0 7.% 0.% 9.% +5% +6% 5 +6% +69% Age ,03,0,5 5.8% 8.% 7.7%.% 6.8% 6.6% +8% +0% % +6% Age ,69 3.0% 3.8% 5.8%.0%.9%.8% +6% +9% 3 +69% +% Older People of Color (%), 00 State Rank.9% 0.% Asian/Pacific Islander State Rank.3% 3.6% Black State Rank 7.7% 9 8.5% Hispanic State Rank 3.5% 6.9% Population (% of 0 Population) Projected Growth in the Older Population in as a Percentage of 0 Population, by Age Group 0% 0% 50% 00% 50% 00% 50% % Note: the highest data value within each ranking is indicated by a rank of. For indicators in which both a total number and a ratio are given for the state value (percent of population, per person in the state, etc), the rank and values correspond to the ratio column. 3

4 Population & Characteristics Living Arrangements Men per 00 women age 85+, 00 People age 75+ living alone, 00 People age 60+ with grandchildren in household, 00 People age 60+ responsible for raising grandchildren, 00 Percent of age 65+ households with someone under 8, 00 State Rank 57 % 5.%.% 6.% % 5.5%.6% 7.0% Income & Poverty Median household income age 65+, 00 At/below poverty level age 65+, 00 At/below 50% of poverty level age 65+, 00 Women age 75+ at/below poverty level, 00 Women age 75+ at/below 50% of poverty level, 00 Bachelor level education or higher age 65+, 00 State Rank $,0 9.9% 3%.6% 53% 3% $3,38 9.0% %.% 5% % Disability Rates People age 65+ with disabilities, 00 Self-care difficulty Cognitive difficulty Any disability People age 8-6 with disabilities, 00 Self-care difficulty Cognitive difficulty Any disability Number (,000s) Percent Rank 58 9, ,5 8.0% 9.% 3%.8%.% 9.8% 8 8.8% 9.5% 37%.8%.% 0.0% Family Caregivers Family caregivers, 009 Economic value of family caregiving, 009 (state in millions of $) Economic value per hour, 009 Ratio of the economic value of family caregiving to Medicaid long-term care spending, 009 State,780,000 $9,000 $ Per,000 Population Rank $, $,60 $ Per,000 Long-Term Care Insurance State Age 0+ Rank Private long-term care insurance policies in effect, 00 3,

5 Public LTSS Expenditures Medicaid Expenditures Total Medicaid expenditures (millions), 009 Federal Medicaid Assistance Percentage (FMAP), 009 Medicaid home and community-based services (HCBS) as a % of long-term services and supports (LTSS) spending, for older people and adults with physical disabilities, 009 * Medicaid HCBS spending as a % of LTSS spending, for all populations, 009 * State Rank $5,57 5 $368,3 5.98% 3 % 3% % % Medicaid Long-Term Services and Supports Spending for Older People and Adults with Physical Disabilities in and the, 009 United States 9% % 79% % 5% 6% Percentages may not add to 00% due to rounding Aged/Disabled Waivers PCS and other HCBS Nursing Facilities LTSS & Home Health Expenditures Medicaid LTSS expenditures for older people and adults with physical disabilities, 009 Nursing facilities HCBS Aged/disabled waiver services Personal care services (PCS) ** Home health services Other HCBS *** Medicaid LTSS expenditures for all populations, 009 Institutional services HCBS Waiver services (all populations) Other HCBS (including PCS and home health) State-funded HCBS expenditures for older people and adults with physical disabilities, 009 Total Per Person (millions) in the State Rank $3,07 $,3 $650 $38 $57 $69 $3 $,379 $,879 $,500 $,3 $69 $57 $65 $ $ $0 $3 $9 $ $ $5 $80 $66 $ $ $6 $68 $9 $9 $5 $6 $ $3 $3 $8 $ $68 $.83 Note: the highest data value within each ranking is indicated by a rank of. For indicators in which both a total number and a ratio are given for the state value (percent of population, per person in the state, etc), the rank and values correspond to the ratio column. * HCBS and LTSS include home health services for these indicators. This treatment is consistent with most earlier editions of Across the States, but differs from Across the States 009, in which home health was categorized separately from LTSS. ** 5 states did not report any PCS spending in 009; the lowest possible rank is 36. In 008, 9 states did not report any PCS participants; the lowest possible rank is 3. *** Other HCBS includes PACE, self-directed services authorized under Section 95(j), and several other programs. Only 6 states have spending categorized as this type; the lowest rank for this indicator is. 5

6 Medicaid HCBS Participants By Type of Service Nursing facilities (NF), 008 HCBS (older people and adults with PD), 008 Aged/disabled waiver services Personal care services (PCS) ** Home health services Institutional services (NF and ICF-MR), 008 HCBS (all populations), 008 Waiver services (all populations) Other HCBS (including PCS and home health) State 77,853 6,7 9, ,03 80,860 8,578 65,5 7,6 Per,000 Population Rank Adults with disabilities self-directing services, 0, Medicaid Participant LTSS Balance Medicaid aged/disabled waiver participants per 00 beneficiaries in nursing facilities, 008 Medicaid HCBS beneficiaries as a % of LTSS users, for older people and adults with PD, 008 * Medicaid HCBS beneficiaries as a % of LTSS users, for all populations, 008 * State Rank 38 38% 5% % 6% Medicaid Expenditures Per Person Served State Rank Nursing facility services, 008 HCBS expenditures for older people and adults with physical disabilities per person served, 008 (excluding home health) Aged/disabled waiver services Personal care services ** Home health services ICF-MR services, 008 MR/DD waiver services, 008 $,09 $0,380 $0,5 $5,8 $,89 $09,7 $, $9,533 $0,957 $0,70 $, $5,95 $3,053 $,896 LTSS Costs Public & Private Payment Rates State Rank Medicaid payment per day for nursing facility care, 0 Medicare payment per day for nursing facility care, 00 Medicare reimbursement per home health visit, 00 $06 $0 $ $78 $398 $5 Private pay rate per day in nursing facility, 0 Private pay rate per month in assisted living, 0 Private pay daily rate for adult day care, 0 Private pay hourly rate for home health aide, 0 $0 $,663 $60 $ $93 $3,6 $60 $9 6

7 LTSS Resources Per,000 HCBS Resources State Age 65+ Rank Assisted living and residential care facilities, 00 Assisted living and residential care units, 00 Personal and home care aides, 00 Median hourly wage, 00 Home health aides, 00 Median hourly wage, 00 People receiving ACL congregate meals, 009 * People receiving ACL home delivered meals, 009 * Total ACL congregate and home delivered meal expenditures (total in millions of $), 009 * Number of health maintenance tasks able to be delegated to LTSS workers (out of 6 tasks), 0 3,3 83,76,0 $8.96 3, $0.00,87,55 $ $ $9. $9.89 $36 Per,000 Nursing Facility Resources & Utilization State Age 65+ Rank Total nursing facilities, 00 Nursing facility beds, 00 Nursing facility residents, 00 Nursing facility occupancy rate, 00 Direct care nursing hours per resident day, 00 RN hours per day, 00 Nursing facility staffing turnover, ,558 7, 88% % % % Nursing Facility Resident Characteristics State Rank Residents with dementia, 00 Nursing facility residents with low care needs, 008 Residents with Medicaid as primary payer, 00 Residents with Medicare as primary payer, 00 Residents with other as primary payer, 00 Quality & Oversight of Nursing Facilities State Rank Residents with physical restraints, 008 High risk residents with pressure sores, 008 Long-stay residents with a hospital admission, 008 Long-term care facility beds per FTE ombudsman, 00 Nursing facilities visited by ombudsman at least quarterly, 00 7% 3% 58% % % 5% 3% % 3,8 00% % 7% 63% % % % % %,53 76% Note: the highest data value within each ranking is indicated by a rank of. For indicators in which both a total number and a ratio are given for the state value (percent of population, per person in the state, etc), the rank and values correspond to the ratio column. * These programs were originally administered under AoA. For more information on the Administration for Community Living (ACL), please see 7

8 Trends Medicaid HCBS Utilization Medicaid HCBS participants, older people and adults with physical disabilities (excluding home health) Nursing Facility Residents Nursing facility residents Long-Term Care Financing Total Medicaid spending (millions) Medicaid LTSS spending for older people and adults with physical disabilities (millions) Medicaid nursing facility spending (millions) Medicaid HCBS spending for older people and adults with physical disabilities (millions) Medicaid HCBS as a % of LTSS spending, for older people and adults with physical disabilities Change in Medicaid LTSS Spending, , by Service Year State Rank , 008 9,79 % change -8% , , % change -% 3,70,55,577,7 +% Year State Rank,60,85,08,886 -% Year State Rank % change % change % change % change change $,76 $5,57 +% $,586 $3,07 +9% $,50 $,3 +8% $3 $650 +9% 3% % +8% $85,70 $368,3 +9% $6,8 $80,8 +8% $5,8 $5,03 +% $6,969 $8, % Percent Change in Medicaid LTSS Spending, , by Service 7% 36% +9% Millions of Dollars $0 $50 $00 $50 $00 $50 $0 +$9 ICF-MR +$ MR/DD Waivers +$73 Nursing Facilities +$3 Aged/ Disabled Waivers +$7 PCS and other HCBS 00% 80% 60% 0% 0% 00% 80% 60% 0% 0% 0% ICF-MR MR/DD Waivers Nursing Facilities Aged/ Disabled Waivers Note: The highest data value within each ranking is indicated by a rank of. For indicators in which both a total number and a ratio are given for the state value (percent of population, per person in the state, etc), the rank and values correspond to the ratio column. +6% +33% +8% +76% +36% PCS and other HCBS 8

PROFILES OF LONG-TERM CARE AND INDEPENDENT LIVING NEW JERSEY. by Ari Houser Wendy Fox-Grage Mary Jo Gibson 2006 AARP

PROFILES OF LONG-TERM CARE AND INDEPENDENT LIVING NEW JERSEY. by Ari Houser Wendy Fox-Grage Mary Jo Gibson 2006 AARP ACROSS THE STATES PROFILES OF LONG-TERM RE A INPENNT LIVING W JERSEY by Ari Houser Wendy Fox-Grage Mary Jo Gibson 200 AP 200 Introduction This short state-specific report has been created from the full

More information

PROFILES OF LONG-TERM CARE AND INDEPENDENT LIVING RHODE ISLAND. by Ari Houser Wendy Fox-Grage Mary Jo Gibson 2006 AARP

PROFILES OF LONG-TERM CARE AND INDEPENDENT LIVING RHODE ISLAND. by Ari Houser Wendy Fox-Grage Mary Jo Gibson 2006 AARP ACROSS THE STATES PROFILES OF LONG-TERM CE A IEPEENT LIVING RHO IS by Ari Houser Wendy Fox-Grage Mary Jo Gibson 06 AP 06 Introduction This short state-specific report has been created from the full book,

More information

A CROSS T H E S TAT E S PROFILES OF LONG-TERM CARE:

A CROSS T H E S TAT E S PROFILES OF LONG-TERM CARE: A CROSS T H E S TAT E S PROFILES OF LONG-TERM RE: SSACHETTS by Mary Jo Gibson Steven R. Gregory Ari N. Houser Wendy Fox-Grage 2004 AP 2004 Introduction This short state-specific report has been created

More information

Selected State Background Characteristics

Selected State Background Characteristics State Profile: Florida Selected State Background Characteristics Population Total Pop. (millions) 17.4 293.7 Pop. 60+ (thousands) 3,787.4 48,883.4 % 60+ 21.8 16.6 National Ranking 60+ 1 % White (60+) 79.3

More information

Selected State Background Characteristics

Selected State Background Characteristics State Profile: South Carolina Selected State Background Characteristics Population Total Pop. (millions) 4.2 293.7 Pop. 60+ (thousands) 718.4 48,883.4 % 60+ 17.1 16.6 National Ranking 60+ 27 N/A % White

More information

Selected State Background Characteristics

Selected State Background Characteristics State Profile: Tennessee Selected State Background Characteristics Population Total Pop. (millions) 5.9 293.7 Pop. 60+ (thousands) 1,013.5 48,883.4 % 60+ 17.2 16.6 National Ranking 60+ 25 % White (60+)

More information

Selected State Background Characteristics

Selected State Background Characteristics State Profile: Nevada Selected State Background Characteristics Population Total Pop. (millions) 2.3 293.7 Pop. 60+ (thousands) 369.0 48,883.4 % 60+ 15.8 16.6 National Ranking 60+ 42 N/A % White (60+)

More information

Selected State Background Characteristics

Selected State Background Characteristics State Profile: Missouri Selected State Background Characteristics Population Total Pop. (millions) 5.8 293.7 Pop. 60+ (thousands) 1,029.2 48,883.4 % 60+ 17.9 16.6 National Ranking 60+ 14 % White (60+)

More information

Selected State Background Characteristics

Selected State Background Characteristics State Profile: Colorado Selected State Background Characteristics Population Total Pop. (millions) 4.6 293.7 Pop. 60+ (thousands) 622.9 48,883.4 % 60+ 13.5 16.6 National Ranking 60+ 48 N/A % White (60+)

More information

Selected State Background Characteristics

Selected State Background Characteristics State Profile: Louisiana Selected State Background Characteristics Population Total Pop. (millions) 4.5 293.7 Pop. 60+ (thousands) 719.0 48,883.4 % 60+ 15.9 16.6 National Ranking 60+ 40 % White (60+) 73.3

More information

Selected State Background Characteristics

Selected State Background Characteristics State Profile: New York Selected State Background Characteristics Population Total Pop. (millions) 19.2 293.7 Pop. 60+ (thousands) 3,347.4 48,883.4 % 60+ 17.4 16.6 National Ranking 60+ 20 % White (60+)

More information

Selected State Background Characteristics

Selected State Background Characteristics State Profile: Alabama Selected State Background Characteristics Population Total Pop. (millions) 4.5 293.7 Pop. 60+ (thousands) 810.1 48,883.4 % 60+ 17.9 16.6 National Ranking 60+ 15 % White (60+) 79.8

More information

Selected State Background Characteristics

Selected State Background Characteristics State of the States in Support State Profile: Oregon Selected State Background Characteristics Population Total Pop. (millions) 3.6 293.7 Pop. 60+ (thousands) 619.8 48,883.4 % 60+ 17.2 16.6 National Ranking

More information

Role of State Legislators

Role of State Legislators Title text here NCSL Fall Forum Preconference Session: Quality & Consumer Issues in Medicaid Managed LTSS December 3, 2013 Wendy Fox-Grage Senior Strategic Policy Advisor AARP Public Policy Institute Role

More information

Valuing the Invaluable: A New Look at State Estimates of the Economic Value of Family Caregiving (Data Update)

Valuing the Invaluable: A New Look at State Estimates of the Economic Value of Family Caregiving (Data Update) Valuing the Invaluable: A ew Look at State Estimates of the Economic Value of Family Caregiving (Data Update) This update includes comparisons to FY 2006 Medicaid. At the time of the original release,

More information

A Balancing Act: State Long-Term Care Reform. AARP Public Policy Institute

A Balancing Act: State Long-Term Care Reform. AARP Public Policy Institute AARP Public Policy Institute A Balancing Act: State Long-Term Care Reform Enid Kassner Susan Reinhard Wendy Fox-Grage Ari Houser Jean Accius AARP Public Policy Institute Barbara Coleman Dann Milne Consultants

More information

Selected State Background Characteristics

Selected State Background Characteristics State Profile: Hawaii Selected State Background Characteristics Population Total Pop. (millions) 1.3 293.7 Pop. 60+ (thousands) 230.9 48,883.4 % 60+ 18.3 16.6 National Ranking 60+ 10 % White (60+) 23.2

More information

STATE MEDICAID HOME CARE POLICIES: INSIDE THE BLACK BOX

STATE MEDICAID HOME CARE POLICIES: INSIDE THE BLACK BOX STATE MEDICAID HOME CARE POLICIES: INSIDE THE BLACK BOX Martin Kitchener MBA PhD, Professor (Corresponding author) Department of Social and Behavioral Sciences University of California, San Francisco 3333

More information

Long Term Care Delivery System

Long Term Care Delivery System Long Term Care Delivery System October 26-27 th, 2005 Charles Milligan, JD, MPH Medicaid Commission Meeting Preview of Presentation Medicaid long-term care Waivers in long-term care Dual eligibles Challenges

More information

The Important Role of Family Caregivers in Washington State s Long-Term Services and Supports System

The Important Role of Family Caregivers in Washington State s Long-Term Services and Supports System The Important Role of Family Caregivers in Washington State s Long-Term Services and Supports System Bea Rector, Director The Growing and Changing Nature of Family Caregiving November 29, 2017 Washington

More information

Michigan Skilled Nursing Facilities, the Minimum Data Set, and the MI Choice Waiver Program: An Analysis and Implications for Policy

Michigan Skilled Nursing Facilities, the Minimum Data Set, and the MI Choice Waiver Program: An Analysis and Implications for Policy Michigan Skilled Nursing Facilities, the Minimum Data Set, and the MI Choice Waiver Program: An Analysis and Implications for Policy May 2011 Prepared for Health Care Association of Michigan Lansing, Michigan

More information

Washington State LTSS System, History and Vision

Washington State LTSS System, History and Vision Washington State LTSS System, History and Vision Bea Rector, Director, Home and Services Aging and Long Term Support Administration Washington State Department of Social and Health Services For Northwest

More information

9/10/2013. The Session s Focus. Status of the NYS FIDA Initiative

9/10/2013. The Session s Focus. Status of the NYS FIDA Initiative Leading Age NY Financial Manager s Conference, September 10-12, 2013 The Otesaga Resort Hotel, Cooperstown NY Paul Tenan VCC, Inc. FIDA: An Overview and Update The Session s Focus Overview of CMS national

More information

Aging in Place: Do Older Americans Act Title III Services Reach Those Most Likely to Enter Nursing Homes? Nursing Home Predictors

Aging in Place: Do Older Americans Act Title III Services Reach Those Most Likely to Enter Nursing Homes? Nursing Home Predictors T I M E L Y I N F O R M A T I O N F R O M M A T H E M A T I C A Improving public well-being by conducting high quality, objective research and surveys JULY 2010 Number 1 Helping Vulnerable Seniors Thrive

More information

Supporting MLTSS Consumers through Problem Resolution and Advocacy

Supporting MLTSS Consumers through Problem Resolution and Advocacy Supporting MLTSS Consumers through Problem Resolution and Advocacy James David Toews, Becky A. Kurtz, Eliza Bangit September 11, 2013 Risks of Managed Long-Term Services and Supports (MLTSS) Many managed

More information

Caring for Minnesota s Aging Population:

Caring for Minnesota s Aging Population: Caring for Minnesota s Aging Population: A Look at Policies Supporting Family Caregivers & Older Mn s 1 Family Caregivers Caring for Minnesota s Aging Population: A Look at Public Policy Supporting Family

More information

s n a p s h o t Medi-Cal at a Crossroads: What Enrollees Say About the Program

s n a p s h o t Medi-Cal at a Crossroads: What Enrollees Say About the Program s n a p s h o t Medi-Cal at a Crossroads: What Enrollees Say About the Program May 2012 Introduction Medi-Cal, which currently provides health and long term care coverage for more than 7.5 million Californians,

More information

COMPREHENSIVE ASSESSMENT AND REVIEW FOR LONG-TERM CARE SERVICES (CARES) FY The 2012 Report to the Legislature

COMPREHENSIVE ASSESSMENT AND REVIEW FOR LONG-TERM CARE SERVICES (CARES) FY The 2012 Report to the Legislature COMPREHENSIVE ASSESSMENT AND REVIEW FOR LONG-TERM CARE SERVICES (CARES) FY 2010-2011 The 2012 Report to the Legislature Table of Contents Executive Summary... ii Introduction... 1 Section I: Assessments

More information

Reading the Stars: Nursing Home Quality Star Ratings, Nationally and by State

Reading the Stars: Nursing Home Quality Star Ratings, Nationally and by State Reading the Stars: Nursing Home Quality Star Ratings, Nationally and by State Cristina Boccuti, Giselle Casillas, Tricia Neuman About 1.3 million people receive care each day in over 15,500 nursing homes

More information

GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 4 ALTERNATE LIVING ARRANGEMENTS

GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 4 ALTERNATE LIVING ARRANGEMENTS GERIATRIC SERVICES CAPACITY ASSESSMENT DOMAIN 4 ALTERNATE LIVING ARRANGEMENTS Table of Contents Introduction... 2 Purpose... 2 Serving Senior Medicare-Medicaid Enrollees... 2 How to Use This Tool... 2

More information

Options Counseling for People Needing Long-Term Services and Supports:

Options Counseling for People Needing Long-Term Services and Supports: R Options Counseling for People Needing Long-Term Services and Supports: A Mystery Shopper Study 216 This report presents results from a mystery shopper study of state and local options counseling services

More information

Health and Long-Term Care Use Patterns for Ohio s Dual Eligible Population Experiencing Chronic Disability

Health and Long-Term Care Use Patterns for Ohio s Dual Eligible Population Experiencing Chronic Disability Health and Long-Term Care Use Patterns for Ohio s Dual Eligible Population Experiencing Chronic Disability Shahla A. Mehdizadeh, Ph.D. 1 Robert A. Applebaum, Ph.D. 2 Gregg Warshaw, M.D. 3 Jane K. Straker,

More information

Long-Term Services and Supports (LTSS): Medicaid s Role and Options for States

Long-Term Services and Supports (LTSS): Medicaid s Role and Options for States Long-Term Services and Supports (LTSS): Medicaid s Role and Options for States Erica L. Reaves, Policy Analyst State Variation in Long-Term Services and Supports: Location, Location, Location National

More information

Applying Integrated Data Analytics to Improve LTSS: Experience from the Massachusetts LTSS Policy Lab

Applying Integrated Data Analytics to Improve LTSS: Experience from the Massachusetts LTSS Policy Lab Applying Integrated Data Analytics to Improve LTSS: Experience from the LTSS Policy Lab University of Medical School HCBS Conference August 30, 2016 HCBS Conference August 30, 2016 l 1 Presentation Overview

More information

Gaylord National Resort & Convention Center 8/23/2012

Gaylord National Resort & Convention Center 8/23/2012 Using Health Policy to Support Nutrition Programs and Link to Health Care August 23, 2012 Mary Jane Koren, M.D., M.P.H. VP LTC Quality Improvement The Commonwealth Fund Two of Five Older Adults Are Not

More information

National Perspective No Wrong Door System. Administration for Community Living Center for Medicare and Medicaid Veterans Health Administration

National Perspective No Wrong Door System. Administration for Community Living Center for Medicare and Medicaid Veterans Health Administration National Perspective No Wrong Door System Administration for Community Living Center for Medicare and Medicaid Veterans Health Administration Agenda National Perspective No Wrong Door System What is a

More information

Long-Term Care Improvements under the Affordable Care Act (ACA)

Long-Term Care Improvements under the Affordable Care Act (ACA) Long-Term Care Improvements under the Affordable Care Act (ACA) South Carolina Health Care Implementation Coalition September 17, 2010 JoAnn Lamphere, DrPH Director, State Government Relations Health &

More information

Improving Nursing Home Compare for Consumers. Five-Star Quality Rating System

Improving Nursing Home Compare for Consumers. Five-Star Quality Rating System Improving Nursing Home Compare for Consumers Five-Star Quality Rating System Improving Nursing Home Compare Major Revision to Nursing Home Compare Mid-December Improved Navigation - Similar to Hospital

More information

Policy Does Matter: Continued Progress in Providing Long-Term Services and Supports for Ohio s Older Population

Policy Does Matter: Continued Progress in Providing Long-Term Services and Supports for Ohio s Older Population Policy Does Matter: Continued Progress in Providing Long-Term Services and Supports for Ohio s Older Population SHAHLA MEHDIZADEH, MATT NELSON, ROBERT APPLEBAUM, JANE K. STRAKER Scripps Gerontology Center

More information

Chartbook Number 1. Analysis of Medicaid Expenditures for Long-Term Care Participants in HCBS Services and in Institutions in 2001

Chartbook Number 1. Analysis of Medicaid Expenditures for Long-Term Care Participants in HCBS Services and in Institutions in 2001 Chartbook Number 1 Analysis of Medicaid Expenditures for Long-Term Care Participants in HCBS Services and in Institutions in 2001 (1st in a series of 6 special quantitative reports) Submitted to the Centers

More information

STRATEGIC REBALANCING PLAN: A PLAN TO REBALANCE LONG TERM SERVICES AND SUPPORTS

STRATEGIC REBALANCING PLAN: A PLAN TO REBALANCE LONG TERM SERVICES AND SUPPORTS STRATEGIC REBALANCING PLAN: A PLAN TO REBALANCE LONG TERM SERVICES AND SUPPORTS 2013-2015 State of Connecticut Department of Social services January 29, 2013 STRATEGIC REBALANCING PLAN: A PLAN TO REBALANCE

More information

Rebalancing Long Term Care in Maine: Policy Options and Considerations

Rebalancing Long Term Care in Maine: Policy Options and Considerations Rebalancing Long Term Care in Maine: Policy Options and Considerations HCBS Waiver Conference September, 2010 Julie Fralich, Muskie School of Public Service Elizabeth Gattine, Maine, Office of Elder Services

More information

Rhode Island Real Choices Long-Term Services and Supports Resource Mapping. April 14, Ian Stockwell

Rhode Island Real Choices Long-Term Services and Supports Resource Mapping. April 14, Ian Stockwell Rhode Island Real Choices Long-Term Services and Supports Resource Mapping April 14, 2010 Cynthia Woodcock Ian Stockwell Aaron Tripp Overview of Presentation Resource Mapping Objectives Interviews with

More information

The Patient Protection and Affordable Care Act (Public Law )

The Patient Protection and Affordable Care Act (Public Law ) Policy Brief No. 2 March 2010 A Summary of the Patient Protection and Affordable Care Act (P.L. 111-148) and Modifications by the On March 23, 2010, President Obama signed into law the Patient Protection

More information

Home Alone: Family Caregivers Providing Complex Chronic Care

Home Alone: Family Caregivers Providing Complex Chronic Care Home Alone: Family Caregivers Providing Complex Chronic Care Title text here Susan Reinhard, RN, PhD AARP Public Policy Institute Katz Policy Lecture Benjamin Rose Institute on Aging September 28, 2012

More information

Instructions for Completing the State Long Term Care Ombudsman Program Reporting Form for The National Ombudsman Reporting System (NORS)

Instructions for Completing the State Long Term Care Ombudsman Program Reporting Form for The National Ombudsman Reporting System (NORS) OMB NO: 0985-0005 EXPIRATION DATE: 01/31/2019 Instructions for Completing the State Long Term Care Ombudsman Program Reporting Form for The National Ombudsman Reporting System (NORS) Part I - Cases, Complainants

More information

Revisiting The Name Game: A Taxonomy of Home and Community-Based Services

Revisiting The Name Game: A Taxonomy of Home and Community-Based Services Revisiting The Name Game: A Taxonomy of Home and Community-Based Services National Home and Community Based Services Conference September 14, 2011 Jean Accius Ralph Lollar Centers for Medicare & Medicaid

More information

Home and Community-Based Waivers: Opportunities for Community Living for ABI Survivors

Home and Community-Based Waivers: Opportunities for Community Living for ABI Survivors Home and Community-Based Waivers: Opportunities for Community Living for ABI Survivors BIA-MA Brain Injury Conference March 30, 2017 Amy Bernstein Director, Community Based Waivers MassHealth Dorothée

More information

Long-Term Care Glossary

Long-Term Care Glossary Long-Term Care Glossary Adjudicated Claim Activities of Daily Living (ADL) A claim that has reached final disposition such that it is either paid or denied. Basic tasks individuals perform in the course

More information

The Next Wave in Balancing Long- Term Care Services and Supports:

The Next Wave in Balancing Long- Term Care Services and Supports: The Next Wave in Balancing Long- Term Care Services and Supports: Top Trends Agency restructuring is common States use of variety of resources to fund the programs Loss of historical knowledge is nationwide

More information

Long Term Care. Lecture for HS200 Nov 14, 2006

Long Term Care. Lecture for HS200 Nov 14, 2006 Long Term Care Lecture for HS200 Nov 14, 2006 Steven P. Wallace, Ph.D. Professor, Dept. Community Health Sciences, SPH and Associate Director, UCLA Center for Health Policy Research What is long-term care

More information

Medicaid Overview. Home and Community Based Services Conference

Medicaid Overview. Home and Community Based Services Conference Centers for Medicare & Medicaid Services Medicaid Overview Home and Community Based Services Conference September 11, 2012 1 Overview of Presentation Basic facts about the Medicaid State Plan/program requirements

More information

Response to ODJFS RFI: Ohio Association of Area Agencies on Aging

Response to ODJFS RFI: Ohio Association of Area Agencies on Aging Response to ODJFS RFI: Ohio Association of Area Agencies on Aging Creation of an Integrated healthcare Delivery System for Medicare and Medicaid Eligible Beneficiaries: Addressing the needs of Ohio s Older

More information

COLORADO STATE ALZHEIMER S DISEASE PLAN A roadmap for Alzheimer s disease caregiving and family support policies

COLORADO STATE ALZHEIMER S DISEASE PLAN A roadmap for Alzheimer s disease caregiving and family support policies COLORADO STATE ALZHEIMER S DISEASE PLAN A roadmap for Alzheimer s disease caregiving and family support policies November 2010 Governor Bill Ritter s Office Members of the General Assembly Department of

More information

An Overview of Ohio s In-Home Service Program For Older People (PASSPORT)

An Overview of Ohio s In-Home Service Program For Older People (PASSPORT) An Overview of Ohio s In-Home Service Program For Older People (PASSPORT) Shahla Mehdizadeh Robert Applebaum Scripps Gerontology Center Miami University May 2005 This report was produced by Lisa Grant

More information

A Snapshot of the Connecticut LTSS Rebalancing Agenda

A Snapshot of the Connecticut LTSS Rebalancing Agenda A Snapshot of the Connecticut LTSS Rebalancing Agenda Agenda Medicaid context and vision State Rebalancing Plan Major elements of rebalancing agenda Money Follows the Person, Nursing Home Rightsizing,

More information

The Health Care Law: Good News for Caregivers

The Health Care Law: Good News for Caregivers The Health Care Law: Good News for Caregivers Families USA March 2011 About 52 million Americans take care of a spouse, a child, a parent, another relative, or a loved one at some point in time during

More information

Division of Health Care Financing and Policy

Division of Health Care Financing and Policy Division of Health Care Financing and Policy Presentation to the Legislative Subcommittee on Post Acute Care in Nevada February 2016 1 Topics of Discussion Post acute care-types of services Current rate

More information

KENTUCKY DECEMBER 7, Cabinet for Health and Family Services HOME AND COMMUNITY BASED SERVICES (HCBS) WAIVER REDESIGN

KENTUCKY DECEMBER 7, Cabinet for Health and Family Services HOME AND COMMUNITY BASED SERVICES (HCBS) WAIVER REDESIGN KENTUCKY Cabinet for Health and Family HOME AND COMMUNITY BASED SERVICES (HCBS) WAIVER REDESIGN DECEMBER 7, 2016 Session Timeline Time Topic 9:30 9:45 AM Welcome: Introductions & Agenda Review 9:45 10:15

More information

State of Kansas Department of Social and Rehabilitation Services Department on Aging Kansas Health Policy Authority

State of Kansas Department of Social and Rehabilitation Services Department on Aging Kansas Health Policy Authority State of Kansas Department of Social and Rehabilitation Services Department on Aging Kansas Health Policy Authority Notice of Proposed Nursing Facility Medicaid Rates for State Fiscal Year 2010; Methodology

More information

Tennessee s Money Follows the Person Demonstration: Supporting Rebalancing in a Managed Long-Term Services and Supports Model

Tennessee s Money Follows the Person Demonstration: Supporting Rebalancing in a Managed Long-Term Services and Supports Model Tennessee s Money Follows the Person Demonstration: Supporting Rebalancing in a Managed Long-Term Services and Supports Model In 2011, Tennessee was awarded a federal Money Follows the Person (MFP) grant,

More information

Medicaid Reform: The Opportunities for Home and Community Based Providers. All Rights Reserved

Medicaid Reform: The Opportunities for Home and Community Based Providers.     All Rights Reserved Medicaid Reform: The Opportunities for Home and Community Based Providers ILS Background & Experience Care Management Company founded in 2001 Focuses on Duals, Medicaid ABD and Managing Medicaid Long term

More information

A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers

A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers EXECUTIVE SUMMARY RAISING EXPECTATIONS 2014 SECOND EDITION A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers Susan C. Reinhard,

More information

Long-Term Care Services for the Elderly

Long-Term Care Services for the Elderly INFORMATION BRIEF Research Department Minnesota House of Representatives 600 State Office Building St. Paul, MN 55155 Danyell Punelli, Legislative Analyst 651-296-5058 Updated: January 2017 Long-Term Care

More information

EVV Requirements in the 21 st Century Cures Act Pre-Conference Intensive

EVV Requirements in the 21 st Century Cures Act Pre-Conference Intensive EVV Requirements in the 21 st Century Cures Act Pre-Conference Intensive Division of Long Term Services and Supports Disabled and Elderly Health Programs Group Center for Medicaid and CHIP Services August

More information

A Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned

A Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned A Regional Payer/Provider Partnership to Reduce Readmissions The Bronx Collaborative Care Transitions Program: Outcomes and Lessons Learned Stephen Rosenthal, MBA President and COO, Montefiore Care Management

More information

Medicaid Transformation Waiver New options for Long-term Services and Supports. November 18th, 2016

Medicaid Transformation Waiver New options for Long-term Services and Supports. November 18th, 2016 Medicaid Transformation Waiver New options for Long-term Services and Supports November 18th, 2016 Today s topics Initiative 2 Long-Term Services and Supports Medicaid Alternative Care (MAC) Tailored Supports

More information

The Number of People With Chronic Conditions Is Rapidly Increasing

The Number of People With Chronic Conditions Is Rapidly Increasing Section 1 Demographics and Prevalence The Number of People With Chronic Conditions Is Rapidly Increasing In 2000, 125 million Americans had one or more chronic conditions. Number of People With Chronic

More information

Gerontology. September 2014 Needs Assessment. Gerontology Needs Assessment Page 1. Prepared by Danielle Pearson Date: September 11, 2014 Gerontology

Gerontology. September 2014 Needs Assessment. Gerontology Needs Assessment Page 1. Prepared by Danielle Pearson Date: September 11, 2014 Gerontology Gerontology September 2014 Needs Assessment Prepared by Danielle Pearson Date: September 11, 2014 Gerontology Gerontology Needs Assessment Page 1 Scope Data compiled in this report covers San Bernardino,

More information

programs and briefly describes North Carolina Medicaid s preliminary

programs and briefly describes North Carolina Medicaid s preliminary State Experiences with Managed Long-term Care in Medicaid* Brian Burwell Vice President, Chronic Care and Disability Medstat Abstract: Across the country, state Medicaid programs are expressing renewed

More information

West Central Florida Area Agency on Aging, Inc. Area Plan Program Module Update Planning and Service Area 6

West Central Florida Area Agency on Aging, Inc. Area Plan Program Module Update Planning and Service Area 6 West Central Florida Area Agency on Aging, Inc. Area Plan Program Module Update Planning and Service Area 6 For the Period January 1, 2014 - December 31, 2014 January, 2014 TABLE OF CONTENTS TABLE OF CONTENTS...

More information

2014 MASTER PROJECT LIST

2014 MASTER PROJECT LIST Promoting Integrated Care for Dual Eligibles (PRIDE) This project addressed a set of organizational challenges that high performing plans must resolve in order to scale up to serve larger numbers of dual

More information

1915(k) Community First Choice Overview

1915(k) Community First Choice Overview 1915(k) Community First Choice Overview 1 Today s Objectives 1. Brief overview of Community First Choice (CFC) Program & Key Features Other materials available: http://www.medicaid.gov/medicaid-chip-program-information/by-topics/longterm-services-and-supports/home-and-community-based-services/communityfirst-choice-1915-k.html\

More information

Department of Elder Affairs Programs and Services Handbook Chapter 3: Description of DOEA Coordination with Other State/Federal Programs CHAPTER 3

Department of Elder Affairs Programs and Services Handbook Chapter 3: Description of DOEA Coordination with Other State/Federal Programs CHAPTER 3 CHAPTER 3 Description of DOEA Coordination with Other State/Federal Programs 3-1 Table of Contents TABLE OF CONTENTS Section: Topic Page I. Overview and Specific Legal Authority 3-4 II. 3-7 A. Adult Care

More information

RE: Centers for Medicare & Medicaid Services: Innovation Center New Direction Request for Information (RFI)

RE: Centers for Medicare & Medicaid Services: Innovation Center New Direction Request for Information (RFI) November 20, 2017 Ms. Seema Verma Administrator Centers for Medicare & Medicaid Services Department of Health and Human Services 7500 Security Boulevard Baltimore, MD 21244 Ms. Amy Bassano Director Center

More information

A Self-Advocate s Guide to Medicaid

A Self-Advocate s Guide to Medicaid Plain Text Edition A Self-Advocate s Guide to Medicaid Part 3: What Does Medicaid Pay For? 1 3. What Does Medicaid Pay For? What services does Medicaid cover? Medicaid coverage refers to what services

More information

New Hampshire. Phone. Agency (603)

New Hampshire. Phone. Agency (603) New Hampshire Agency Department of Health and Human Services, Office of Legal and Regulatory Services, Health Facilities Administration (603) 271-4592 Contact Melissa St. Cyr (603) 271-9282 E-mail melissa.st.cyr@dhhs.state.nh.us

More information

Prepared for North Gunther Hospital Medicare ID August 06, 2012

Prepared for North Gunther Hospital Medicare ID August 06, 2012 Prepared for North Gunther Hospital Medicare ID 000001 August 06, 2012 TABLE OF CONTENTS Introduction: Benchmarking Your Hospital 3 Section 1: Hospital Operating Costs 5 Section 2: Margins 10 Section 3:

More information

Charting New Territory: Ombudsman Programs and Dual Demonstrations Gabriela Trujillo Williams, Administration for Community Living Francine

Charting New Territory: Ombudsman Programs and Dual Demonstrations Gabriela Trujillo Williams, Administration for Community Living Francine Charting New Territory: Ombudsman Programs and Dual Demonstrations Gabriela Trujillo Williams, Administration for Community Living Francine Chuchanis, Direction Home Akron Canton Area Agency on Aging &

More information

Costs & Benefits Reconsidered

Costs & Benefits Reconsidered The Hilltop Institute Symposium Home and Community-Based Services: Examining the Evidence Base for State Policymakers June 11, 2009 The Caregiving Continuum: Costs & Benefits Reconsidered Peter S. Arno,

More information

Home and Community Based Services Mental Retardation/Developmental Disabilities Providers

Home and Community Based Services Mental Retardation/Developmental Disabilities Providers May 2008 Provider Bulletin Number 869 Home and Community Based Services Mental Retardation/Developmental Disabilities Providers Manual Updates and New Manuals Home and Community Based Services Mental Retardation/Developmental

More information

A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers

A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers RAISING EXPECTATIONS 2014 SECOND EDITION A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers Susan C. Reinhard, Enid Kassner,

More information

METHODOLOGY FOR INDICATOR SELECTION AND EVALUATION

METHODOLOGY FOR INDICATOR SELECTION AND EVALUATION CHAPTER VIII METHODOLOGY FOR INDICATOR SELECTION AND EVALUATION The Report Card is designed to present an accurate, broad assessment of women s health and the challenges that the country must meet to improve

More information

Updated TRANSITION PLAN TO IMPLEMENT THE SETTINGS REQUIREMENT FOR HOME AND COMMUNITY BASED SERVICES CMS FINAL RULE OF JANUARY 2014

Updated TRANSITION PLAN TO IMPLEMENT THE SETTINGS REQUIREMENT FOR HOME AND COMMUNITY BASED SERVICES CMS FINAL RULE OF JANUARY 2014 State of Rhode Island & Providence Plantations Updated TRANSITION PLAN TO IMPLEMENT THE SETTINGS REQUIREMENT FOR HOME AND COMMUNITY BASED SERVICES CMS FINAL RULE OF JANUARY 2014 June 7, 2018 Summary...

More information

medicaid Case Study: Georgia s Money Follows the Person Demonstration

medicaid Case Study: Georgia s Money Follows the Person Demonstration I S S U E kaiser commission o n medicaid a n d t h e uninsured December 2011 P A P E R Case Study: Georgia s Money Follows the Person Demonstration Introduction The Georgia Department of Community Health

More information

Emerging Innovations in Managed Long-Term Services and Supports for Family Caregivers

Emerging Innovations in Managed Long-Term Services and Supports for Family Caregivers AARP PUBLIC POLICY INSTITUTE NOVEMBER 2017 Long-Term Services and Supports Scorecard Emerging Innovations Emerging Innovations in Managed Long-Term Services and Supports for Family Caregivers Susan C.

More information

Health Care Reform Provisions Affecting Older Adults and Persons with Special Needs 3/30/10

Health Care Reform Provisions Affecting Older Adults and Persons with Special Needs 3/30/10 Health Care Reform Provisions Affecting Older Adults and Persons with Special Needs 3/30/10 On March 23, 2010, President Obama signed a comprehensive health care reform bill (H.R. 3590) into law. On March

More information

How Managed Long-Term Services and Supports Can Help Family Caregivers

How Managed Long-Term Services and Supports Can Help Family Caregivers April 27, 2017 How Managed Long-Term Services and Supports Can Help Family Caregivers Tips for Using this Webinar Platform Phone dial-in information was provided for the first 500 registrants and is available

More information

Medicaid Managed Care. Long-term Services and Supports Trends

Medicaid Managed Care. Long-term Services and Supports Trends Medicaid Managed Care Long-term Services and Supports Trends Medicaid Managed Care Statistics As of 2011, 74.2% of Medicaid Enrollees were enrolled in a Medicaid Managed Care system As of 2011, California,

More information

Recommendations to Improve Data Collection to Monitor, Track, and Evaluate State Approaches to Family Support Services

Recommendations to Improve Data Collection to Monitor, Track, and Evaluate State Approaches to Family Support Services Recommendations to Improve Data Collection to Monitor, Track, and Evaluate State Approaches to Family Support Services Introduction March 2016 Joe Caldwell National Council on Aging Katie Arnold, Evelyn

More information

A Self-Advocate s Guide to Medicaid

A Self-Advocate s Guide to Medicaid Easy Read Edition A Self-Advocate s Guide to Medicaid Part 3: What Does Medicaid Pay For? 1 3. What Does Medicaid Pay For? What services does Medicaid cover? Medicaid coverage refers to what services are

More information

California s Coordinated Care Initiative

California s Coordinated Care Initiative California s Coordinated Care Initiative Sarah Arnquist Harbage Consulting Presentation on 4/22/13 2 Overview Federal and State Movement toward Coordinated Care Update on California s Coordinated Care

More information

Statewide Medicaid Managed Care Long-term Care Program

Statewide Medicaid Managed Care Long-term Care Program Statewide Medicaid Managed Care Long-term Care Program Justin Senior Deputy Secretary for Medicaid Agency for Health Care Administration July 25, 2013 Presentation Overview Current Medicaid Snapshot and

More information

Long-Term Care Community Diversion Pilot Project

Long-Term Care Community Diversion Pilot Project Long-Term Care Community Diversion Pilot Project 2009-2010 Legislative Report Rick Scott, Governor Charles T. Corley, Interim Secretary Table of Contents Executive Summary 1 Table 1 - Nursing Home Diversion

More information

LONG TERM CARE SETTINGS

LONG TERM CARE SETTINGS LONG TERM CARE SETTINGS Long term care facilities assist aged, ill or disabled persons who can no longer live independently. In this section, we will briefly examine the history of long term care facilities

More information

A Snapshot of Uniform Assessment Practices in Managed Long Term Services and Supports

A Snapshot of Uniform Assessment Practices in Managed Long Term Services and Supports A Snapshot of Uniform Assessment Practices in Managed Long Term Services and Supports California Department of Health Care Services, Home and Community Based Services Universal Assessment Workgroup February

More information

Medicaid Home and Community Based Services Waivers

Medicaid Home and Community Based Services Waivers Medicaid Home and Community Based Services Waivers AN INTRODUCTION TO THE WORLD OF MEDICAID HOME AND COMMUNITY- BASED SERVICES AS OF MAY, 2017*** ***subject to change NASDDDS National Association of State

More information

Long-Term Care in Ohio: A Longitudinal Perspective

Long-Term Care in Ohio: A Longitudinal Perspective Long-Term Care in Ohio: A Longitudinal Perspective Robert Applebaum Shahla Mehdizadeh Scripps Gerontology Center Miami University September 1, 2001 SGC0076 Background A well known principle of today s

More information

Department of Elder Affairs Programs and Services Handbook Chapter 3: Description of DOEA Coordination with other State/Federal Programs CHAPTER 3

Department of Elder Affairs Programs and Services Handbook Chapter 3: Description of DOEA Coordination with other State/Federal Programs CHAPTER 3 CHAPTER 3 Description of DOEA Coordination with Other State/Federal Programs 3-1 Table of Contents Section: Topic Page I. Overview and Specific Legal Authority 3-4 II. 3-7 A. Adult Care Food Program 3-7

More information

Diamond State Health Plan Plus

Diamond State Health Plan Plus I N T E G R A T E D L O N G T E R M Diamond State Health Plan Plus DSHP-Plus C A R E 1115 Demonstration Waiver Diamond State Health Plan (DSHP) Managed Care Delivery System Operational since January 1996

More information