Long Term and Chronic Care

The rising number of people with Alzheimer’s disease presents significant challenges for family members, caregivers, advocates, public policy makers and service providers. Faced with budgetary pressures and concerns about access to care and continuity of care, states are developing managed care programs for elderly Medicaid beneficiaries, reviewing eligibility policies and fine tuning assessment tools used […]

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  • Publications

    Managed Care for the Elderly: A Profile of Current Initiatives

    The purpose of this document is to summarize the current state-of-the-art in managed care for the elderly and to provide states with background information needed to launch their own initiatives to provide quality, cost effective care to the rapidly aging population. As you will see, attempts to truly coordinate primary, preventive, acute, and long term […]

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  • Publications

    Making Medicaid Work for the 21st Century: Improving Long-Term Services and Supports

    One of a series of issue briefs designed to share with federal and state policymakers, as well as other stakeholders, the issues and options raised by the Making Medicaid Work for the 21st Century workgroup. This brief discusses ways to improve long-term services and supports. mmw_longterm.pdf 196.5 KB

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  • Publications

    Single Entry Point Systems: State Survey Results

    The Rutgers Center for State Health Policy/NASHP Community Living Exchange Collaborative conducted a survey of the 50 states to identify states that operate single entry point (SEP) systems and to identify the characteristics of SEPs. A single entry point is defined as a system that enables consumers to access long term and supportive services through […]

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  • Publications

    Care Coordination for People with Chronic Conditions

    This paper explores the components of care coordination and a sample of state initiatives that bridge the health and supportive systems. care_coordination.pdf 341.3 KB  

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  • Publications

    Coordinating Care for the Chronically Ill: How Do We Get There from Here?

    This paper, a product of the National Academy for State Health Policy’s Flood Tide Forum series, is designed to identify innovative strategies to improve care coordination for the chronically ill. It reviews data on the incidence and costs of chronic conditions, summarizes the literature on care coordination, and highlights state programs. care_coordination_forum.pdf 434.6 KB  

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  • Publications

    Building Nursing Home Transition into a Balanced Long Term Care System: The Washington Model

    This brief summarizes one aspect of the state of Washington’s mature and balanced long-term care system – a successful effort to identify and assist nursing home residents to relocate to community settings. CLE_washington_model.pdf 105.7 KB  

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  • Publications

    Medically Needy Individuals Fact Sheet

    This fact sheet briefly describes the process for determining Medicaid eligibility for individuals whose income exceeds a state’s regular Medicaid eligibility levels, but meet medically needy guidelines. Prepared for the Community Living Exchange Collaborative.   Medically Needy Fact Sheet 1005.1 KB  

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  • Publications

    Money Follows the Person Toolbox

    The Toolbox synthesizes information available from multiple sources about nursing home transition and Money Follows the Person initiatives. It is intended to help states prepare for the MFP Demonstration program created by the Deficit Reduction Act (DRA). It summarizes the state of the field in MFP design components such as identifying consumers, planning and implementing […]

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  • Publications

    Money Follows the Person Demonstration: Covering Case Management Services

    The Centers for Medicare and Medicaid Services awarded Money Follows the Person demonstration grants to 31 states in 2007. This brief describes the options for covering case management or transition coordination for these projects and describes the potential impact of pending changes to case management coverage resulting from the Deficit Reduction Act of 2005.   […]

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