Reports

This report discusses findings from case studies of nine states — Alaska, Connecticut, Iowa, Maine, Minnesota, Nebraska, Oregon, Vermont and Wisconsin — operating Medicaid Buy-In programs for working persons with disabilities. At the time of this study, approximately 13,000 persons were enrolled in the programs in these nine states.

This report describes the design and implementation of Arkansas' model of Cash and Counseling — IndependentChoices — and draws lessons from the state's experience.

This paper describes the findings from nine Case Study states. These case studies were conducted: (1) To examine early implementation experience among the states in order to gain an understanding of the programmatic, fiscal, and political context in which design decisions were made.

The use of private organizations to perform social service functions has increased dramatically in recent years. This report reviews the literature on the privatization of welfare and related services by states and localities. It is the first product of a study of privatization of welfare services.

Prepared by: Matthew Lyon Prepared for:Office of Human Services PolicyOffice of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services

by: Pamela Winston, Andrew Burwick, Sheena McConnell, and Richard Roper Submitted to:Department of Health and Human ServicesOffice of the Assistant Secretary for Planning and Evaluation

General Uses of Child Indicator StudiesMairéad Reidy. Ph.D., Senior Research Associate Chapin Hall Center for Children University of Chicago, (773) 256 5174 (phone) reidy-mairead@chmail.spc.uchicago.edu

Contents Overview:  Project Objectives, Operations, and Key Concerns Overview of Technical Assistance to States Key Project Products and Publications Communicating the Results and Lessons Learned from the Child Indicators Project

U.S. Department of Health and Human Services Policy Frameworks for Designing Medicaid Buy-In Programs and Related State Work Incentive Initiatives

Barbara Phillips and Barbara Schneider Mathematica Policy Research, Inc.    

U.S. Department of Health and Human Services The Medicaid Buy-In Program: Lessons Learned From Nine "Early Implementer" States

U.S. Department of Health and Human Services Medicaid Buy-In Programs: Case Studies of Early Implementer States

U.S. Department of Health and Human Services Study of the Impact of Monitoring the Health Outcomes for Disabled Nelda McCall, Jodi Korb, Andrew Petersons and Stanley Moore Laguna Research Associates May 2002 PDF Version

Contents Evaluation of Section 510 Abstinence Education Programs Early Implementation and Operational Lessons More Lessons to Come Analysis and Reporting Plans In 1996, Congress authorized $50 million annually for five years to promote

Recent fiscal reform initiatives have attempted to address some of the seemingly chronic problems of the child welfare system in the United States. This report describes how states are implementing fiscal reforms to contain costs or improve system performance. It also identifies issues that the implementation of fiscal reforms faces and describes how well fiscal reforms appear to be working.

"Consumer-direction" is a philosophy and orientation to the delivery of home and community-based long-term care that puts informed consumers and their families in the driver's seat with respect to making choices about how best to meet their disability-related supportive service needs.

This report describes how states are implementing fiscal reforms to contain costs or improve the performance of their child welfare systems. 23 initiatives in 22 states are described. The report also identifies issues that the implementation of fiscal reforms face and describes how well fiscal reforms appear to be working.

AcknowledgmentsThis report, and its earlier editions, would not have been possible without the substantial support of the Federal Interagency Forum on Child and Family Statistics whose member agencies provided data and carefully reviewed relevant sections.

Submitted to:U.S. Department of Health and Human ServicesAssistant Secretary for Planning and Evaluation Submitted by: Westat and Chapin Hall Center for Children

Submitted by: Barbara Devaney Amy Johnson Rebecca Maynard Chris Trenholm Mathematica Policy Research, Inc Submitted to: Meredith Kelsey Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services

Evaluation of Family Preservation and Reunification Programs Estimating Child Welfare Service Costs: Methods Developed for the Evaluation of Family Preservation and Reunification Programs Submitted to:Department of Health and Human Services Assistant Secretary for Planning and Evaluation

U.S. Department of Health and Human Services HIGHLIGHTS: Inventory of Consumer-Directed Support Programs

13 Indicators of Quality Child Care: Research Update Presented to: Office of the Assistant Secretary for Planning and Evaluation and Health Resources and Services Administration/Maternal and Child Health Bureau U.S. Department of Health and Human Services

IntroductionOne of the most dramatic findings to emerge from the 1996 National Survey of Homeless Assistance Providers and Clients (NSHAPC) is the tremendous growth in the number and variety of homeless assistance programs during the late 1980s and early 1990s.  There is now a virtual “industry” of homeless assistance programs, and initial analyses of NSHAPC data provide a first g

Jessica Miller, M.S., Boryana Dimitrova, M.A. and Marc Cohen, Ph.D. LifePlans, Inc. This report was prepared under contract #BPA-OS-01-0267C between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and LifePlans, Inc.

The purpose of this analysis is to gain a better understanding of how having a private LTC insurance policy interacts with and affects the use of Medicare financed home health, skilled nursing and inpatient services. The authors used Medicare claims data and linked it to a sample of 578 community-based disabled elders receiving benefits under their LTC insurance policies.

U.S. Department of Health and Human Services The Impact of Private Long-Term Care Insurance Benefits on Selected Medicare Services

Preliminary Evidence from Los Angeles and New York City Submitted by: Randy Capps, Leighton Ku and Michael Fix Chris Furgiuele, Jeff Passel, Rajeev Ramchand, Scott McNiven, Dan Perez-Lopez [The Urban Institute]

U.S. Department of Health and Human Services

The Welfare Indicators Act of 1994 requires the Department of Health and Human Services to prepare annual reports to Congress on indicators and predictors of welfare dependence.

by: Laudan Y. Aron and Patrick T. Sharkey, The Urban Institute March 19, 2002

This paper reports estimates of the numbers of families and children who are eligible for child care subsidies under the Child Care and Developemtn Fund (CCDF). The estimates are produced by the Transfer Income Model (TRIM) developed by the Urban Institute under contract to ASPE. The paper explains the estimation methodology and also presents detailed national and state-level estimates.

This report is intended to provide policymakers with critical information on prescription coverage, use and cost for both younger and older disabled Medicare beneficiaries using data from the 1995-1998 Medicare Current Beneficiary Surveys. [27 PDF pages]

This report primarily provides analyses based on a telephone survey of 3,447 immigrant families (i.e., families with at least one foreign-born adult) in New York City and Los Angeles County, including detailed data on 7,843 people in those families.

Submitted to: Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation Submitted by: The Lewin Group Karen Gardiner, Mike Fishman Plamen Nikolov, Stephanie Laud

The Welfare Indicators Act of 1994 requires the Secretary of Health and Human Services to prepare an annual report to Congress on indicators welfare dependence. The Indicators of Welfare Dependence report is prepared within the Office of Human Services Policy and delivered to Congress each spring.

Eligibility for CCDF-Funded Child Care Subsidies Under the October 1999 Program Rules: Results from the TRIM3 Microsimulation Model Prepared by: Helen Oliver, Katherin Ross Phillips, Linda Giannarelli, and An-Lon Chen Urban Institute June 2002

U.S. Department of Health and Human Services The Graying of Medicare’s Disabled Population: Implication for a Medicare Drug Benefit

Employment Outcomes for Youth Aging Out of Foster Care Final Report Robert M. Goerge, Principal Investigator Lucy Bilaver, Bong Joo Lee Chapin Hall Center for Children at the University of Chicago Barbara Needell, Alan Brookhart, William Jackman Center for Social Services Research, University of California Berkeley March, 2002

Issue Papers on Foster Care and Adoption Growth in the Adoption Population by Fred H. Wulczyn and Kristin Brunner Hislop, Chapin Hall Center for Children at the University of Chicago March, 2002