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Delivery System Reforms for Chronic and Long Term Care

Long Term Services and Supports and Chronic Care Coordination: Policy Advances Enacted by the Patient Protection and Affordable Care Act
Care coordination | Dual eligibles | Long-term care | Nursing home transition
The Patient Protection and Affordable Care Act enacts a variety of initiatives aimed at enhancing long term services and supports (LTSS) and coordination of primary and chronic care for older persons and adults with disabilities.  Many of these establish delivery systems demonstrations and Medicaid options that states could adopt to implement...
Diane Justice, Senior Program Director
April 2010
Building Adult Foster Care: What States Can Do
Disability | Long-term care | State roles
This study presents a summary of each state’s regulatory, licensure, and payment policies for adult foster care within its array of long term services and supports.  It also examines the influence of state Nurse Practice Acts on the scope of services available in adult foster care and  identifies policy considerations for state...
Robert L. Mollica
September 2009
Building Adult Foster Care: What States Can Do Brief
Disability | Long-term care | State roles
This study presents a summary of each state’s regulatory, licensure, and payment policies for adult foster care within its array of long term services and supports.  It also examines the influence of state Nurse Practice Acts on the scope of services available in adult foster care and  identifies policy considerations for state...
Robert Mollica
September 2009
Adult Foster Care: A Resource for Older Adults
Disability | Long-term care | Medical Home
Rising demand for a full array of service options and consumer preferences for home-like non-institutional settings is increasing the interest among state policy makers in adult foster care as a service for older adults. Although adult foster care may also serve individuals with developmental disabilities and other populations, the primary focus...
Robert L. Mollica
May 2008
Making Medicaid Work for the 21st Century: Improving Long-Term Services and Supports
Care coordination | Dual eligibles | Medicaid

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.

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Robert Mollica
April 2004