Care Coordination

This toolbox was developed for Aging and Disability Resource Center (ADRC) grantees to list and succinctly explain the Administration on Aging-CMS requirements per each topic, and to provide materials that will support the design, development, and operation of resource centers. CLE_aging_disability_toolbox.pdf 876.9 KB  

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  • Publications

    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

    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

    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

    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

    This report is a compilation and review of state long-term care assessment instruments and processes. The document identifies assessment instruments being used and reviews some of the variation across instruments and in the process for using them. CLE_assessment_longterm.pdf 1.2 MB  

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  • This issue brief is an analysis of the experience of Nursing Facility Transition (NFT) grantees for 2002 and 2003. The analysis covers 33 NFT grantees (10 Independent Living Centers and 23 states).   CLE_nursing_facility_transition.pdf 1.4 MB  

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    April 9, 2009 | Filed under: Care Coordination
  • Publications

    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

    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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  • Publications

    States can play an important role in improving care coordination and case management and strengthening linkages between primary care providers and other child and family service providers to promote and support the healthy development of young children.  States can use primary care practice-based strategies, service provider linkage strategies, and systems change and cross-system strategies. This […]

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    April 8, 2009 | Filed under: Care Coordination, Children's Health, Publications