Reports & Publications

March 2016
Carrie Graham, Elaine Kurtovich, Holly Stewart, Marian Liu, Karla Tlatelpa, and Alice Wong
Logo of Cal MediConnect, with the tagline "Your choice for complete care."

Researchers at the University of California worked with a stakeholder advisory group during a 6-month planning period to design an evaluation of Cal MediConnect, California‘s dual financial alignment demonstration. It was decided that the evaluation should begin by incorporating the experiences and voices of beneficiaries who had transitioned to Cal MediConnect or opted out.

March 2016
H. Stephen Kaye

In this report, survey questions relevant to the National Quality Forum (NQF) domains of home and community-based services (HCBS) quality are listed and classified according to the NQF domains and the question topics within domains.  The report will be revised once the NQF HCBS quality domains are finalized, which is expected to occur by September 2016.  Included items are limited to surveys of consumers, family members, and caregivers.

February 2016
Charlene Harrington and Taewoon Kang
Cover image of the journal Intellectual and Developmental Disabilities.

This study examined service use and expenditures for people with intellectual and developmental disabilities (IDD) living at home and in the community in California in 2005 and 2013. The number of people assessed for IDD services increased, along with the percentage of individuals who did not receive any services between 2005 and 2013. Controlling for client needs, children age 3-21 were less likely than other age groups to receive any services using logistic regressions. All racial and ethnic minority groups were less likely to receive any services than were white populations.

November 2015
Nancy A. Miller and Adele Kirk
Cover image of the journal Aging and Social Policy.

Although state use of Medicaid home- and community-based services (HCBS) to provide long-term services and supports to older adults and individuals with physical disabilities continues to increase, progress is uneven across states. We used generalized linear models to examine state factors associated with increased allocation of Medicaid dollars to HCBS for the period 2000 to 2011. We observed enhanced growth in states that began the period with limited investment in HCBS, as reflected in significant year trends among these states.

November 2015
Terence Ng, Charlene Harrington, MaryBeth Musumeci, and Erica L. Reaves
Chart showing growth in Medicaid HCBS participants by program, 2002-2012.

As states continue to implement various aspects of the Affordable Care Act (ACA), developing and expanding home and community-based alternatives to institutional care remains a priority for many state Medicaid programs.