MEASURING MEDICAID STATE AGENCY PERFORMANCE THROUGH DEVELOPMENT AND TESTING OF NEW QUALITY INDICATORS

摘要

Centers for Medicare & Medicaid Services, Baltimore, MD A growing number of elders and close to 19 percent of adults in the U.S. today report having a disability due to physical, intellectual, or mental problems.These individuals require long-term services and supports to live independently in the community.Federal mandates and initiatives (ADA, Olmstead Decision, New Freedom Initiative) provide the impetus for state agencies to achieve community integration for all individuals.As states continue to reform their long-term care systems, there is an interest in determining their success in attaining and maintaining a more equitable balance between the provision of Medicaid institutional and community-based services and related expenditures.Existing indicators of Medicaid "rebalancing" and of participant experience with Medicaid-funded services will be presented, and specifications for new performance indicators will be discussed.