Home and Community-Based Services: Quality Management Roles and Responsibilities. Discussion Paper
This is the first in a series of papers synthesizing the ideas and practices of states as they improve the quality of home and community based services (HCBS) and supports for older persons and persons with disabilities. Building on the experiences and challenges of the QA/QI Systems Change grantees, the paper addresses four fundamental questions about quality management. The intent is to provide an account of current practice, and a structure for how states view their options. There are two parts to this document, a Discussion Paper and the Appendices, each contained in separate pdf files. The Appendices may be downloaded at
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New Report on Dual Eligibles
The integration of services and benefits for people who are dually eligible for Medicaid and Medicare is a critical challenge for states and the federal government. Learn more about the situation in Maine through the Cutler Institute report Members Dually Eligible for MaineCare and Medicare Benefits: MaineCare and Medicare Expenditures and Utilization, State Fiscal Year 2010.
With the aging of Maine’s population and its status as the “oldest” state in the nation, the use of long term services continues to be a critical public policy issue in the state and nationally. Learn more in the Cutler Institute's new chartbook Older Adults and Adults with Physical Disabilities: Population andService Use Trends in Maine