Establishing the Acquired Brain Injury Trust Fund in Maine: Background Information, Experiences in Other States, and the Needs of Maine Individuals and Their Families
Contained in the report is a review of the development of trust funds as a funding stream to provide services to individuals with brain injury with unmet needs. There are currently 19 active state trust funds. Trust fund revenue sources and the uses of those funds vary from state-to-state. Revenues from trust funds generally support the access and delivery of cognitive rehabilitation, registries, education, community supports and case management. The unmet needs and barriers of Maine residents with brain injury and their service providers were detailed in a recent state-wide needs assessment. In particular, case management, supported housing, vocational, and education are identified as high priority areas for resource development. The needs assessment recommendations include policy development, collaboration and coalition building to strengthen the service delivery system, coordination of services and supports, and the development of educational opportunities for clinicians, service providers, employers and general public. Recent developments in Maine such as a decreasing number of brain injury service providers, the implementation of a new medical model of reimbursement under MaineCare, and an expected return of recent military veterans with brain injury have prompted the Acquired Brain Injury Advisory Committee to renew focus on the development of a new funding stream to support unmet needs.
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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