2004 Edition

Research and Demonstrations in Health Care Financing

Centers for Medicare & Medicaid Services

Research Themes

Active Projects Report

Monitoring and Evaluating CMS Programs .....................................................1

Strengthening Medicaid, State Children’s Health Insurance 

 Program (SCHIP), and State Programs ...............................................13

Expanding Beneficiaries’ Choices and Availability of 

 Managed Care Options ......................................................................89

Developing FFS Payment and Service Delivery Systems ..............................103

Improving Quality of Care and Performance Under CMS Programs ...........115

Improving the Health of Our Beneficiary Population ..................................131

Prescription Drugs .......................................................................................155

Building Research Capacity ..........................................................................161

Indices....................................................................................................189

  Topical Index 

 Alphabetical Index of Research and Demonstration Projects

 Index of Contract and Grant Numbers 

 Awardee Organizations

 Principal Investigators

 Awardees by State

 CMS Project Officers

I.

II.

III.

IV.

V.

VI.

VII.

VIII. 
U.S. Department of Health and Human Services

Tommy G. Thompson, Secretary

Centers for Medicare & Medicaid Services

Mark B. McClellan, M.D., Ph.D., Administrator 

Leslie V. Norwalk, Deputy Administrator

Offi ce of Research, Development, and Information

Stuart Guterman, Director

William D. Saunders, Deputy Director

Research Dissemination and Resources Group

Eric Katz, Director

Susan Anderson, Deputy Director

Production Coordinator

James Beyer

Production Team

Al Deal

Ann Marie Chesney

Debbie Green

Aimee Lemmons

Anna Simpkins

Sandra Walsh
Active Projects Report

Research and Demonstrations in Health Care Financing

2004 Edition

Centers for Medicare & Medicaid Services

i

FOREWORD

The Centers for Medicare & Medicaid Services (CMS) is responsible for administering the Medicare program and 

programs administered by States such as Medicaid and the State Children’s Health Insurance Program (SCHIP). 

CMS oversees insurance regulation, the survey and certifi cation of health care facilities, and the Clinical Laboratory 

Improvements Amendments. We serve one in four seniors, children, people with end stage renal disease, and people 

with disabilities. We also provide benefi ciaries with information about our programs, Medigap options, consumer 

research, and grievance and appeals processes.

CMS directs roughly 600 individual research, demonstration, and evaluation projects. Our research helps to identify 

future trends that may infl uence our programs, meet the needs of vulnerable populations, and examine the costeffectiveness of our policies. Demonstration projects test, for example, how a new payment system, preventive 

service, or health promotion campaign actually affects our programs, benefi ciaries, States, and providers. Evaluation 

projects validate our research and demonstration fi ndings and help us monitor the effectiveness of Medicare, Medicaid, 

and SCHIP.

One of the Agency’s challenges is to develop and implement new health care payment approaches and fi nancing 

policies and to evaluate the impact of our programs. Another is how to modernize Medicare from a medical acute care 

model to a comprehensive health care model that encourages healthy aging. CMS strives to meet the challenges of 

short-term health policy needs with a long-term perspective to provide meaningful information and analyses responsive 

to the needs of our programs and customers. CMS, together with States, contractors, grantees, and other Federal 

agencies, is committed to research and demonstrations aimed at improving our programs, ensuring the quality of care, 

and providing modern health care services.

Congress created Medicare and Medicaid in 1965. Medicare originally provided health care coverage to Americans 

over the age of 65. In 1972, the program was expanded to Americans living with disabilities and people with end stage 

renal disease. Medicaid is a joint Federal-State program that provides health care coverage to the aged, blind, people 

with disabilities, and low-income families with children under 21.

CMS research both anticipates the future of our programs and refl ects the Agency’s legislative and operational 

responsibilities. More recent legislation includes:

• The Health Insurance Portability and Accountability Act of 1996 (HIPAA) provided for improved continuity 

or “portability” of group health plan coverage and for group health insurance provided through employment or 

through the individual insurance market. CMS regulates the small and individual private health insurance markets 

and national administrative simplifi cation standards for all electronic health care transactions.

• The Balanced Budget Act of 1997 (BBA) established Medicare+Choice as Part C of the Medicare program, 

creating an array of new managed care and other health plan choices for benefi ciaries, in addition to a coordinated 

open enrollment process. The BBA also created SCHIP, which is designed to assist working families with incomes 

too high for Medicaid but too low to be able to afford private health insurance.

• The Balanced Budget Refi nement Act of 1999 made numerous changes to the Medicare program aimed at reducing 

the impact of the payment reductions to providers in the BBA, stabilized the SCHIP allotment formula, and 

modifi ed the Medicaid Disproportionate Share Hospital program.

• The Ticket-to-Work and Work Incentives Improvement Act of 1999 expanded the availability of Medicare and 

Medicaid for certain benefi ciaries with disabilities who return to work. The New Freedom Initiative announced 

by President Bush on February 1, 2001, is part of a nationwide effort to remove barriers to community living for 

people with disabilities.

• In 2000, the Benefi ts Improvement and Protection Act made numerous changes to the Medicare, Medicaid, and 

SCHIP programs.
ii

• The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 was landmark legislation providing 

seniors and people living with disabilities with a prescription drug benefi t, more choices, and better benefi ts under 

Medicare—the most signifi cant improvement to senior health care in nearly 40 years.

The Offi ce of Research, Development, and Information prepares the annual Active Projects Report: Research and 

Demonstrations in Health Care Financing to inform CMS customers of our research. It inventories both intramural 

projects conducted by CMS staff and extramural projects conducted by contractors, grantees, and other awardees with 

CMS support. While most of the extramural projects are funded from CMS’s research, demonstration, and evaluation 

budget, some of the quality-related studies conducted by Quality Improvement (formerly Peer Review) Organizations 

are supported by other CMS budgets. 

The 2004 edition of the Active Projects Report provides basic information on CMS research, demonstration, and 

evaluation projects active from January 1 through December 31, 2003. It is organized by theme:

Theme 1: Monitoring and Evaluating CMS Programs

Theme 2: Strengthening Medicaid, State Children’s Health Insurance Program (SCHIP), and State Programs

Theme 3: Expanding Benefi ciaries’ Choices and Availability of Managed Care Options

Theme 4: Developing FFS Payment and Service Delivery Systems

Theme 5: Improving Quality of Care and Performance Under CMS Programs

Theme 6: Improving the Health of Our Benefi ciary Population

Theme 7: Prescription Drugs

Theme 8: Building Research Capacity

The Active Projects Report presents a brief description of each project and its status as of December 31, 2003. The 

abstracts provide an identifi cation number, the project title, the project number, the CMS project offi cer, the awardee, 

funding, principal investigator, and the period of performance. Several indices—organized by project title, project 

offi cer, prinicipal investigator, awardee organization, project number, and State—are provided at the back of this book 

to help readers locate information regarding specifi c projects. More detailed information regarding specifi c projects 

may be obtained directly from CMS project offi cers. 

This is the twenty-fourth edition of the Active Projects Report. For more information, please visit the CMS Web site at

www.cms.hhs.gov.

 Stuart Guterman

 Director

 Offi ce of Research, Development, and Information
iii

Active Projects Report—2004 Edition 1

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

Evaluation of Private Fee-for-Service Plans in the 

Medicare+Choice Program

Project No: 500-00-0032/02

Project Offi cer: Nancy Zhang

Period: September, 2001 to 

September, 2004

Funding: $1,407,867

Principal 

Investigator: Gary Gaumer

Award: Contract

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Description: The purpose of this project is to evaluate 

the new private fee-for-service (PFFS) option available 

under the Medicare+Choice (M+C) Program. The 

evaluation will use a combination of primary and 

secondary data sources to evaluate the effects of the 

option on benefi ciaries and program costs. Primary data 

will be collected through site visits to participating plans 

and benefi ciary surveys. The PFFS plan option is one 

of the new types of organizations provided for under 

the M+C provisions. The project involves the Sterling 

Plan, which has been available to benefi ciaries since 

July 2000 and captures many benefi ciaries who were 

previously enrolled in an M+C plan that withdrew from 

the program and for whom this plan is the only M+C 

option available. Analytic issues to be addressed in the 

evaluation can be grouped into three broad categories: 

(1) benefi ciary analyses (enrollment, benefi ciary 

experiences with the plan, utilization); (2) Medicare 

program impacts (payment); and (3) plan and provider 

impacts—market, program administration, participation.

Status: The project is under way. ■

Evaluation of the Impact on Benefi ciaries of the 

Medicare+Choice Lock-in Provision

Project No: 500-00-0037/04

Project Offi cer: Mary Kapp

Period: September, 2001 to 

September, 2004

Funding: $380,298

Principal 

Investigator: Kenneth Cahill

Award: Task Order

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: This project will explore the impact on 

Medicare benefi ciaries of the lock-in provision of the 

Balanced Budget Act of 1997 (BBA). The lock-in 

provision places limits on the frequency, timing, and 

circumstances under which Medicare+Choice (M+C) 

enrollment elections can be made. These changes will 

be phased in over a 2-year period beginning January 

1, 2002. The purpose of this project is to: (1) examine 

the current (pre-lock-in) patterns of enrollment and 

disenrollment in M+C using existing CMS administrative 

data; (2) design a methodology to quantify the impact on 

Medicare benefi ciaries of the lock-in provision; and (3) 

analyze the impact on benefi ciaries of the fi rst year of the 

lock-in provision.

Status: Congress has delayed the implementation of this 

BBA provision from January 1, 2002 to January 1, 2006. 

The contract has been modifi ed to delete the design of 

a tool to survey benefi ciaries about the impact of lockin. Additional analyses to characterize the enrollment 

and disenrollment patterns of benefi ciaries and the 

development of an historical market area database have 

been added. ■

Theme 1: Monitoring and Evaluating

 CMS Programs

Summary: Information gained from evaluation studies plays an important role in planning for the future of 

CMS’s programs. Program evaluation information is used to guide and inform both current and future planning. 

The policies and procedures of CMS’s programs can have far-reaching effects on the broader health care system. 

Program evaluations provide CMS with information to monitor, evaluate, and refi ne aspects of our programs. 

This information is used to identify critical health care issues and to develop the best available strategies for 

addressing those issues. CMS’s program evaluation efforts provide information and descriptive statistics on 

the infrastructure of the health system; populations of health care users; service and expenditure patterns; 

variations in costs, quality, and access to care; and on the effects of CMS’s program changes on benefi ciaries. 
2 Active Projects Report—2004 Edition

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

Design and Implementation of a Targeted 

Benefi ciary Survey on Access to Physician 

Services Among Medicare Benefi ciaries

Project No: 500-01-0025/01

Project Offi cer: Renee Mentnech

Period: September, 2002 to 

September, 2004

Funding: $996,692

Principal 

Investigator: Marsha Gold

Award: Task Order

Awardee: Mathematica Policy Research (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Description: The purpose of this project is to design 

and implement a targeted, short, benefi ciary survey 

on access to physician services among Medicare 

benefi ciaries. The intent of this targeted survey is to 

enhance the ability of CMS to determine, on as close 

to a real-time basis as possible, whether Medicare 

benefi ciaries are experiencing access problems in specifi c 

geographic areas.

Status: The fi rst round of the survey was implemented 

in 11 market areas during the spring of 2003. The 

market areas included the state of Alaska and areas 

around Phoenix, Arizona; San Diego, California; San 

Francisco, California; Denver, Colorado; Tampa, Florida; 

Springfi eld, Missouri; Las Vegas, Nevada; Brooklyn, 

New York; Ft. Worth, Texas; and Seattle, Washington. 

The second round of the survey will be administered in 

these same market areas during the spring of 2004, with a 

fi nal report expected at the end of 2004. ■

Implementation of the Medicare Managed Care 

Version of the Consumer Assessment of Health 

Plans (MMC-CAHPS) Survey

MEDICARE CAHPS DISENROLLMENT SURVEY

There are two different disenrollment surveys. In the 

fall of 2000, CMS began to conduct a separate annual 

survey of benefi ciaries who voluntarily disenrolled 

from M+C organizations to gather information about 

their experiences with the plan they left. This survey 

is known as the Medicare CAHPS Disenrollment 

Assessment Survey. Results from the Disenrollment 

Assessment Survey are combined with those from 

the Enrollee Survey for reporting to the public and to 

plans. Reporting the information in this way provides 

a more accurate account of all Medicare benefi ciaries’ 

experiences with M+C organizations. CMS added the 

survey results from disenrollees to the overall survey 

results to ensure that positive survey results were not 

the result of CMS’s continuous enrollment policy. 

References to the MMC-CAHPS survey refer to the 

combination of the MMC-CAHPS Enrollee Survey and 

the Disenrollment Assessment Survey. 

CMS also sponsors the Medicare CAHPS Disenrollment 

Reasons Survey. The purpose of the Reasons Survey 

is to collect data about the reasons why Medicare 

benefi ciaries leave their M+C health plans. Although 

data from the Reasons Survey are analyzed on an annual 

basis, sampling and data collection are conducted on a 

quarterly basis.

The Reasons Survey has been conducted for CMS 

each year since 2000 and survey results can be found 

on Medicare’s Web site, www.medicare.gov, through 

Medicare Health Plan Compare and Medicare Personal 

Plan Finder.

FFS CAHPS

CMS also developed a Medicare version of the CAHPS 

survey for benefi ciaries enrolled in Original Medicare 

(FFS-CAHPS). CMS began implementation of this 

survey in fall 2000 and has just completed the third 

annual nationwide administration. The results of both 

surveys are case-mix adjusted to account for differences 

in the FFS and managed care populations and reported 

together through the Handbook and on Medicare’s Web 

site, www.medicare.gov, through Medicare Health Plan 

Compare and Medicare Personal Plan Finder. ■

Implementation of the Medicare Managed Care 

Version of the Consumer Assessment of Health 

Plans (MMC-CAHPS) Survey

Project No: 500-01-0020/02

Project Offi cer: Amy Heller, Ph.D.

Period: August, 2003 to August, 2004

Funding: $5,499,739

Principal 

Investigator: W. Sherman Edwards

Award: Task Order

Awardee: Westat Corporation

1650 Research Boulevard

Rockville, MD 20850

Description: The Centers for Medicare & Medicaid 

Services (CMS) is an active participant in the CAHPS 

(Consumer Assessment of Health Plans) effort, a 

cooperative agreement headed by the Agency for Health 

Care Research and Quality to develop standardized 

instruments and reporting formats for providing 

comparative information to aid consumers in making 

more informed health plan choices. The core CAHPS 

survey instrument developed for the adult commercial 

population is currently used to assess the care provided 

by health plans covering over 123 million Americans. In 

1997, CMS sponsored the development of a Medicare 

version of the CAHPS survey for enrollees (hereinafter 
Active Projects Report—2004 Edition 3

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

referred to as the Medicare Managed Care CAHPS 

(MMC-CAHPS) Survey). 

Status: CMS has just completed the seventh annual 

nationwide administration of MMC-CAHPS. CMS has 

funded three different Medicare versions of the CAHPS 

surveys to assess benefi ciaries’ experiences and ratings 

of care within the Medicare program—Medicare+Choice 

(M+C) Assessment Survey, M+C Disenrollee Survey, 

and the Fee-for-Service (FFS) Survey. ■ 

Implementation of the Medicare Managed Care 

Version of the Consumer Assessment of Health 

Plans (MMC-CAHPS) Survey

Project No: 500-95-0057/04

Project Offi cer: Amy Heller, Ph.D.

Period: September, 1997 to 

September, 2004

Funding: $25,592,481

Principal 

Investigator: Keith Cherry

Award: Task Order

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: This project implements the Medicare 

version of the Consumer Assessment of Health Plans 

(CAHPS) survey in all Medicare risk and cost managed 

care plans. The primary purpose of the survey is to 

collect, analyze, and disseminate information to Medicare 

benefi ciaries to help them choose among plans. It will 

also be used with other available data to monitor and 

evaluate the quality of care and relative performance of 

managed care plans, and to compare the satisfaction of 

benefi ciaries in the managed care and fee-for-service 

systems. It is a nationwide satisfaction survey of 

Medicare benefi ciaries, currently enrolled and recently 

disenrolled, from their managed care plans which 

proportionately samples a cross-section of Medicare 

managed care enrollees stratifi ed by plan to assess their 

level of satisfaction with access, quality of care, plans’ 

customer service, resolution of complaints, and their 

utilization experience.

Status: The survey completed its fi fth year of data 

collection at the end of December. The unadjusted 

response rate is 82% with 127,654 surveys returned by 

mail and 28,042 surveys completed by telephone. For 

the past three years, the survey has achieved a response 

rate greater than 80%. Since this is an ongoing effort, the 

survey was rebid in early spring of 2002. ■

Implementation of the Medicare Managed Care 

Version of the Consumer Assessment of Health 

Plans (MMC-CAHPS) Survey

Project No: 500-95-0061/05

Project Offi cer: Amy Heller, Ph.D.

Period: September, 1999 to 

November, 2004

Funding: $4,458,022

Principal 

Investigator: Bridget Booske

Award: Task Order

Awardee: University of Wisconsin–Madison

750 University Avenue

Madison, WI 53706

Description: The Centers for Medicare & Medicaid 

Services (CMS) is an active participant in the CAHPS 

(Consumer Assessment of Health Plans) effort, a 

cooperative agreement headed by the Agency for Health 

Care Research and Quality to develop standardized 

instruments and reporting formats for providing 

comparative information to aid consumers in making 

more informed health plan choices. The core CAHPS 

survey instrument developed for the adult commercial 

population is currently used to assess the care provided 

by health plans covering over 123 million Americans. In 

1997, CMS sponsored the development of a Medicare 

version of the CAHPS survey for enrollees (hereinafter 

referred to as the Medicare Managed Care CAHPS 

(MMC-CAHPS) Survey). 

Status: CMS has just completed the seventh annual 

nationwide administration of MMC-CAHPS. CMS has 

funded three different Medicare versions of the CAHPS 

surveys to assess benefi ciaries’ experiences and ratings 

of care within the Medicare program—Medicare+Choice 

(M+C) Assessment Survey, M+C Disenrollee Survey, 

and the Fee-for-Service (FFS) Survey. ■

Implementation of the Medicare Managed Care 

Version of the Consumer Assessment of Health 

Plans (MMC-CAHPS) Survey

Project No: 500-01-0018/01

Project Offi cer: Amy Heller, Ph.D.

Period: September, 2003 to 

September, 2004

Funding: $1,275,000

Principal 

Investigator: Judith Lynch

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC

27709-2194
4 Active Projects Report—2004 Edition

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

Description: The Centers for Medicare & Medicaid 

Services (CMS) is an active participant in the CAHPS 

(Consumer Assessment of Health Plans) effort, a 

cooperative agreement headed by the Agency for Health 

Care Research and Quality to develop standardized 

instruments and reporting formats for providing 

comparative information to aid consumers in making 

more informed health plan choices. The core CAHPS 

survey instrument developed for the adult commercial 

population is currently used to assess the care provided 

by health plans covering over 123 million Americans. In 

1997, CMS sponsored the development of a Medicare 

version of the CAHPS survey for enrollees (hereinafter 

referred to as the Medicare Managed Care CAHPS 

(MMC-CAHPS) Survey). 

Status: CMS has just completed the seventh annual 

nationwide administration of MMC-CAHPS. CMS has 

funded three different Medicare versions of the CAHPS 

surveys to assess benefi ciaries’ experiences and ratings 

of care within the Medicare program—Medicare+Choice 

(M+C) Assessment Survey, M+C Disenrollee Survey, 

and the Fee-for-Service (FFS) Survey. ■

United States Renal Data System—Economic 

Studies Center

Project No: HCFA-IA-01-047

Project Offi cer: Joel Greer

Period: March, 2001 to March, 2005

Funding: $184,251

Principal 

Investigator: Lawrence Hunsecker, M.D.

Award: Interagency Agreement

Awardee: National Institute of Diabetes & 

Digestive & Kidney Diseases

31 Center Drive, MSC2560

Bethesda, MD 20892-2560

Description: This agreement provides support for the 

National Institute of Diabetes & Digestive & Kidney 

Diseases’ contract funding the Economic Studies Center 

(ESC) of the United States Renal Data System (USRDS). 

This contract was awarded to the University of Iowa with 

Lawrence Hunsecker, M.D., as Principal Investigator. 

The ESC conducts cost effectiveness and other economic 

studies relevant to End Stage Renal Disease (ESRD). 

It was anticipated that the ESC would conduct four 

studies using existing USRDS data each year and two 

special studies over the course of the contract. As its 

fi rst special study, the ESC is working with the other 

special study centers designing and implementing the 

Comprehensive Dialysis Survey. Data collection may 

begin in spring 2004.

Status: CMS was unable to fund the Interagency 

agreement in FY03 and FY04. ■

Examining Long-Term Care Episodes and Care 

History for Medicare Benefi ciaries

Project No: 500-00-0025/03

Project Offi cer: William Buczko

Period: September, 2002 to 

September, 2005

Funding: $649,958

Principal 

Investigators Timothy Waidman and

Stephanie Maxwell

Award: Task Order

Awardee: Urban Institute

2100 M Street, NW

Washington, DC 20037

Description: This project studies longitudinal patterns 

of care of elderly benefi ciaries with likely long-term 

care needs and the progress of groups of benefi ciaries 

with similar health/functional status who remain in 

the community or who move from the community to 

institutional settings, as well as within institutional 

settings. It will develop a research model and conduct 

studies based on this model to assess the progress of 

benefi ciaries with similar medical conditions, functional 

status, and long-term care needs through the health care 

delivery system. It will address key factors infl uencing 

the delivery of care such as insurance coverage, types of 

services used, processes leading to institutionalization, 

and costs of care.

Status: The literature review is near completion. UI 

staff have met with panels of clinical experts and CMS 

staff as scheduled. Initial steps to obtain project data fi les 

have begun. Key activities for 2004 are: selection of the 

cohorts for study (by February 2004); completion of the 

fi rst year report (literature review, rationale for cohort 

selection, description of cohort studies); meeting with 

CMS staff to describe the methodology for creation of 

linked analytic fi les (by April 2004); and completion of 

analytic fi le construction (December 2004). ■
Active Projects Report—2004 Edition 5

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

Assessing the Impact of Requiring Parity for 

Mental Health

Project No: HCFA-IA-00-100

Project Offi cer: Frederick Thomas

Period: June, 2000 to September, 2004

Funding: $100,000

Principal 

Investigator: Cille Kennedy, Ph.D.

Award: Interagency Agreement

Awardee: Offi ce of the Assistant Secretary for 

Planning and Evaluation

200 Independence Avenue, SW

Washington, DC 20201-0001

Description: This agreement supports an evaluation 

of the impact of requiring parity for mental health and 

substance abuse benefi ts within the Offi ce of Personnel 

Management’s (OPM) Federal Employees Health 

Benefi ts Program (FEHBP). For several years OPM 

has been interested in improving the mental health and 

substance abuse benefi t in the FEHBP. OPM has now 

been directed to achieve full parity for these benefi ts by 

January 2001. There is substantial interest in various 

stakeholders in learning as much as possible about the 

effects of this change in coverage; particularly, the impact 

on access, utilization, quality, and costs.

Status: Data collection and study design activities are 

in process. ■

Evaluation of Balanced Budget Act (BBA) 

Impacts on Medicare Delivery and Utilization of 

Inpatient and Outpatient Rehabilitation Therapy 

Services

Project No: 500-00-0030/02

Project Offi cer: Philip Cotterill

Period: September, 2001 to 

December, 2004

Funding: $998,540

Principal 

Investigator: Barbara Gage

Award: Task Order

Awardee: Research Triangle Institute

411 Waverly Oaks Road

Suite 330

Waltham, MA 02452-8414

Description: This project studies the impact of the 

Balanced Budget Act of 1997 (BBA) on the delivery 

and utilization of inpatient and outpatient rehabilitation 

therapy services to Medicare benefi ciaries. Many of the 

BBA changes, some already implemented and others 

still under development, directly affect payment for 

rehabilitation therapy services. These policies include 

per benefi ciary therapy limits applicable to certain 

outpatient settings, skilled nursing facility prospective 

payment system, home health agency prospective 

payment system, inpatient rehabilitation facility 

prospective payment system, long-term care hospital 

prospective payment system, and outpatient therapy 

prospective payment system. This project will study the 

period 2000–2003 and will study changes in benefi ciary 

access and utilization of therapy services across all these 

settings with special attention to changes in one or more 

settings that follow a payment change in another setting.

Status: This is a continuation and extension of previous 

work, “Medicare Post-Acute Care: Evaluation of BBA 

Payment Policies and Related Changes” (contract number 

500-96-0006/04), which covered the period 1996–1999. 

Analysis of 2000 and 2001 data is in progress, but 

progress has been slowed by the need to address several 

unexpected data problems. ■

Home Health Data Link

Project No: HCFA-00-1157

Project Offi cer: Ann Meadow

Period: September, 2001 to 

September, 2004

Funding: $365,000

Principal 

Investigator: Edward Fu

Award: GSA Order

Awardee: Fu Associates

2300 Clarendon Boulevard

Suite 1400

Arlington, VA 22201

Description: The Balanced Budget Act of 1997 

mandated dramatic changes in several areas of Medicare 

services, including the home health benefi t. The Act 

mandated a home health prospective payment system 

(PPS), to be preceded by an interim payment system 

(IPS) until the PPS could be implemented. In place from 

late 1997 to Oct. 2000, the IPS led to sharp reductions 

in numbers of home health agencies and home health 

utilization by Medicare benefi ciaries. There has been 

little systematic information about PPS’s impact to date. 

Policymakers will want information on the full impact of 

this succession of changes. Therefore, data development 

for such studies is needed by the Department and 

will be in demand by external researchers and 

policymakers. Under this project, the contractor provides 

a comprehensive data analytic fi le covering the entire 

PPS period to date. Along with previous comprehensive 

fi les, the new fi le will serve the medium-term needs 

of policymakers regarding the Medicare home health 

benefi t. In addition, the fi le will meet the internal needs 

of CMS and the Department in the areas of payment 

refi nements, quality improvement, and program integrity. 
6 Active Projects Report—2004 Edition

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

The contractor is also tasked with providing analytical 

programming support using the products of the contract. 

This project is a continuation of a data development 

effort originally begun in 2000 by CMS; it is currently 

funded primarily by the Offi ce of the Assistant Secretary 

for Planning and Evaluation under Interagency 

Agreement Number IA-02-132.

Status: Under the direction of CMS, the contractor 

conducted data analyses to refi ne specifi cations for the 

analytic fi les. In January 2003 the contractor delivered a 

100% fi le of home health PPS payment episodes through 

June 2002 with detailed edited and derived variables 

summarizing utilization and payment information internal 

to the claim. Additional variables summarize information 

from external sources, including inpatient claims fi les, 

enrollment data, Area Resource File data, and Provider of 

Service File variables. The episodes are uniquely linked 

to several ancillary fi les containing details on related 

inpatient stays, OASIS and other patient assessments, and 

other information. The deliverables are being used in 

several intramural and extramural studies. An update of 

the fi le with additions and enhancements was delivered 

in early 2004. Specifi cations for adding Medicare Part B 

data and OASIS outcomes data are near completion. ■

Investigation of Increasing Rates of 

Hospitalization for Ambulatory Care Sensitive 

Conditions among Medicare Benefi ciaries

Project No: 500-00-0024/09

Project Offi cer: Mary Kapp

Period: September, 2002 to March, 2004

Funding: $172,671

Principal 

Investigator: Nancy McCall

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194 

Research Triangle Park, NC 

27709-2194

Description: The purpose of this project is to examine 

trends in the rates of inpatient hospital care of the elderly 

for ambulatory care sensitive conditions (ACSC) or 

“avoidable hospitalizations.” This project uses existing 

Medicare data to examine the nature of the increases 

in ACSC hospitalizations, identify the subpopulations 

most affected and explore more fully the reasons for 

these trends, with particular emphasis on policy issues 

that offer promise to reverse the trends. CMS data also 

provide suffi cient sample size to permit investigation of 

supply factors, access issues, and geographic patterns.

Status: This project is ongoing and runs through 

March 2004. A fi nal report will be available in the 

summer of 2004. ■

HCFA On-Line: Market Research for Benefi ciaries–I

Project No: 500-95-0057/02 

Project Offi cer: Julie Franklin

Period: April, 1996 to December, 2003

Funding: $6,344,124

Principal 

Investigator: Kenneth Cahill

Award: Task Order

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: CMS implemented a market research 

program to provide ongoing assessment of the 

information needs of our benefi ciaries. It examined 

what information benefi ciaries want and need and, how 

such information can best be communicated to them. 

The Agency placed special emphasis on understanding 

the requirements of subgroups who may have special 

communication needs (e.g., vision-impaired or nonEnglish-speaking benefi ciaries). The project consisted 

of multiple phases, including conducting inventories 

of existing information on communication strategies 

relevant for benefi ciaries, conducting focus groups to 

explore the information needs of benefi ciaries, and 

collecting and analyzing survey data on information 

needs in benefi ciary populations. This research will 

be used to help guide the development of CMS’s 

communication strategy.

Status: A large series of focus groups have been 

conducted with the general population of Medicare 

benefi ciaries including a number with special groups. 

An inventory of groups that work with benefi ciaries is 

complete and includes information from approximately 

170 organizations. Examples of such groups are 

advocacy organizations, social service providers, health 

care providers, government agencies, and Medicare 

carrier and other insurance organizations. In addition, a 

special supplement to the Medicare Current Benefi ciary 

Survey was used to collect information on the 

information needs and preferences of benefi ciaries. ■
Active Projects Report—2004 Edition 7

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

HCFA On-Line: Market Research for Benefi ciaries–II

Project No: 500-95-0057/07

Project Offi cer: Julie Franklin

Period: September, 1999 to December, 2004

Funding: $14,367,373

Principal 

Investigator: Kenneth Cahill

Award: Task Order

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: This project serves as a vehicle to conduct 

a variety of social marketing research with Medicare 

benefi ciaries. The project is committed to carrying 

out targeted projects that document consumer reality 

through consumer research. Topics of the research 

are generally focused around communicating program 

benefi ts, appeal rights, health plan and provider choices, 

and treatment options to people with Medicare. Specifi c 

work has been done on existing Medicare publications, 

regulations, policies, developing message strategies and 

communication plans, monitoring desired behaviors, 

Status: This is an extension of the work begun under 

contract number 500-95-0057/02. This contract 

continues to conduct social marketing research 

on specifi cally identifi ed initiatives that involve 

communication with Medicare benefi ciaries. ■

Performance Assessment of Web Sites

Project No: 500-95-0057/05

Project Offi cer: Barbara Crawley

Period: August, 1998 to April, 2003

Funding: $1,317,513

Principal 

Investigator: Joy Frechtling

Award: Task Order

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: This project is: (1) evaluating; (2) setting 

up an ongoing system for feedback from consumers; and 

(3) making recommendations for future changes to the 

consumer-oriented Web site, www.medicare.gov. The 

Web site was established by the Centers for Medicare & 

Medicaid Services to service Medicare benefi ciaries and 

their caregivers. Other potential users of the site include 

researchers and advocacy groups.

Status: Several of the strategies used to assess the Web 

site have ended. While the bounce-back form on the 

Web site has been temporarily removed, data from the 

bounce-back survey and the other assessment strategies, 

including focus groups and expert reviews, are being 

compiled. Work is continuing to improve and update the 

Web site using the data gathered from the multifaceted 

assessment. ■

Benefi ciary Knowledge: Questionnaire Item 

Development and Cognitive Testing Using Item 

Response Theory

Project No: 500-00-0024/02a

Project Offi cer: Noemi Rudolph

Period: May, 2001 to August, 2005

Funding: $336,325

Principal 

Investigator: Lauren McCormack

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC

27709-2194

Description: This project will evaluate the effectiveness 

of the National Medicare Education Program (NMEP), 

CMS’s primary information and education program. The 

evaluation focuses on the objectives of the NMEP to: 

(1) provide benefi ciaries’ access to information, (2) raise 

benefi ciary awareness that information is available, 

(3) heighten awareness of some basic Medicare+Choice 

messages, and (4) communicate information useful for 

making informed health services decisions. A substantial 

pool of Medicare benefi ciary knowledge questions 

and tests cognitive reliability and validity of the items, 

assuring a consistent Medicare knowledge index over 

time. The content categories cover both core knowledge 

areas that generally remain consistent from year to year, 

as well as supplemental topics that may change more 

frequently. Content categories may include:

(1) awareness of Medicare options, (2) access to 

traditional Medicare, (3) cost implications of insurance 

choices, (4) coverage/benefi ts, (5) plan rules/restrictions, 

(6) availability of information, and (7) benefi ciary rights. 

Medicare benefi ciary knowledge data collected through 

the Medicare Current Benefi ciary Survey (MCBS) will 

constitute the starting pool of questionnaire items. Item 

Response Theory (IRT) methodology is used to evaluate 

measures of knowledge and validate items in the MCBS 

knowledge index.
8 Active Projects Report—2004 Edition

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

Status: The knowledge questions were fi elded in the 

Medicare Current Benefi ciary Survey in spring 2003. 

The report is expected in summer 2004. The symposium 

is expected to take place in fall 2004. ■

Assessment of Medicare & You Education Program

Project No: 500-00-0037/03

Project Offi cer: Lori Teichman

Period: September, 2001 to December, 2005

Funding: $6,751,736

Principal 

Investigator: Keith Cherry

Award: Task Order

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: This project assesses how well CMS 

is communicating with Medicare benefi ciaries, 

caregivers, and partners. As part of the National 

Medicare Education Program (NMEP), CMS provides 

information to benefi ciaries about the Medicare program 

and their Medicare+Choice options. The NMEP 

employs numerous communication vehicles to educate 

benefi ciaries and help them make more informed 

decisions concerning: Medicare program benefi ts; health 

plan choices; supplemental health insurance; rights, 

responsibilities, and protections; and health behaviors. 

The goal of NMEP is to ensure that benefi ciaries 

receive accurate, reliable information; have the ability 

to access information when they need it; understand 

the information needed to make informed choices; and 

perceive the NMEP (and the Federal Government and its 

private sector partners) as trusted and credible sources 

of information.

Status: Work began in September 2001. The following 

subtasks are completed: The Medicare & You Regional 

Survey, REACH Partnership Report, The Medicare & 

You Handbook 2002 Postcard Feedback Report, REACH 

Audience Feedback Forms Report (2002 and 2003), 

the REACH Needs/Gaps Assessment Report, and the 

REACH Return on Investment Reports (2002 and 2003). 

Work is continuing on the following: The Medicare New 

Enrollee Survey, 1-800-MEDICARE Mystery Shopping, 

SHIP’s Mystery Shopping, Nursing Home Quality 

Improvement Initiative, REACH Case Studies, and 

NMEP Case Studies. Work is starting on the MedicareApproved Prescription Discount Drug Card Program 

Assessments: (1) Review of Informational Materials and 

(2) Mystery Shopping to Approved Sponsors. ■

Evaluation of the Dialysis Facility Compare Web Site

Project No: 500-00-0024/07

Project Offi cer: Eileen Zerhusen

Period: September, 2002 to 

November, 2004

Funding: $524,141

Principal 

Investigator: Michael Trisolini

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC

27709-2194

Description: This project will evaluate the usefulness 

of the quality and descriptive information on the Dialysis 

Facility Compare (DFC) Web site for patients with End 

Stage Renal Disease (ESRD), families of patients with 

ESRD, ESRD professionals, members of the ESRD 

industry, and other stakeholders.

Status: The contract has been extended to November 30, 

2004, to allow for stakeholders’ input and development 

and testing of new information to be placed on the DFC 

Web site. ■

Public Reporting and Provider and Health Plan 

Quality of Care

Project No: 500-00-0024/14

Project Offi cer: David Miranda

Period: September, 2003 to March, 2005

Funding: $845,000

Principal 

Investigator: Shulamit Bernard

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC

27709-2194

Description: The Balanced Budget Act of 1997 

mandated that CMS provide benefi ciaries with 

information to make better health plan choices, including 

information about the quality of care provided by health 

plans (see www.medicare.gov/mphCompare/home.asp 

and Volume 23, Number 1 [www.cms.hhs.gov/review/

01fall/default.asp] and Volume 22, Number 3 [www.cms.

hhs.gov/review/01spring/default.asp] of Health Care 

Financing Review). Since that time, CMS has expanded 

these efforts in at least three areas. We have begun 

looking at the particular needs of vulnerable populations 

for information about quality of care and to help them 
Active Projects Report—2004 Edition 9

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

make choices. We have also expanded the scope of 

quality of care information to include information 

about providers such as dialysis facilities, nursing 

homes, home health agencies, and hospitals (see www.

medicare.gov/NHCompare/home.asp, www.cms.hhs.

gov/researchers/projects/APR/09-theme7.pdf, Volume 23, 

number 4, of Health Care Financing Review [www.cms.

hhs.gov/review/02summer/default.asp], and, for hospital 

information, www.dfmc.org/html/hiw/). Finally we have 

also expanded in the area of supporting infrastructure 

for informed choice (see www.cms.hhs.gov/researchers/

projects.asp). That is, CMS has launched the 1-800-

Medicare call center and the Medicare Personal Plan 

Finder (see www.medicare.gov/MPPF/home.asp) in 

addition to supporting the role of State Health Insurance 

Assistance Programs in counseling benefi ciaries about 

health plan choices. Similarly, the Quality Improvement 

Organizations have begun addressing the roles that 

discharge planners and others, such as physicians, nurses, 

and social workers, play in supporting the decisions 

patients and their caregivers make about providers. 

Physicians are a particularly interesting group in that they 

are not only information.

Status: Research on physicians as information 

intermediaries is actively under way. ■

Implementation of NMEP Evaluation

Studies/Surveys

Project No: 500-01-0020/03

Project Offi cer: Suzanne Rotwein

Period: September, 2003 to 

September, 2005

Funding: $586,879

Principal 

Investigator: W. Sherman Edwards

Award: Task Order

Awardee: Westat Corporation

1650 Research Boulevard

Rockville, MD 20850

Description: The purpose of these surveys is to continue 

the assessment of the National Medicare Education 

Program (NMEP). The surveys contain core questions 

asked of people with Medicare since the beginning of the 

assessment in 1998 and ask additional questions intended 

to obtain quick feedback about CMS’s educational 

activities and gather needed information about new 

initiatives within CMS. This latest survey will be a 

national telephone survey of randomly selected people 

with Medicare. The instrument contains questions 

related to (1) satisfaction with Medicare communication 

channels: the Medicare Web site, the 1-800-Medicare 

toll free line, and the Medicare & You Handbook, 

(2) knowledge of general Medicare benefi ts and 

program characteristics, and where to look for Medicare 

information, and (3) knowledge of new Medicare 

initiatives such as Medicare Reform, the Medicare 

Prescription Drug Benefi t, quality initiatives in hospitals, 

nursing homes and home health care, customer service, 

and choice and options in Medicare health care plans.

Status: Data collection and study design activities are 

in progress. ■

Patterns of Injury in Medicare and Medicaid 

Benefi ciaries

Project No: 500-95-0060/04

Project Offi cer: M. Beth Benedict

Period: September, 2000 to December, 2004

Funding: $715,991

Principal 

Investigator: Deborah Garnick

Award: Task Order

Awardee: Brandeis University

Heller Graduate School

Institute for Health Policy

415 South Street

PO Box 9110

Waltham, MA 02254-9110

Description: This project is a descriptive study of the 

impact of injuries, including an analysis of specifi c types 

of injuries, on Medicare and Medicaid populations. The 

study will examine the impact of injuries (unintentional 

and intentional) on health care costs, income, 

productivity, mortality and morbidity, especially among 

persons in vulnerable populations.

Status: An overview of injuries among elderly Medicare 

benefi ciaries has been completed. Also completed are 

tables that describe the number and costs of injuries to 

Medicare elderly benefi ciaries in total and broken down 

by age, gender, race/ethnicity, urban/rural status, region, 

long-term care status, and type of service. ■

Disabled and Special Needs Populations: 

Examining Enrollment, Utilization, and 

Expenditures

Project No: 500-00-0047/01

Project Offi cers: James Hawthorne and Pauline 

Karikari-Martin

Period: September, 2000 to 

September, 2003

Funding: $1,024,697

Principal 

Investigator: Carol Irvin

Award: Task Order

Awardee: Mathematica Policy Research, 

(Princeton)

600 Alexander Park

PO Box 2393

Princeton, NJ 08543-2393
10 Active Projects Report—2004 Edition

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

Description: The purpose of this project is to create 

a linked database that combines information from the 

Social Security Administration’s (SSA) administrative 

data with CMS’s Medicaid and Medicare data. It 

complements and builds upon activities related to these 

special needs populations by other components of the 

Department of Health and Human Services. One group 

of studies will link Medicaid and SSA data in order to 

examine enrollment dynamics between Medicaid and the 

Supplemental Security Income and the Social Security 

Disability Insurance Programs and to determine whether 

interprogram enrollment dynamics vary by characteristics 

of enrollees—such as work status, disabling condition, 

severity of condition, state of residence, race/ethnicity, 

or age group. Using the same data, another study will 

help CMS develop a more complete understanding of 

children with special health care needs enrolled in the 

Medicaid program. Specifi cally the study will develop 

estimates of the number of children with special health 

care needs enrolled in Medicaid, as this population is 

defi ned by the Balanced Budget Act of 1997 interim 

rule, their demographic characteristics, and utilization 

and expenditure patterns. A fi nal study will link SSA 

disability data, Medicare, and Medicaid data for a 

sample of Medicare benefi ciaries with behavioral health 

problems. The purpose of this study is to develop a 

much more complete understanding of utilization and 

expenditures for Medicare benefi ciaries with behavioral 

health disorders.

Status: The project has obtained permission from 

SSA to access the necessary data, and data extraction is 

scheduled to begin in March 2004. ■

Evaluation of the Home and Community-Based 

Waiver Program

Project No: 500-96-0005/03

Project Offi cer: Susan Radke

Period: September, 1998 to 

September, 2005

Funding: $3,387,017

Principal 

Investigator: Lisa Maria Alecxih

Award: Task Order

Awardee: Lewin Group

3130 Fairview Park Drive, Suite 800

Falls Church, VA 22042

Description: The purpose of this project is to design and 

implement a study of the impact of Medicaid home and 

community-based service (HCBS) programs on quality 

of life, quality of care, utilization, and cost. The scope of 

the study includes both Medicaid home and communitybased service waiver programs as well as other Medicaidfunded long-term care services. The research project will 

study the Medicaid fi nancing and delivery of services 

to older and younger people with disabilities (A/D) in 

six States, and the Medicaid fi nancing and delivery of 

services for individuals with mental retardation and 

developmental disabilities (MR/DD) in six other States. 

The goal of this research is to assist Federal and State 

policymakers in gaining further knowledge about:

(1) how Medicaid HCBS program funds are currently 

used; (2) how policies affect costs, access to care, and 

quality of services; and (3) key program design features 

that are helpful to achieving cost-effective use of 

program services.

Status: The 12 State site visits in phase one of the study 

were completed. The reports were published and are 

located on the CMS and HCBS Web sites. Phase two 

is currently in progress. The Offi ce of Management 

and Budget (OMB) approved the Aged and Disabled 

HCBS recipient survey, which is currently being fi elded 

in six of the Aged and Disabled States. The scope of 

work for this evaluation was amended on the MR/DD 

component of the study to utilize existing data from the 

National Core Indicators Project. The Lewin Group, Inc 

and its subcontractors will begin collecting the data in 

early 2004. ■

Evaluation of QMB and SLMB Programs

Project No: 500-95-0058/08

Project Offi cer: Noemi Rudolph

Period: September, 1999 to 

September, 2003

Funding: $1,549,538

Principal 

Investigators Janet Mitchell and Susan Haber

Award: Task Order

Awardee: Research Triangle Institute

411 Waverly Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: This project is designed to evaluate 

quantitatively and qualitatively the Qualifi ed Medicare 

Benefi ciary (QMB) and the Specifi ed Low-Income 

Medicare Benefi ciary (SLMB) programs in the following 

areas: (1) the motivations and perceptions of enrollees 

and nonenrollees, (2) reasons for State variation in 

enrollment patterns, (3) the impact of enrollment on 

Medicare and Medicaid costs and service use, (4) the 

impact of enrollment on out-of-pocket costs of eligible 

individuals, (5) the impact of State programs under 

the Building Partnerships for Innovative Outreach and 

Enrollment and Outreach of Dual Eligibles grants, 

and (6) the effect on access to care for QMBs due to 

limitation on State payments for Medicare cost-sharing. 

The analyses will draw on a benefi ciary survey, focus 

groups of benefi ciaries and social service professionals, 

a survey of State Medicaid agencies, case-study 

interviews, the Medicare Current Benefi ciary Survey, 

Medicare claims and eligibility data, and the Third-Party 

Buy-in fi le.
Active Projects Report—2004 Edition 11

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

Status: The project ended on September 30, 2003. Final 

reports for the overall evaluation, case-study evaluation 

of the State programs, and study of the limitation on State 

payment for Medicare cost-sharing are available on the 

CMS Web site or by contacting the project offi cer. Major 

fi ndings include: 

• Lack of awareness, not motivation, is the main 

reason eligible benefi ciaries do not enroll and 

personal assistance is key to successfully educating 

and enrolling benefi ciaries into the Medicare Savings 

Programs.

• Enrollment in the QMB/SLMB Programs increases 

utilization of medical care services for low-income 

Medicare benefi ciaries. The benefi t is greatest for 

those entitled to full Medicaid benefi ts. 

• Although the QMB/SLMB Programs provide 

substantial protection from out-of-pocket costs, most 

enrollees continue to incur some out-of-pocket costs, 

particularly SLMBs.

• Reductions in the percent of Medicare cost sharing 

paid by Medicaid decreased the probability that a 

dually eligible benefi ciary will have an outpatient 

physician visit and decreased the likelihood that a 

dual eligible would receive any outpatient mental 

health treatment. 

However, the impacts are relatively small and their effect 

on health outcomes is unknown. ■

Evaluation of the State Child Health Insurance 

Program

Project No: 500-96-0016/03

Project Offi cer: Susan Radke

Period: July, 1999 to July, 2004

Funding: $4,256,094

Principal 

Investigator: Margo Rosenbach

Award: Task Order

Awardee: Mathematica Policy Research (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Description: This project evaluates the State Children’s 

Health Insurance Program (SCHIP). It examines and 

tracks the impact of SCHIP in reducing the numbers of 

low-income uninsured children. States are required to 

report and assess the operation of their children’s health 

insurance programs. This project involves a summary 

and analysis of the State evaluations and an analysis of 

external SCHIP-related activities (meta-analysis). It 

will also analyze the effect of SCHIP on enrollment 

expenditures and use of services in Medicaid and State 

health programs, and evaluate stand-alone and Medicaid 

expansion programs, including the effectiveness of their 

outreach activities and the quality of care.

Status: Evaluation is in its fourth year. The SCHIP 

Report to Congress was submitted. Current work 

involves case studies of eight States as well as continuing 

monitoring and evaluating the effect of SCHIP in 50 

States, the Territories, and the District of Columbia. 

MPR is continuing to track the progress of the SCHIP 

program as it continues to grow and mature. MPR 

continues to complete the Synthesis of State evaluations 

and annual reports, evaluation of the effect of SCHIP on 

uninsured rates, collection and review of external studies, 

and tracking of SCHIP enrollment. New tasks include 

a quantitative study of outreach in selected States, and 

a quantitative study regarding an analysis of access 

and utilization. ■

Study of the Impact of Boren Amendment Repeal 

on Nursing Facility Services for Medicaid Eligibles

Project No: 500-95-0060/03

Project Offi cer: Paul Boben

Period: September, 2000 to 

December, 2003

Funding: $451,129

Principal 

Investigator: Christine Bishop

Award: Task Order

Awardee: Brandeis University, Heller 

Graduate School, Institute for 

Health Policy

415 South Street

PO Box 9110

Waltham, MA 02254-9110

Description: The purpose of this project is to study 

the impact of the repeal of the Boren Amendment on 

Medicaid benefi ciaries’ access to care in hospitals, 

nursing facilities (NF), and intermediate care facilities 

for the mentally retarded (ICF/MR) and the quality of 

care available to them at those facilities. The study will 

examine rate setting methodologies to learn whether 

States have changed their methods of payment since 

the repeal of the Boren Amendment and whether these 

changes have affected access to care or quality of care 

received by Medicaid benefi ciaries. The results will 

form the basis for a Report to Congress, as mandated by 

Section 4711(b) of the Balanced Budget Act of 1977.

Status: In spring 2003, all three subject reports 

(hospitals, NF, and ICF/MR) were complete in draft 
12 Active Projects Report—2004 Edition

Theme 1: Monitoring and Evaluating CMS Programs

Theme 1

form. The contract has been extended to December 31, 

2003 to ensure that the contractor will be available to 

address comments from reviewers. Delivery of the report 

to Congress is possible in early 2004. ■

Medicaid Statistical Information System (MSIS) 

Expansion and Data Quality Support

Project No: 500-00-0047/04

Project Offi cer: Ronald North

Period: September, 2003 to 

September, 2004

Funding: $247,343

Principal 

Investigator: Suzanne Dodds

Award: Task Order

Awardee: Mathematica Policy Research 

(Cambridge)

50 Church Street

Cambridge, MA 02138-3726

Description: The contractor will provide technical 

support to States during the Medicaid Statistical 

Information System (MSIS) implementation period to 

proactively encourage good State understanding of the 

MSIS. The contractor will use validation tools developed 

under a previous contract to analyze the quality of the 

data after they are received at CMS. The contractor will 

also support the analysis of Medicaid data and work 

directly with States to isolate root causes of quality 

problems and identify possible solutions. The contractor 

will also work with the States to support State application 

and implementation. 

Status: Mathematica continues to perform technical 

support for the quality of State-submitted MSIS data 

by performing validation reviews of these data using 

programs developed under previous tasks and refi ned 

in recent tasks, working with States to improve the 

ongoing quality of their data submissions, addressing 

coding issues associated with encounter data as well as 

fee-for-service data, and facilitating revised coding that 

may result from recently implemented Health Insurance 

Portability and Accountability Act implementation.

Task Order 4 of this contract is forward-funded and, 

effective fi scal year 2004 (October 2003), a sole source 

contract with a base plus 4 option years has been 

awarded. ■

Collection and Analysis of Information and 

Analysis of State and Federal Policies Concerning 

the Use of Annuities To Shelter Assets in State 

Medicaid Programs

Project No: 500-00-0053/02

Project Offi cer: Roy Trudel

Period: September, 2003 to 

September, 2004

Funding: $317,984

Principal 

Investigator: Robert Levy

Award: Task Order

Awardee: C.N.A. Corporation

4401 Ford Avenue

PO Box 16268

Alexandria, VA 22302-8268

Description: The purpose of this contract is to provide 

funding for a project that will:

• Identify and document instances of the use of 

annuities as a means to shelter assets for Medicaid 

eligibility and provide increased income and assets to 

community spouses of institutionalized individuals in 

State Medicaid Programs

• Estimate the frequency and costs to the Federal and 

State Governments of the use of annuities in making 

people eligible for the Medicaid Program

• Assist in the development of Federal policy options 

related to the use of annuities that will support State 

attempts to preserve the fi nancial viability of their 

Medicaid Programs

Status: Work on the project is proceeding on schedule. 

To date the contractor is meeting all assigned tasks. We 

are receiving regular monthly status reports as well as 

reports on meeting and interviews with data sources. ■
Active Projects Report—2004 Edition 13

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Arizona Health Care Cost Containment System

Project No: 11-W-00032/09

Project Offi cer: Joan Peterson

Period: October, 1982 to September, 2006

Funding: $0

Principal 

Investigator: Anthony Rodgers

Award: Waiver-Only Project

Awardee: Arizona Health Care Cost 

Containment System

801 East Jefferson

Phoenix, AZ 85034

Description: The Arizona Health Care Cost Containment 

System began operation on October 1, 1982, and initially 

covered only acute-care services. The Arizona LongTerm Care System component was implemented in 

1988. A phase-in of comprehensive behavioral health 

services began in 1990 and was completed in 1995. The 

demonstration has been extended on several occasions, 

most recently through September 30, 2006. On January 

18, 2001, CMS approved an expansion to increase 

eligibility for the acute care program to 100 percent of the 

Federal poverty level (FPL). This expansion was phased 

in beginning April 1, 2001, and had added almost 125,000 

enrollees through October 1, 2003. In addition, Arizona 

received approval of an amendment under the Health 

Insurance Flexibility and Accountability initiative on 

December 12, 2001. This amendment covers single adults 

and childless couples with income at or below 100 percent 

FPL and parents of Medicaid and State Children’s Health 

Insurance Program children with income between 100 

percent and 200 percent FPL. Approximately 910,000 

persons are currently enrolled in the program.

Status: The demonstration is approved through 

September 30, 2006. Approximately 910,000 persons are 

currently enrolled in the program. ■

Arkansas 1115

Project No: 11-W-00116/06

Project Offi cer: Marguerite Schervish

Period: October, 1998 to November, 2006

Funding: $0

Principal 

Investigator: Deborah Ellis

Award: Waiver-Only Project

Awardee: Arkansas Department of Human 

Services

329 Donaghey Plaza South

PO Box 1437

Little Rock, AR 72203

Description: The National Cash and Counseling 

Demonstration is an innovative model of consumerdirection in the planning, selection, and management 

of community-based personal care and related health 

services. Consumers have a monthly cash allowance they 

use to purchase the assistance they require to perform 

activities of daily living. The Cash and Counseling 

Demonstration and Evaluation is occurring in three 

States—Arkansas, Florida, and New Jersey—under 

the section 1115 demonstration authority of the Social 

Security Act. Under the initial design of the program, 

participants are assigned to a treatment group or a control 

group. Benefi ciaries selected for the treatment group 

received cash allowances, which they used to select and 

purchase the personal assistance services (PAS) that met 

their needs. Fiscal and counseling intermediary services 

are available to those members of the treatment group 

who wish to utilize them. Individuals assigned to the 

control group received PAS services from traditional 

Medicaid providers, with the State making all vendor 

payments. Other partners in this collaborative effort 

include the Robert Wood Johnson Foundation, which 

funded the development of these projects; the Offi ce 

of the Assistant Secretary for Planning and Evaluation 

within the Department of Health and Human Services, 

Theme 2: Strengthening Medicaid, 

State Children’s Health Insurance Program 

(SCHIP), and State Programs

Summary: The Medicaid population is predominately children and their families. However, the elderly and 

individuals with disabilities, who make up slightly less than one-third of the Medicaid population, account for 

more than two-thirds of program expenditures. Benefi ciaries eligible for both Medicare and Medicaid constitute 

one of the most vulnerable populations in either program. They include a disproportionate share of the frail 

elderly and nonelderly individuals with severe mental and physical disabilities. CMS is working to improve the 

Medicaid programs by promoting fl exibility. Demonstration waiver authority offers States opportunities for 

additional fl exibility. More than half of the States are operating demonstration projects; several are testing 

innovative approaches to health care delivery, and others are using the demonstration projects to expand 

eligibility to cover the uninsured and childless adults.
14 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

which is funding the evaluation; the National Program 

Offi ce at Boston College, which is performing various 

coordinating functions; the University of Maryland’s 

Center on Aging, which is conducting ethnographic 

studies; and the National Council on Aging, which has 

served in an advisory capacity. An evaluation contract 

has been awarded to Mathematica Policy Research, Inc. 

It is assessing differential outcomes with respect to cost, 

quality, and client satisfaction between traditional PAS 

services and alternative choice modalities.

Status: CMS approved the Arkansas Independent 

Choices demonstration on October 9, 1998, and 

implementation began December 1, 1998. Enrollment 

and random assignment began in December 1998 and 

continued until the evaluation target of 2,000 enrollees 

in April 2001 was met. CMS approved an amendment 

to the program on October 2, 2002. The amendment 

allowed Arkansas to end randomization and to extend the 

program for 3 years. The program is scheduled to expire 

on November 30, 2006. Participants in the control group 

have been given the opportunity to enroll in the treatment 

group. Current participation is about 930. ■

Arkansas TEFRA-like Demonstration

Project No: 11-W-00163/06

Project Offi cer: Melissa Harris

Period: January, 2003 to December, 2007

Funding: $0

Principal 

Investigator: Carolyn Patrick

Award: 1115 Demonstration

Awardee: Arkansas Department of Human 

Services

329 Donaghey Plaza South

PO Box 1437

Little Rock, AR 72203

Description: Demonstration removed the optional 

TEFRA group from the State Medicaid Plan and placed 

them into this 1115. The same services are provided, 

with a premium implemented based on a sliding scale 

dependent upon parental income. Federal funds will 

provide match for demonstration-related expenditures, 

subject to a budget neutrality ceiling.

Status: Demonstration is continuing operations. State is 

submitting quarterly progress reports. CMS is providing 

technical assistance as needed. ■

ARKids B

Project No: 11-W-00115/06

Project Offi cer: Joan Peterson

Period: September, 1997 to 

September, 2005

Funding: $0

Principal 

Investigator: Roy Jeffus

Award: Waiver-Only Project

Awardee: Arkansas Department of Human 

Services

329 Donaghey Plaza South

PO Box 1437

Little Rock, AR 72203

Description: The ARKids B demonstration expands 

eligibility to currently uninsured children through age 

18 with family income at or below 200 percent of the 

Federal poverty level (FPL). The objectives of the 

demonstration are to integrate uninsured children into 

the health care delivery system and to provide benefi ts 

comparable to the State Employees and State Teachers 

insurance program. Arkansas’ pre-existing § 1915(b) 

waiver program, ConnectCare, continues to operate as a 

separate program, enrolling applicants who meet current 

Medicaid eligibility requirements. ARKids B operates as 

a fee-for-service, primary care case management model. 

It employs the ConnectCare provider network currently 

in place for the § 1915(b) program.

Status: As of December 2003, there were more than 

60,000 enrollees. ■

Medicaid Demonstration Project for Los Angeles 

County

Project No: 11-W-00076/09

Project Offi cer: Cheryl Tarver-Eaton

Period: July, 1995 to June, 2005

Funding: $0

Principal 

Investigator: Bridgitte Baul

Award: Waiver-Only Project

Awardee: California Department of Health 

Services

1501 Capitol Avenue, Suite 71.6086 

MS 4000, PO Box 942732

Sacramento, CA 94234-7320

Description: The original 5-year demonstration was 

approved in April 1996 for the period July 1, 1995, 

through June 30, 2000. The demonstration made 

Federal funds available to the county in order to 

stabilize its public health system and assist the process 

of restructuring the county health care delivery system 

to rely more on primary and outpatient care. The State 

submitted a 5-year extension proposal to CMS in October 

of 1999, indicating that the county needed more time to 
Active Projects Report—2004 Edition 15

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

complete its restructuring efforts. On January 17, 2001, 

CMS approved a 5-year extension to the demonstration 

for the period July 1, 2000, through June 30, 2005. 

The extension is designed to provide $900 million 

in Federal fi nancial support to the county in order to 

allow it to continue its restructuring efforts, provide 

health services to its indigent population, and provide 

enhanced clinic reimbursement to clinics participating in 

the demonstration. In addition, the extension will hold 

the State accountable for making important changes to 

eligibility and enrollment policies and procedures and 

providing training for workers to meet the demands of 

the restructured system.

On May 2, 2003, the State submitted an amendment to 

the demonstration to allow for fl exible disproportionate 

share hospital (DSH) payments. Under this proposal, 

the county would retain its share of DSH payments at 

its State fi scal year 2001–02 level and would be given 

the fl exibility to use these funds in support of county 

efforts to sustain the ambulatory care system while 

it restructures its health care system. The redirected 

DSH funding would also be used to provide enhanced 

continuity of care and disease management for those 

with chronic illness and to establish information systems 

for computerized clinical data. The amendment would 

expire on June 30, 2005, marking the end of the 5-year 

extension period.

Status: CMS received notice from the State of 

California on March 27, 2004 indicating that the State 

no longer wishes to pursue the DSH Flexibility proposed 

amendment submitted to CMS on May 2, 2003. ■

Oakland Enhanced Enterprise Community (EEC), 

Community Building Team (CBT) Program

Project No: 11-W-00072/09

Project Offi cer: Alisa Adamo

Period: February, 1996 to February, 2006

Funding: $0

Principal 

Investigator: Eloise Anderson

Award: Waiver-Only Project

Awardee: California Department of Health 

Services

1501 Capitol Avenue, Suite 71.6086

MS 4000, PO Box 942732

Sacramento, CA 94234-7320

Description: The CBT Program is the core of Oakland 

EEC’s empowerment efforts, and the project required 

various waivers from Administration for Children and 

Families (ACF) and CMS. The waivers from CMS 

disregard the project payments to Aid to Families with 

Dependent Children and Medi-Cal recipients when 

establishing eligibility or computing grant levels.

Status: States were permitted to continue many of the 

policies that had previously required waivers of prewelfare reform Title IV-A by submitting a Temporary 

Assistance for Needy Families plan to the ACF. Unless 

otherwise indicated, States have elected to retain the 

waivers and expenditures authorities granted by CMS as 

part of the welfare reform. ■

Model Waiver Evaluation—HIFA

Project No: 500-00-0045/02

Project Offi cer: Joan Peterson

Period: October 2003 to September, 2008

Funding: $321,690

Principal 

Investigator: Terri Coughlin

Award: Task Order

Awardee: Urban Institute

2100 M Street, NW

Washington, DC 20037

Description: The focus of this task order is to address 

a series of policy questions related to the impacts of 

the Health Insurance Flexibility and Accountability 

(HIFA) Initiative and the inter-relationship among HIFA, 

Medicaid, SCHIP, and employer-sponsored insurance 

(ESI) for current eligibles and for uninsured individuals.

On August 14, 2001, the President announced the HIFA 

initiative to States. HIFA is an initiative that is designed 

to encourage new comprehensive State approaches using 

section 1115 demonstration authority that will increase 

the number of individuals with health insurance coverage 

within current-level Medicaid and SCHIP resources. 

There is an emphasis on broad statewide approaches that 

maximize private health insurance coverage options and 

target Medicaid and SCHIP resources to populations with 

incomes below 200 percent of the FPL.

When HIFA was proposed and implemented in August 

2001, CMS envisioned a program that would provide 

States with the requisite fl exibility and guidance to 

increase health care coverage in the State. States are 

required to track systematically the impact of their HIFA 

demonstration on the uninsured rate for individuals with 

incomes under 200 percent of the FPL.

The overall goals of the HIFA demonstration initiative 

are to:

• Encourage innovation to improve how Medicaid and 

SCHIP funds are used to increase health insurance 

coverage for low-income individuals.

• Give States the programmatic fl exibility required 

to support approaches that increase private health 

insurance coverage options.

• Simplify the waiver application process by providing 

clear guidance and data templates.
16 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

• Increase accountability in the State and Federal 

partnership by ensuring that Medicaid and SCHIP 

funds are effectively used to increase health 

insurance coverage, including substantially more 

private health insurance coverage options.

• Give priority review to State proposals that meet 

the documented general guidelines of the HIFA 

demonstration project.

Status: Three areas have been proposed for study: the 

impacts on current enrollees of increased cost sharing 

and/or reduced benefi ts under HIFA, the impacts of 

eligibility expansions on new enrollees, and a study of 

employers and public-private health insurance initiatives. 

CMS and the contractor are working together to identify 

priorities and corresponding States for study. The 

evaluation will involve a new CMS-sponsored survey, 

State administrative data, and existing survey data. ■

Evaluation of the Development and Early 

Implementation of Health Insurance Flexibility 

and Accountability (HIFA) Demonstration 

Initiative

Project No: 500-00-0045/01

Project Offi cer: Joan Peterson

Period: September, 2002 to 

September, 2003

Funding: $353,667

Principal 

Investigator: Terri Coughlin

Award: Task Order

Awardee: Urban Institute

2100 M Street, NW

Washington, DC 20037

Description: This evaluation will study the impact 

section 1115 research and demonstration authority has 

on the process that States go through in order to obtain 

approval of their demonstrations. Many States have used 

this authority under Medicaid and the State Children’s 

Health Insurance Program to expand eligibility, thereby 

reducing the number of uninsured. HIFA provides clear 

guidelines for States to use 1115 authority and expedite 

review for States applying for a HIFA demonstration.

Status: As of June 21, 2002, two States have projects 

that have been approved under HIFA and eight States 

have proposals that are currently being reviewed. 

All the material for the approved and pending HIFA 

demonstrations are available on the CMS Web site at 

www.cms.hhs.gov/medicaid/hifa/default.htm. ■

Evaluation of the Ohio Behavioral Health 

Program

Project No: 500-95-0048/05

Project Offi cer: Paul Boben

Period: March, 1997 to March, 2004

Funding: $579,216

Principal 

Investigators: Robert Schlenker and Janet Mitchell

Award: Task Order

Awardee: Research Triangle Institute

411 Waverly Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: This evaluation was originally designed 

to assess the effect of Ohio’s Specialty Managed Care 

for Behavioral Health Services Program on the delivery 

of behavioral health services. After the State elected 

not to implement the original behavioral health services 

program, the focus of the project was changed to a study 

of the entry and exit of capitated managed care plans in 

Ohio’s Medicaid managed care program.

Status: In May 2002, CMS received a report from the 

contractor, entitled “Who Exits Managed Care Markets—

Does Plan Quality Matter?” The report gives results 

from the contractor’s analysis of Medicaid managed care 

plan entry and exit in Ohio. They found that plans with 

lower quality scores, as measured by the Ohio Consumer 

Assessment of Health Plans (CAHPS) Survey, were more 

likely to exit the Medicaid market than were the higher 

quality plans. In 2004, the contractor will expand upon 

this work by comparing Ohio Medicaid managed care to 

other plans (commercial, Medicaid plans in other States), 

using the National CAHPS Benchmarking Database. ■

Maine 1115 HIV/AIDS

Project No: 11-W-00128/01

Project Offi cers: Linda Abbott and Jean Close

Period: July, 2002 to June, 2007

Funding: $0

Principal 

Investigators: Jude Walsh and Laureen Biczak

Award: Waiver-Only Project

Awardee: Maine Department of Human 

Services

Bureau of Medical Services

11 State House Station

Augusta, ME 04333-0011

Description: This is a section 1115 demonstration that 

provides a limited set of Medicaid benefi ts to individuals 

with HIV/AIDS who would not otherwise be eligible for 

Medicaid. The demonstration expands access to those 

without health insurance, allows individuals to become 

eligible for treatment through the demonstration without 

having to spend down, and allows individuals to be 

involved in gainful activity. This expansion population 
Active Projects Report—2004 Edition 17

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

includes individuals with HIV/AIDS with a gross family 

income up to 300 percent of the Federal poverty level 

(FPL). However, the State revised the eligibility criteria 

to include in the demonstration individuals who are HIV 

positive and whose family income is at or below 250 

percent of the FPL. The demonstration provides more 

effective, early treatment of HIV disease by making 

available a limited but comprehensive package of 

services, including anti-retroviral therapies. The State 

believes that early treatment and case management 

services provided to individuals with HIV/AIDS reduces 

expensive hospitalizations and improves the quality 

of life for individuals who are able to enroll in the 

demonstration. Persons enrolled in the demonstration 

are responsible for payment of monthly premiums and 

service co-payments. If necessary, the State will limit the 

number of individuals who enroll in the demonstration, 

and will adopt a waiting list function. Individuals who, 

through the course of the demonstration, become eligible 

for non-demonstration Medicaid will be enrolled in the 

non-demonstration Medicaid program.

Status: Maine’s 1115 HIV/AIDS demonstration program 

was approved on February 24, 2000. The demonstration 

was implemented on July 1, 2002. On August 16, 2002, 

Maine submitted an amendment to allow providers 

to refuse service delivery to uninsured persons in the 

demonstration who do not pay the co-payment. CMS 

approved the amendment request on January 17, 2003. 

Current enrollment is roughly 122. ■

Minnesota Prepaid Medical Assistance Project 

Assistance Plus (PMAP+)

Project No: 11-W-00039/05

Project Offi cer: Joseph Millstone

Period: July, 1995 to June, 2005

Funding: $0

Principal 

Investigator: Mary Kennedy

Award: Waiver-Only Project

Awardee: Minnesota Department of Human 

Services

Human Services Building

444 Lafayette Road

St. Paul, MN 55155-3849

Description: The Minnesota Prepaid Medical Assistance 

Project Plus (PMAP+) amended the original Minnesota 

Medicaid Demonstration by expanding the project in 

both size and scope. The PMAP demonstration enrolled 

all Aid to Families with Dependent Children eligibles, 

needy children, and pregnant women in eight Minnesota 

counties into prepaid managed care organizations. 

PMAP+ originally expanded prepaid managed care to 

nine additional counties and is expected to eventually be 

a statewide program. In addition, Medicaid eligibility 

was expanded on a statewide basis to include children 

and pregnant women up to 275 percent of the Federal 

poverty level who were previously covered under the 

State’s MinnesotaCare Program. Subsequent changes 

included expanding eligibility to include parents 

and caretaker relatives of children enrolled in the 

demonstration. The approval of Phase 2 in August 

2000 allowed several changes that involved increasing 

fl exibility for the State, particularly related to capitation 

payment. In July 2001, an amendment was approved to 

allow implementation of county-based purchasing by the 

South Country Health Alliance encompassing nine rural 

Minnesota counties, and in July 2003 an additional 10 

counties were approved through the Prime West countybased purchasing project.

Status: Currently, there are approximately 340,000 

enrollees in PMAP+ managed care organizations. In 

addition, the State’s eligibility expansion has made 

approximately 90,000 MinnesotaCare children, caretaker 

adults, and pregnant women Medicaid eligible. Some 

parents and caretaker adults are now covered under the 

State Children’s Health Insurance Program (SCHIP) and 

receive their care through the MinnesotaCare delivery 

system. Minnesota now operates Medicaid managed 

care in 82 of its 87 counties. On December 20, 2001, 

Minnesota was granted an extension of its demonstration 

from June 30, 2002 to June 30, 2005. ■

Missouri Managed Care Plus (MC+)

Project No: 11-W-00122/07

Project Offi cer: Maria Sotirelis

Period: April, 1998 to March, 2007

Funding: $0

Principal 

Investigator: Pamela Parker

Award: Waiver-Only Project

Awardee: Missouri Department of Social 

Services, Division of Medical 

Assistance

PO Box 1527

Jefferson City, MO 65102-1527

Description: The project extends Medicaid eligibility 

through a managed care delivery system to children, 

certain working parents transitioning off welfare, and 

certain noncustodial parents.

Status: The demonstration is not implemented for the 

following eligibility groups:

1. Noncustodial parents participating in Missouri’s 

Parents’ Fair Share program with incomes up to 100 

percent of the Federal poverty level (FPL).

2. Noncustodial parents with incomes up to 125 percent 

of the FPL who are actively paying their legally obligated 

amount of child support for a maximum of 2 years.
18 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

The following eligibility groups are enrolled but 

with limitations: 

1. Uninsured women who would otherwise lose 

Medicaid eligibility at the end of the 60-day postpartum 

period, regardless of income, for up to 2 years are now 

only eligible for family planning services for a period of 

up to 1 year.

2. Working parents who are transitioning off TANF 

and have a Medicaid-eligible child in the home were 

initially eligible with incomes up to 300 percent FPL for 

a maximum of 2 years. The group is only implemented 

up to 100 percent FPL.

3. A 6-month period of uninsurance is required before 

uninsured children through age 18 and up to 300 

percent FPL can be enrolled. For children between 

226–300 percent, other insurance must be unavailable 

and unaffordable. ■

New Mexico Health Care Reform Demonstration

Project No: 11-W-00124/06

Project Offi cer: Maurice Gagnon

Period: January, 1999 to December, 2004

Funding: $20,000,000

Principal 

Investigator: Ross Becker

Award: Waiver-Only Project

Awardee: New Mexico Department of 

Human Services

Medical Assistance Division

2025 South Pacheco, Ark Plaza

PO Box 2348

Santa Fe, NM 87504-2348

Description: This demonstration allows the State to 

implement its Title XXI (SCHIP) Medicaid expansion to 

cover children in families through age 18 with incomes 

between 186 percent and 235 percent of the Federal 

poverty level, including co-payment requirements for 

this population. The State anticipates that a Medicaid 

program with cost sharing for the SCHIP population 

will approach parity with privately covered families in 

the same income grouping. Co-payments will apply in 

both fee-for-service and managed care environments. 

The demonstration would operate concurrently with its 

existing 1915(b). 

Status: New Mexico’s demonstration has been approved 

and implemented by the State. ■

New Jersey Managed Charity Care

Project No: 11-W-00120/02

Project Offi cer: Daniel McCarthy

Period: February, 1998 to February, 2003

Funding: $0

Principal 

Investigator: Margaret Murray

Award: Waiver-Only Project

Awardee: New Jersey Department of Human 

Services

222 South Warren Street

PO Box 700

Trenton, NJ 08625-0700

Description: Under this demonstration, the State 

planned to use a portion of current disproportionate share 

hospital (DSH) funds to cover medical costs of indigent 

individuals provided outside of the hospital. Hospitals 

would be required to develop what the State calls 

“Hospital-Centered Managed Care Networks,” which 

would deliver case-managed care to certain indigent 

individuals outside of the hospital, in physicians’ offi ces 

and community clinics, in addition to the emergency and 

inpatient care currently provided. The objectives of the 

program are as follows: 

1. Care coordination for those charity care patients with 

chronic conditions likely to benefi t from a treatment plan

2. More effi cient use of charity care funds, by using less 

costly and intensive care settings available through a 

provider network developed by hospitals

3. Enhanced knowledge of the charity care population 

through better data collection and information systems

Status: Due to legislative action in New Jersey, this 

proposed demonstration is “on hold.” The State will be 

proposing a revised approach. ■

The Partnership Plan

Project No: 11-W-00114/02

Project Offi cer: Cheryl Tarver-Eaton

Period: October, 1997 to March, 2006

Funding: $0

Principal 

Investigator: Kathy Shure

Award: Waiver-Only Project

Awardee: New York Department of Health 

(Albany)

The Riverview Center, 4th Floor

150 Broadway

Albany, NY 12204-2719

Description: On July 15, 1997, the Partnership Plan 

demonstration was approved. The demonstration is 

designed to move approximately 2.1 million Medicaid 
Active Projects Report—2004 Edition 19

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

benefi ciaries from a primarily fee-for-service delivery 

system to a mandatory managed care environment. The 

demonstration also expands health insurance coverage to 

the State’s Safety Net (formerly Home Relief) recipients. 

As a result, 370,000 of the State’s Safety Net recipients 

were converted to a Federal Title XIX eligibility group. 

Safety Net was a State-funded cash assistance program 

for low-income adults who were not otherwise eligible 

for Temporary Assistance for Needy Families (TANF) 

or Medicaid. 

On June 29, 2001, the Family Health Plus (FHPlus) 

amendment to the demonstration was approved. This 

amendment expands health insurance coverage to 

additional low-income uninsured adults. The State began 

enrollment into FHPlus on October 1, 2001.

On September 27, 2002, a 3-year extension to the 

demonstration was approved effective from April 1, 

2003, to March 31, 2006, along with two amendments. 

One amendment phases out the Community Health Care 

Conversion Demonstration Project during the extension 

period. The other amendment, effective October 1, 

2002, expands family planning services to individuals 

with net incomes at or below 200 percent of the Federal 

poverty level.

Status: Implementation of the demonstration, excluding 

FHPlus, began on October 1, 1997, on a county-bycounty basis. As of December 2003, 23 counties 

have implemented mandatory managed care for the 

TANF-related and Safety Net populations under the 

demonstration. These counties are Albany, Broome, 

Cattaraugus, Chautauqua, Columbia, Erie, Greene, 

Herkimer, Livingston, Monroe, Nassau, Niagara, Oneida, 

Onondaga, Ontario, Orleans, Oswego, Rensselaer, 

Rockland, Saratoga, Suffolk, Wayne, and Westchester. 

In addition, New York City has implemented mandatory 

enrollment for the TANF-related and Safety Net 

populations. Westchester is the only county that has 

implemented mandatory managed care for supplemental 

security income individuals. ■

Oklahoma SoonerCare Demonstration

Project No: 11-W-00048/06

Project Offi cer: Donna Schmidt

Period: October, 1995 to December, 2003

Funding: $0

Principal 

Investigator: Garth Splinter

Award: Waiver-Only Project

Awardee: Oklahoma Health Care Authority

4545 North Lincoln Boulevard

Oklahoma City, OK 73105

Description: SoonerCare fosters the creation of 

a managed care infrastructure in urban and rural 

areas, thus increasing access to primary care for 

benefi ciaries throughout the State and allowing for 

greater fi nancial predictability of the State Medicaid 

program. SoonerCare uses fully capitated delivery 

systems in urban areas and requires urban plans to be 

“rural partners” by expanding their provider networks 

into adjacent rural areas. The urban health plan/rural 

partner program was implemented July 1, 1996, for 

Temporary Aid to Needy Families (TANF) and TANFrelated benefi ciaries. In rural areas without managed 

care organizations, a partially capitated primary care 

physician/case management (PCP/CM) model is used. 

The PCP/CM program was piloted in a tri-county area 

beginning April 1, 1996, and was implemented statewide 

on October 1, 1996. The program currently serves 

319,365 benefi ciaries. This includes TANF and TANFrelated populations, as well as benefi ciaries who are 

aged, blind, and disabled (ABD). The State implemented 

the program for the entire noninstitutionalized ABD 

population July 1, 1997.

Status: The project has been extended through 2003. ■

Oregon 1115 Independent Choices

Project No: 11-W-00130/00

Project Offi cer: Marguerite Schervish

Period: December, 2001 to 

November, 2006

Funding: $0

Principal 

Investigator: Genevieve Sundet

Award: 1115 Demonstration

Awardee: Oregon Senior and Disabled 

Services

500 Summer Street, NE

Salem, OR 97310-1015

Description: This is an 1115 demonstration that 

allows individuals who are eligible for long-term care 

services to self-direct providers for personal care and 

related services. The program is available in three 

regions of the State for up to 300 consumers. This 

demonstration is similar in concept to the approved 

“Cash and Counseling” demonstrations in New Jersey, 

Florida, and Arkansas. The main difference is that 

Oregon’s demonstration does not employ a randomized 

or experimental design. In addition, compared to 

“Cash and Counseling,” this demonstration requires all 

participants to manage their cash allowance. Monthly 

service allocations are paid directly into participants’ 

Independent Choices checking accounts. Participants 

would be responsible for deducting appropriate taxes 

and calculating employer payroll taxes. Participants pay 

their providers directly from their service allotment. A 

payroll service is available for participants who would 

like assistance and is required to be used by participants 

who have not passed a competency test to perform their 

fi scal responsibilities. The demonstration is less than 
20 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

statewide and operates in three service areas with up 

to 100 participants enrolled in each site (Clackamas 

County, Coos/Curry Counties, and Jackson/Josephine 

Counties). The State indicates in its proposal that the 

selection of these three sites allows the State to evaluate 

the replicability of the model statewide and to evaluate 

the program in both urban and rural settings.

Status: Oregon’s 1115 Independent Choices 

demonstration program was approved on November 

22, 2000. Oregon submitted an amendment to allow 

payment to a participant’s family, including the spouse of 

the participant. CMS approved the amendment on May 

7, 2001, and implemented the program on December 1, 

2001. Current enrollment is about 200. ■

Vermont Health Access Plan (VHAP)

Project No: 11-W-00051/01

Project Offi cer: Joan Peterson

Period: January, 1996 to December, 2006

Funding: $0

Principal 

Investigator: John Michael Hall

Award: Waiver-Only Project

Awardee: Vermont Agency of Human Services

103 South Main Street

Waterbury, VT 05671-1601

Description: Vermont’s section 1115 Medicaid 

demonstration makes comprehensive health care 

coverage available to individuals, including those 

currently eligible for coverage under Vermont’s Medicaid 

Program and uninsured poor who become newly 

eligible. VHAP implements a statewide mandatory 

Medicaid managed care program. The program began 

on January 1, 1996, and will operate for 11 years. The 

demonstration provides health care services to uninsured 

low-income Vermonters (up to 300 percent of the Federal 

poverty level [FPL] for children, and up to 185 percent of 

the FPL for parents and caretakers of eligible children). 

It also provides a Medicaid prescription-drug benefi t to 

the State’s low-income Medicare benefi ciaries. Finally, 

it improves access, service coordination, and quality 

of care through the implementation of a managed care 

delivery system.

Status: As of October 2003, there were approximately 

87,000 enrollees. ■

Evaluation of Medicaid Family Planning 

Demonstrations

Project No: 500-00-0053/03

Project Offi cer: Julie Jones

Period: September, 2002 to 

November, 2003

Funding: $245,931

Principal 

Investigator: Joanna Edwards

Award: Task Order

Awardee: C.N.A. Corporation

4401 Ford Avenue

PO Box 16268

Alexandria, VA 22302-8268

Description: The purpose of this project is to evaluate 

the impact and effectiveness of Medicaid section 1115 

family planning demonstrations. While each State has 

a slightly different program, all of the demonstrations 

expand Medicaid eligibility for family planning services 

to women and, in some States, men also. Under 

Medicaid, State eligibility includes pregnant women and 

infants under 133 percent of poverty and may provide 

services, including family planning services, related to 

pregnancy and other conditions that may complicate 

pregnancy. States are also required to cover these 

services.

Status: The project is completed. ■

Assertive Community Treatment (ACT) and 

Other Community-Based Services for Persons 

With Mental Illness or Persons With Co-Occurring 

Mental Illness and Substance Abuse Disorders

Project No: 500-00-0051/02

Project Offi cer: Peggy Clark

Period: September, 2002 to 

September, 2003

Funding: $132,352

Principal 

Investigator: Karen Linkins

Award: Task Order

Awardee: Lewin Group

3130 Fairview Park Drive, Suite 800

Falls Church, VA 22042

Description: Assertive Community Treatment (ACT) 

is a community-based psychosocial service intervention 

designed to provide comprehensive, multidisciplinary 

treatment to individuals who have severe and persistent 

mental illness. This task order will provide research, 

technical assistance, and guidance to States. The goal is 

to improve the understanding of existing options under 

Medicaid using both waivers and State plan services 

to improve access to community-based services, such 

as ACT, to children with an emotional disturbance and 

adults with mental illness or co-occurring mental illness 
Active Projects Report—2004 Edition 21

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

and substance abuse or other disorders, as an alternative 

to a general hospital or nursing facility.

Status: This task order contract is a continuation and 

extension of previous work in FY 1999–FY 2001 under 

SAMHSA contract no. 282-98-0016, Task Order 19, 

which evaluated the implementation of evidence-based 

ACT programs in States and the use of Medicaid in 

fi nancing such programs. The contract was modifi ed in 

FY 2001 to gain a better understanding of current barriers 

and facilitators to using the Medicaid Rehabilitation 

Option and the Targeted Case Management Option, 

as well as test the utility and effi cacy of the Budget 

Simulation Model developed during the earlier phase of 

the project. ■

Evaluation of the BadgerCare Medicaid 

Demonstration

Project No: 500-00-0044/01

Project Offi cer: Paul Boben

Period: September, 2000 to 

December, 2003

Funding: $1,358,925

Principal 

Investigator: Norma Gavin

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: The purpose of this project is to conduct 

an evaluation of BadgerCare, Wisconsin’s section 1115 

Medicaid demonstration and State Children’s Health 

Insurance Program (SCHIP). The goals of BadgerCare 

are to increase access to health insurance for low-income 

families and to support families making the transition 

from welfare to work. The program uses State funds and 

Federal matching funds from the title XIX (Medicaid) 

and title XXI (SCHIP) Programs to extend public health 

insurance coverage to families with incomes up to 200 

percent of the Federal poverty level. Section 1115 

waivers were awarded to allow the State to use the title 

XIX and title XXI funds in this manner. The evaluation 

will determine whether BadgerCare has succeeded in 

meeting its Stated objectives and whether Wisconsin’s 

experience with BadgerCare can help other States 

considering similar reforms.

Status: CMS received the fi nal version of the Case 

Study Report in July 2002; a copy can be obtained 

from the CMS Web site at http://www.cms.hhs.

gov/researchers/reports/2002/badgercare.pdf. A draft 

Final Report is anticipated to arrive in October 2003, 

and we expect this report to be ready for release in 

January 2004. ■

Evaluation of the Diamond State Health Plan

Project No: 500-92-0033/04

Project Offi cer: William Clark

Period: September, 1994 to January, 2003

Funding: $498,035

Principal 

Investigator: James Lubalin

Award: Delivery Order

Awardee: Research Triangle Institute (DC)

1615 M Street, NW, Suite 740

Washington, DC 20036-3209

Description: The original purpose of the contract 

was to evaluate the Delaware Health Care Partnership 

for Children, specifi cally the effectiveness of the 

demonstration in reaching its goal of improving access 

to and the quality of health care services delivered to 

Medicaid-eligible children in a cost-effective way. The 

State believed that by enrolling children into a managed 

care system operated by the Nemours Foundation, they 

would reap the benefi ts of a higher level of coordinated 

care, while the State and, in turn, the Federal Government 

would benefi t from lower Medicaid costs. The contract 

was modifi ed to focus more generally on the impacts of 

the Diamond State Health Plan on children, including 

children with special health care needs (the original 

evaluation had been limited to the Nemours Children’s 

Clinics). The goal of the evaluation was broadened 

to assess whether this section 1115 demonstration’s 

objective of increased access to high-quality, costeffective care for Medicaid children is being met. In May 

1996, RTI/HER also requested a 2-year no-cost extension 

(through September 29, 1999).

Status: The following topics have been analyzed:

1. The effect of managed care implementation in 

Delaware on the number and population of pediatric 

Medicaid benefi ciaries receiving treatment for asthma

2. Children with special health care needs and 

the relationship of the education system and 

managed care. ■
22 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Evaluation of the State Medicaid Reform 

Demonstrations, II

Project No: 500-95-0040

Project Offi cer: Paul Boben

Period: September, 1995 to 

September, 2004

Funding: $5,959,408

Principal 

Investigator: Terri Coughlin

Award: Contract

Awardee: Urban Institute

2100 M Street, NW

Washington, DC 20037

Description: This is an evaluation of Medicaid 

demonstrations in fi ve States: California (Medicaid 

Demonstration for Los Angeles County), Kentucky 

(Kentucky Health Care Partnership Plan), Minnesota 

(PMAP+), New York (Partnership Plan), and Vermont 

(Vermont Health Access Plan). The project includes 

State-specifi c and cross-State analyses of demonstration 

impacts on use of services, insurance coverage, public 

and private expenditures, quality of care, access, and 

satisfaction. Data will come from site visit interviews 

with providers, advocacy groups, and State offi cials; 

participant surveys; State Medicaid Management 

Information Systems; and other sources. Additional 

analyses are planned that focus on the effect of 

managed care on the receipt of mental health services 

by Medicaid recipients. Funding for this additional 

work is from the Substance Abuse and Mental Health 

Services Administration of the Department of Health and 

Human Services.

Status: The contract was modifi ed in August 2003 

to provide for an expanded evaluation of the State of 

Vermont’s pharmacy assistance programs (VHAPPharmacy and VScript). The following topical reports 

were received in FY 2003: (1) Poor and Disabled in 

Rural Kentucky: Access to Care for SSI Adults and 

Children; (2) The Minnesota Prepaid Medical Assistance 

Program Third Site Visit Report; (3) Estimating the 

Impacts of Medicaid Managed Care in Rural Minnesota; 

(4) Health Care Experiences of SSI Children Receiving 

Medicaid; (5) Medicaid Managed Care in Vermont: 

Site Visit Report, November 1999; (6) Evaluation of 

Vermont Pharmacy Assistance Programs for Low Income 

Medicare Benefi ciaries; (7) Behavioral Health Services 

Under Medicaid Managed Care: Issues of Contracting, 

Delivery, and Coordination of Care (SAMHSA); 

and (8) The State of Care Coordination Under 

Medicaid Managed Care: Three States’ Experiences 

Serving Children with Mental Illness (SAMHSA). 

Approximately one dozen additional topical reports, and 

a Final Report are expected from the contractor in 

FY 2004. ■

Disproportionate Share Hospital (DSH) Funds 

Under Section 1115 Demos

Project No: 500-00-0044/04

Project Offi cer: Alisa Adamo

Period: September, 2003 to 

September, 2004

Funding: $225,000

Principal 

Investigator: Susan Haber

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: The Medicaid DSH Program was 

designed to provide Federal funds to certain hospitals 

to help offset the cost of uncompensated care provided 

to the uninsured. Each State has a specifi ed Federal 

DSH allotment. Several States have used section 

1115 demonstration authority as a vehicle to expand 

Medicaid eligibility to previously uninsured individuals. 

Because these expansions would reduce the number 

of uninsured and thus the amount of uncompensated 

care provided by hospitals, some States have received 

section 1115 waivers to use DSH funds to help fi nance 

these eligibility expansions. This study will examine the 

impact of redirecting DSH funds for eligibility expansion 

and determine whether this is an effective strategy in 

reducing uncompensated care.

Status: The project is in the fi nal stage. ■

United Mine Workers of America Demonstration: 

An Integrated Care Coordination/Management 

Program for an Elderly, Chronically Ill Population

Project No: 95-C-99643/03

Project Offi cer: Lee Phipps

Period: January, 1990 to September, 2005

Funding: $0

Principal 

Investigator: Joel Kavet

Award: Contract

Awardee: United Mine Workers of America 

Health and Retirement Funds

2121 K Street, NW

Washington, DC 20037

Description: The United Mine Workers of America 

Health and Retirement Funds (UMWA /the Funds) has 

been a Health Care Prepayment Plan (HCPP) since 

1978. It acts as a Medicare carrier; that is, carriers have 

instructions to forward all Part B claims they receive for 

UMWA benefi ciaries to UMWA for processing. The Part 

A claims incurred by UMWA benefi ciaries are paid by 

CMS’s Fiscal Intermediary.
Active Projects Report—2004 Edition 23

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

In 1990, CMS initially approved a demonstration to pay 

Part B services on a capitated basis rather than on a cost 

basis. In 1997, CMS approved waivers that continued 

the Part B capitation approach and included risk sharing 

for Part A services.

The basic risk-sharing methodology involves setting 

an experience-based Part A expenditure target prior to 

each payment year. After each payment year there is a 

reconciliation, whereby the actual Part A expenditures 

for UMWA benefi ciaries are compared to the target. Any 

savings or losses are shared equally between CMS and 

UMWA within a 10-percent corridor around a target 

amount. Each year’s target amount is determined from a 

rolling 3-year-old base trended forward using Medicare 

infl ation rates.

UMWA has established Part B “managed care networks,” 

covering 18 counties or about 30 percent of the 

benefi ciaries, in selected areas of Alabama, Pennsylvania, 

and West Virginia. The provision of health care primarily 

remains on an FFS basis. UMWA’s objective is to 

substitute less expensive care whenever appropriate. The 

UMWA continues to encourage primary and preventive 

care among its population in lieu of more expensive 

hospital care. Most of the interventions are designed to 

manage care provided in a fee-for-service setting, which 

include disease management, pre-certifi cation of selected 

services, implementation of a pilot telephonic nurse 

advice line, coordination of care, networks of primary 

care providers that are designed to function in an openaccess environment, and a state-of-the-art prescription 

drug management program that is currently provided by 

Advance PCS, a pharmacy benefi ts manager. 

In 2001, CMS began paying a percentage of UMWA’s 

prescription benefi t drug cost. CMS will obtain 

information on the management of the benefi t including 

using a pharmacy benefi t manager, mandatory generic 

substitution, use of preferred pharmacy products, 

utilization review, and other techniques.

Status: As part of the fi scal year 2005 Presidential 

Budget, the UMWA demonstration is extended until 

September 2005 and CMS’s contribution to the cost of 

the pharmacy drug benefi t has increased. ■

Minnesota Senior Health Options/Minnesota 

Disability Health Options

Project No: 11-W-00024/05

Project Offi cer: Susan Radke

Period: April, 1995 to December, 2004

Funding: $0

Principal 

Investigator: Pamela Parker

Award: Waiver-Only Project

Awardee: Minnesota Department of Human 

Services

Human Services Building

444 Lafayette Road

St. Paul, MN 55155-3849

Description: In April 1995, the State of Minnesota was 

awarded Medicare and Medicaid waivers for a 

5-year demonstration designed to test delivery systems 

that integrate long-term care and acute-care services for 

elderly dual eligibles. Under this demonstration, the 

State is being treated as a health plan that contracts with 

CMS to provide services, and provides those services 

through subcontracts with three health care plans. CMS 

approved the State’s request in year 2001 to extend 

MSHO and expand eligibility criteria to include persons 

under the age of 65 with disabilities. The expansion 

program titled, “Minnesota Disability Health Options 

Program”(MnDHO) includes both disabled dual eligible 

benefi ciaries and Medicaid eligible only benefi ciaries. 

Administration of this program is similar to MSHO. The 

MSHO extension and MnDHO expansion were approved 

through the period of October 1, 2001, through 

December 31, 2004. Medicare services for MSHO and 

MnDHO are provided using a demonstration waiver 

under § 402 of the Social Security Amendments of 1967. 

Medicaid services are provided under §1915(a) and 

§1915(c) of the Social Security Act. MSHO and 

MnDHO are managed care products that integrate 

Medicare and Medicaid fi nancing; and provide acute- and 

long-term care service delivery, including home and 

community-based waiver services for dually eligible and 

Medicaid eligible physically disabled adults and elderly 

in a 10-county area in Minnesota, including the Twin 

Cities. MnDHO was implemented initially in Hennepin, 

Ramsey, Dakota, and Anoka counties and will expand to 

3 more of the 10 MSHO counties. Enrollment in MSHO 

and MnDHO is voluntary and available to dually eligible 

benefi ciaries living in institutions, community enrollees 

who meet institutional placement criteria, and other 

community enrollees whose needs do not meet 

institutional levels of care.
24 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Status: The State of Minnesota has formally requested 

to extend the demonstration for an additional 3 years as 

well as expand the MnDHO eligibility to benefi ciaries 

diagnosed with Mental Retardation and Developmental 

Disabilities (MR/DD). Further, the State has requested 

to expand MSHO into 10 rural counties. These three 

requests are currently being reviewed by CMS. ■

Multistate Evaluation of Dual Eligibles 

Demonstrations

Project No: 500-96-0008/03

Project Offi cer: Noemi Rudolph

Period: September, 1997 to August, 2004

Funding: $3,311,708

Principal 

Investigator: Robert Kane

Award: Task Order

Awardee: University of Minnesota

450 Gateway Building

200 Oak Street, SE

Minneapolis, MN 55455-2070

Description: This evaluation is designed to assess the 

impact of dual eligible demonstrations in the States of 

Minnesota and Wisconsin. Analyses will be conducted 

for each State and across States. The quasi-experimental 

design will utilize surveys, case studies, and Medicare 

and Medicaid data for analysis. Major issues to be 

examined include the use of a capitated payment strategy 

to expand services while reducing/controlling costs, 

the use of case management techniques and utilization 

management to coordinate care and improve outcomes, 

and the goal of responding to consumer preferences while 

encouraging the use of noninstitutional care. A universal 

theme to be developed is the difference between 

managing and integration.

Status: Surveys of benefi ciaries and their families 

have been completed in Minnesota and Wisconsin. The 

surveys gathered information on several areas including 

satisfaction, the use of formal and informal care, and 

informal caregiver burden. Reports of survey and 

case study fi ndings for both States and a report on the 

Minnesota utilization, cost, and quality of care have been 

submitted to CMS. ■

Wisconsin Partnership Program

Project No: 11-W-00123/05

Project Offi cer: James Hawthorne

Period: October, 1998 to December, 2006

Funding: $0

Principal 

Investigator: Steve Landkamer

Award: Waiver-Only Project

Awardee: Wisconsin Department of Health 

and Family Services

1 South Pinckney Street, Suite 340

PO Box 340

Madison, WI 53701

Description: The Wisconsin Partnership Program 

(WPP) operates under Medicare 402/222 and Medicaid 

1115 demonstration waivers approved on October 16, 

1998. The demonstration became operational in early 

1999 with the establishment of four sites: Elder Care 

and Community Living Alliance (CLA) in Madison, 

Community Care for the Elderly in Milwaukee, and 

Community Health Partnership (CHP) in Eau Claire. 

The demonstration targets nursing home certifi able 

benefi ciaries who are eligible for both Medicare and 

Medicaid and facilitates the integration of acute and longterm care by paying participating plans for both Medicare 

and Medicaid services on a capitated basis. CLA and 

CHP are the fi rst plans in the Nation to provide fully 

capitated Medicare and Medicaid services for people with 

physical disabilities. Roughly a quarter of Partnership 

enrollees are persons with disabilities, and about 85 

percent of the total enrollment is dually eligible. The 

core of the WPP Partnership service delivery model is a 

multidisciplinary care team consisting of a primary care 

physician (PCP), nurse practitioner (NP), nurse, social 

worker, and coordinator. The team provides in-home 

services and facilitates continuity and coordination of 

care with the PCP and other health providers. Unlike the 

Program of All-inclusive Care for the Elderly, the WPP 

plans do not employ the primary care physicians and 

contract, instead, with independent physicians practicing 

in the local community. The remaining team members 

are employees of the plan and the NP, who serves as team 

leader, works closely with the primary care physician to 

ensure that he or she functions as an integral part of the 

treatment team.

Status: Renewal of the demonstration waivers was 

approved on 12/19/2003, extending the term of the 

demonstration to 12/31/2006. ■
Active Projects Report—2004 Edition 25

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Multistate Dual Eligible Database and Analysis 

Development

Project No: 500-95-0047/03

Project Offi cer: William Clark

Period: September, 1997 to 

November, 2003

Funding: $2,135,418

Principal 

Investigator: Don Lara

Award: Task Order

Awardee: Mathematica Policy Research 

(Princeton)

600 Alexander Park

PO Box 2393

Princeton, NJ 08543-2393

Description: This project will use available Medicare/

Medicaid-linked statewide data in 10 to 12 States to 

develop a uniform database that can be used by States 

and the Federal Government to improve the effi ciency 

and effectiveness of the acute- and long-term-care 

services to persons eligible for both Medicare and 

Medicaid (dual eligible). It will also conduct analyses 

derived from these data to strengthen the ability to 

develop risk-adjusted payment methods and deepen 

the understanding of Medicare-Medicaid program 

interactions as they relate to access, costs, and quality of 

service. Finally, it will recommend longer range options 

that will improve the usefulness of the database for 

operational and policy purposes.

Status: The project is constructing a multistate dual 

eligible database and using these data for analyses. Two 

years of the database have been constructed. However, 

the third year of Medicaid data has been unavailable for 

inclusion in the database due to problems external to 

this contract. Preliminary descriptive reports are being 

prepared with the 2 years of data, and research studies 

continue. ■

Managing Medical Care for Nursing Home 

Residents (EverCare)

Project No: 95-C-90174

Project Offi cer: Dennis Nugent

Period: September, 1995 to 

December, 2004

Funding: $0

Principal 

Investigator: John R. Mach, Jr., M.D.

Award: Waiver-Only Project

Awardee: Evercare

9900 Bren Road East

Minnetonka, MN 55343

Description: The Evercare Demonstration was 

developed to study the effectiveness of managing the 

acute care needs of Medicare benefi ciaries who are longstay nursing home residents. The objective of the project 

was to determine if providing enhanced primary care to 

this population could prevent hospitalizations and reduce 

the total cost of care.

A physician/nurse practitioner team is assigned to each 

of the participating nursing homes to help manage 

and monitor the care of the program’s enrollees. They 

work collaboratively with the facility’s nursing staff to 

assist in problem solving and in coordinating the most 

appropriate and effi cient care for the benefi ciary. In 

addition, they are responsible for scheduling clinic and 

outpatient appointments and authorizing hospitalizations. 

The nurse practitioners also conduct an assessment and 

comprehensive evaluation of each Evercare member to 

measure health status and functional level. Evercare 

demonstration sites are located in Atlanta, Baltimore, 

Boston, Denver, Phoenix, and Tampa.

Status: As of January 2004, 18,054 Medicare 

benefi ciaries were enrolled in the project. The average 

age of an Evercare member is 85 years old, and about 

75 percent of their population membership is female. ■

The Use of the PACE Health Survey for Dual 

Eligible Demonstration in Wisconsin, Minnesota, 

and Massachusetts

Project No: 500-00-0024/11

Project Offi cer: Susan Radke

Period: April, 2003 to April, 2005

Funding: $499,702

Principal 

Investigator: Edith Walsh

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: The purpose of this project is to administer 

the PACE Health Survey for community-dwelling 

enrollees in three Dual Eligible Demonstrations, collect 

the survey data, and perform the appropriate impact 

analysis and analysis of survey data needed to implement 

an additional payment frailty adjustor. In June 2001, 

the Research Triangle Institute (RTI) was selected as 

a primary contractor to test and administer the PACE 

Health Survey (PHS) in a pilot study to a sample of 

PACE enrollees (500-00-0030 TO #3). The contract was 

amended in year 2002 to have RTI and its subcontractor, 

New England Research Institute (NERI), administer 

the PHS to all PACE organizations during years 2003 

and 2004. In this project the existing contractor 

and subcontractor implemented the PHS in 2003 for 

all community dwelling members of the Wisconsin 

Partnership Program (WPP), the Minnesota Senior 
26 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Health Options (MSHO), and Minnesota Disability 

Health Options (MnDHO) demonstration. The survey 

will be repeated in 2004 for Wisconsin, Minnesota, 

and, in addition, will be conducted in the Massachusetts 

Senior Care Options (SCO) demonstration.

Status: The 2003 surveys were completed and the 

overall PHS survey response rate was high. Data 

fi les were delivered to CMS with the month that data 

collection was complete. A nonresponse analysis 

is currently being conducted to ascertain whether 

benefi ciaries who did not respond to the PHS differ 

in frailty than those who did respond to the survey. 

Optional task 5 was exercised to begin sampling for the 

2004 survey and analysis. However, the survey will 

not be conducted in Massachusetts SCO as this is a new 

demonstration that is now being implemented, and there 

are no current enrollees. ■

DEMONSTRATION OF HHA SETTLEMENT 

FOR DUAL ELIGIBLES

CMS is conducting a pilot program with the States of 

Connecticut, Massachusetts, and New York that utilizes 

a sampling approach to determine the Medicare share of 

the cost of home health services claims for dual eligible 

benefi ciaries that were originally submitted to and paid 

by the Medicaid agencies. This sampling will be used 

in lieu of individually gathering Medicare claims from 

home health agencies for every dual eligible Medicaid 

claim the State has possibly paid in error. This process 

will also eliminate the need for the home health agencies 

(HHA) to assemble, copy, and submit huge numbers 

of medical records, as well as the regional home health 

intermediary (RHHI) from reviewing every case. 

The demonstration consists of two components: (1) an 

educational initiative to improve the ability of all parties 

to make appropriate coverage recommendations for 

crossover claims, and (2) a statistically valid sampling 

methodology to be applied in settlement of claims 

paid by Medicaid which the State believes may have a 

potential to also be covered by Medicare.

Status: Initial reviews have been conducted on the 

FY 2001 claims for Connecticut and Massachusetts, 

and payments have been made to these States. The 

demonstration RHHI, Associated Hospital Service, 

is currently reviewing the FY 2001 claims for 

New York. A reconsideration process has been 

fi nalized, and framework has been developed for 

the educational component. ■

Demonstration of HHA Settlement for 

Dual Eligibles

Project No: 95-W-00084/02

Project Offi cer: J. Donald Sherwood

Period: January, 2002 to December, 2004

Funding: $0

Principal 

Investigator: Jeff Flora

Award: Waiver-Only Project

Awardee: Offi ce of Medicaid Management 

New York Department of Health

Empire State Plaza

Corning Tower, Room 1466

Albany, NY 12237

Demonstration of HHA Settlement for 

Dual Eligibles

Project No: 95-W-00085/01

Project Offi cer: J. Donald Sherwood

Period: January, 2000 to December, 2004

Funding: $0

Principal 

Investigator: Julie Forgione

Award: Waiver-Only Project

Awardee: Division of Medical Assistance

Massachusetts Executive Offi ce of 

Health and Human Services

600 Washington Street, 5th Floor

Boston, MA 02111

Demonstration of HHA Settlement for 

Dual Eligibles

Project No: 95-W-00086/01

Project Offi cer: J. Donald Sherwood

Period: January, 2001 to January, 2005

Funding: $0

Principal 

Investigator: Kristine Ragaglia

Award: Waiver-Only Project

Awardee: Connecticut Department of Social 

Services

25 Sigourney Street

Hartford, CT 06106
Active Projects Report—2004 Edition 27

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Montana Welfare Reform: Families Achieving 

Independence in Montana (FAIM)

Project No: 11-W-00040/08

Project Offi cer: Joan Peterson

Period: February, 1996 to January, 2004

Funding: $0

Principal 

Investigator: Peter Blouke

Award: Waiver-Only Project

Awardee: Montana Department of Public 

Health and Human Services

PO Box 4210

Helena, MT 59604-4210

Description: The Montana Demonstration established 

statewide (1) a Job Supplement Program consisting of a 

set of Aid to Families with Dependent Children (AFDC)-

related benefi ts to assist individuals at risk of becoming 

dependent upon welfare; (2) AFDC Pathways Program, 

in which all applicants had to enter into a family 

investment agreement requiring parents to secure child 

support; obtain early periodic screening, diagnosis, and 

treatment services, and immunizations for their children; 

and participate in the State’s Jobs Opportunity and Basic 

Skills Program and limiting adults’ benefi ts to a 

maximum of 24 months for single parents and 18 months 

for two-parent families; and (3) a community services 

program requiring 20 hours per week for individuals who 

reach the AFDC time limit but have not achieved selfsuffi ciency. Montana expanded AFDC-Unemployed 

Parent eligibility and increased the resource and 

automobile equity limits for AFDC and Food Stamp 

recipients. The State also increased the dependent care 

disregard, as well as disregards of energy assistance 

payments, earned income of dependent children in 

school, gifts of money for special occasions, and child 

support payments made to nonhousehold members for 

AFDC and Food Stamp purposes. Under its 

demonstration, enrollment of adult participants in a 

health maintenance organization (HMO) is mandated 

where geographically available. In areas where an HMO 

is not available, Montana offers basic Medicaid coverage 

through “Passport to Health,” Montana’s Primary-Care 

Case-Management Program.

Status: Montana elected to retain the waivers and 

expenditure authorities granted by CMS as part of 

the welfare reform demonstration following passage 

of the Personal Responsibility and Work Opportunity 

Reconciliation Act of 1996. ■

Arizona Welfare Reform: Employing and 

Moving People Off Welfare and Encouraging 

Responsibility Program (EMPOWER)

Project No: 11-W-00058/09

Project Offi cer: Joan Peterson

Period: May, 1995 to October, 2002

Funding: $0

Principal 

Investigator: David Berns

Award: Waiver-Only Project

Awardee: Arizona Department of Economic 

Security

PO Box 6123

Phoenix, AZ 85005

Description: The Arizona statewide demonstration did 

not increase benefi ts for additional children conceived 

while the mother was receiving Aid to Families with 

Dependent Children (AFDC), but it limited benefi ts 

to adults to 24 months in any 60-month period and 

allowed recipients to deposit up to $200 per month (with 

50 percent disregarded) in Individual Development 

Accounts. It requires mothers who are minors to live 

with parents, extends transitional child care and Medicaid 

to 24 months, and eliminates the 100-hour rule for 

AFDC-Unemployed Parent cases.

Status: Arizona elected to retain the waivers and 

expenditure authorities granted by CMS as part of 

the welfare reform demonstration following passage 

of the Personal Responsibility and Work Opportunity 

Reconciliation Act of 1996. ■

Massachusetts Welfare Reform, 1995

Project No: 11-W-00065/01

Project Offi cer: Sharon Donovan

Period: November, 1995 to 

November, 2005

Funding: $0

Principal 

Investigator: Gerald Whitburn

Award: Waiver-Only Project

Awardee: Executive Offi ce of Health and 

Social Services

One Ashburton Place, Room 1109

Boston, MA 02108

Description: The major components of this 

demonstration were a 2-year time limit on Aid to 

Families with Dependent Children (AFDC) within every 

60 months, with extensions in certain cases, and a work 

requirement for those on AFDC for more than 60 days. 

Certain recipients were exempt from the time limit 

and the work requirement (e.g., the disabled, pregnant 

women). Recipients who were not exempt were asked 

to sign an Employment Development Plan. The plan 

addressed such requirements as school attendance for 
28 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

children and minor parents, immunizations for children, 

and employment-related requirements for adults. 

Additional incentives are being provided to encourage 

people to work. These include income disregards and 

transitional Medicaid. Medicaid waivers were required 

in order to provide 12 months’ transitional Medicaid to 

families without regard to income.

Status: The Personal Responsibility and Work 

Opportunity Reconciliation Act of 1996 (August 22, 

1996), permits States to continue many of the policies 

that had previously required waivers of pre-welfare 

reform Title IV-A by submitting a Temporary Assistance 

for Needy Families plan to the Administration for 

Children and Families. Unless otherwise indicated, 

States have elected to retain the waivers and expenditures 

authorities granted by CMS as part of the welfare reform 

demonstrations. ■

A Better Chance Welfare Reform Project

Project No: 11-W-00056/03

Project Offi cer: Alisa Adamo

Period: October, 1995 to December, 2003

Funding: $0

Principal 

Investigator: Elaine Archangelo

Award: Waiver-Only Project

Awardee: Delaware Health and Social 

Services (New Castle)

1901 North DuPont Highway

New Castle, DE 19720

Description: The Better Chance Welfare Reform 

Demonstration was designed to test a set of provisions 

that linked opportunity and responsibility, supported 

the formation and maintenance of two-parent families, 

provided positive incentives for private sector 

employment, and reduced teenage pregnancy. To 

reinforce these work and education requirements, the 

State is providing some additional benefi ts, such as an 

additional year of transitional Medicaid and transitional 

child care. Medicaid waivers were required to provide 

demonstration recipients 12 additional months of 

transitional Medicaid if their income is under 100 percent 

of the Federal poverty level.

Status: The Personal Responsibility and Work 

Opportunity Reconciliation Act of 1996 (August 22, 

1996) allows States to continue many of the policies that 

had previously required waivers of pre-welfare reform 

Title IV-A by submitting a Temporary Assistance for 

Needy Families plan to the Administration for Children 

and Families. In some instances, States elected to retain 

waivers of pre-welfare reform title IV-A through the end 

of the demonstration period. Unless otherwise indicated, 

States have elected to retain the waivers and expenditures 

authorities granted by CMS as part of the welfare reform 

demonstrations. ■

Tennessee “Families First” Demonstration

Project No: 11-W-00104/04

Project Offi cer: Alisa Adamo

Period: September, 1996 to 

September, 2006

Funding: $0

Principal 

Investigator: Bob Corker

Award: Waiver-Only Project

Awardee: Tennessee Department of Human 

Services

400 Deaderick Street

Nashville, TN 37248

Description: “Families First” is a Welfare 

Demonstration. CMS approved waivers of the specifi c 

Medicaid regulations to provide 18 months of transitional 

Medicaid to people regardless of the reason for Aid to 

Families and Dependent Children (AFDC) case closure 

and/or whether the person was on AFDC for 3 out of the 

preceding 6 months.

Status: The Personal Responsibility and Work 

Opportunity Reconciliation Act of 1996 permitted States 

to continue many of the policies that had previously 

required waivers of pre-welfare reform by submitting 

a Temporary Assistance for Needy Families plan to 

the Administration for Children and Families. Unless 

otherwise indicated, States have elected to retain the 

waivers and expenditures authorities granted by CMS as 

part of the welfare reform demonstrations. ■

South Carolina Welfare Reform: Family 

Independence Act

Project No: 11-W-00081/04

Project Offi cer: Joan Peterson

Period: June, 1996 to May, 2003

Funding: $0

Principal 

Investigator: Gwen Power

Award: Waiver-Only Project

Awardee: South Carolina Department of 

Health and Human Services

PO Box 8206

Columbia, SC 29202-8206

Description: This project limited Aid to Families 

with Dependent Children (AFDC) cash benefi ts to 

families with able-bodied adults to 24 months; allowed 

relocation, under certain criteria, for a family to 

receive a good-cause extension of AFDC cash benefi ts; 

required applicants and recipients to sign Individual 

Self-Suffi ciency Plans (ISSPs) outlining employment, 

and training requirements and family skills training; 

allowed random testing in conjunction with substance 

abuse treatment; imposes progressive fi scal sanctions 

that may result in a full-family sanction for failure to 
Active Projects Report—2004 Edition 29

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

comply with the ISSP; required up-front job search as a 

condition of eligibility and required job-ready individuals 

to participate in alternate work experience; imposes a 

family cap, but provided benefi ts to affected children in 

the form of vouchers/commodities; eliminated principal 

earner provisions, work history requirements, and the 

100-hour rule for AFDC-Unemployed Parent cases. The 

Family Independence Act also provided transitional 

child care and transitional Medicaid for up to 24 months 

and without regard to prior AFDC receipt. Medicaid 

eligibility is continued for individuals for up to 90 days 

after termination of AFDC benefi ts due to the removal 

of dependent child(ren) from the home because of abuse 

or neglect if the individual is participating in substance 

abuse treatment.

Status: South Carolina elected to retain the waivers 

and expenditures authorities granted by CMS as part 

of the welfare reform demonstration following passage 

of the Personal Responsibility and Work Opportunity 

Reconciliation Act of 1996. ■

DEMONSTRATION TO IMPROVE DIRECT 

SERVICE COMMUNITY WORKFORCE GRANT 

INITIATIVE

The Demonstration To Improve the Direct Service 

Community Workforce Grant Initiative is part of the 

President’s New Freedom Initiative to eliminate barriers 

to equality and grant a “New Freedom” to children 

and adults of all ages who have a disability or longterm illness so that they may live and prosper in their 

communities. CMS awarded fi ve demonstration grants, 

which run from September 30, 2003, to September 29, 

2006, to assist States and others to develop innovative 

programs and strategies that improve recruitment and 

retentions of direct service workers. 

Status: This project is under way. ■

Demonstration To Improve Direct Service 

Community Workforce

Project No: 95-P-92168/03-01

Project Offi cer: Sue Knefl ey

Period: September, 2003 to 

September, 2006

Funding: $680,500

Principal 

Investigator: Mark Bernstein

Award: Grant

Awardee: University of Delaware

College of Human Services/EPP/

CDS, New Castle County

Newark, DE 19716

Demonstration To Improve Direct Service 

Community Workforce

Project No: 11-P-92187/01-01

Project Offi cer: Carey Appold

Period: September, 2003 to 

September, 2006

Funding: $1,403,000

Principal 

Investigator: Ellen Schneiter

Award: Grant

Awardee: State of Maine/Governor’s

Offi ce of Health Policy & Finance 

#1 State House Station

Augusta, ME 04333-0001

Demonstration To Improve Direct Service 

Community Workforce

Project No: 11-P-92189/06-01

Project Offi cer: Mary Pat Farkas

Period: September, 2003 to 

September, 2006

Funding: $1,403

Principal 

Investigator: Virginia Johnson

Award: Grant

Awardee: New Mexico Department of Health 

Long-Term Services Division

1190 St. Francis Drive

Santa Fe, NM 87502-6110

Demonstration To Improve Direct Service 

Community Workforce

Project No: 95-P-92214/04-01

Project Offi cer: Sue Knefl ey

Period: September, 2003 to 

September, 2006

Funding: $1,403

Principal 

Investigator: Laura Gibbs

Award: Grant

Awardee: Pathways for the Future, Inc.

525 Mineral Springs Drive

Sylva, NC 28779
30 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Demonstration To Improve Direct Service 

Community Workforce

Project No: 95-P-92225/03-01

Project Offi cer: Mary Pat Farkas

Period: September, 2003 to 

September, 2006

Funding: $680,500

Principal 

Investigator: Angela King

Award: Grant

Awardee: Volunteers of America, Inc.

National Offi ce

1660 Duke Street

Alexandria, VA 22314

Evaluation of Demonstration To Improve the 

Direct Service Community Workforce

Project No: 500-00-0051/03

Project Offi cer: Kathryn King

Period: September, 2003 to 

September, 2006

Funding: $394,403

Principal 

Investigator: Karen Linkins

Award: Task Order

Awardee: Lewin Group

3130 Fairview Park Drive, Suite 800

Falls Church, VA 22042

Description: The purpose of this task order is to provide 

funding for a project that will provide a qualitative 

evaluation and design for a quantitative evaluation 

of the effectiveness of 7 to 10 demonstration projects 

designed to improve the recruitment and retention of 

direct service workers. These projects will be funded 

through the Demonstration To Improve the Direct 

Service Community Workforce. Information on this 

demonstration is available at www.cms.hhs.gov/

newfreedom/default.asp.

Status: The Lewin Group provided CMS with a draft 

Web-based reporting tool that, when fi nalized, the 

grantees will use to submit electronic quarterly reports 

to CMS. In addition, Lewin fi nalized logic models and 

drafted site-specifi c evaluation plans for all grantees. ■

AGING AND DISABILITY RESOURCE 

CENTER GRANTS

The Aging and Disability Resource Centers Grants, 

part of the Real Choice Systems Change Grants for 

Community Living, will help States to develop Aging and 

Disability Resource Center programs that will provide 

citizen-centered “one-stop shop” entry points into the 

long-term support system and will be based in local 

communities accessible to people who may require longterm support. Resource Centers will serve individuals 

who need long-term support, their family caregivers, and 

those planning for future long-term support needs. They 

will also serve as a resource for health and long-term 

support professionals and others who provide services 

to the elderly and to people with disabilities. The grants 

were jointly issued as cooperative agreements by the 

Administration on Aging and the Centers for Medicare & 

Medicaid Services.

Status: This project is in its start-up phase. ■

Aging and Disability Resource Center Grant

Project No: 11-C-91959/06-01

Project Offi cer: Bob Nakielny

Period: September, 2003 to 

September, 2006

Funding: $423,999

Principal 

Investigator: Mary Tonore

Award: Grant

Awardee: Louisiana Governor’s Offi ce of 

Elderly Affairs

412 North 4th Street—3rd Floor

Baton Rouge, LA 70802

Aging and Disability Resource Center Grant

Project No: 11-C-91953/01-01

Project Offi cer: Jean Close

Period: September, 2003 to 

September, 2006

Funding: $406,619

Principal 

Investigator: Christine Gianopoulos

Award: Grant

Awardee: Maine Department of Human 

Services, Bureau of Elder and Adult 

Services

11 State House Station

Augusta, ME 04333

Aging and Disability Resource Center Grant

Project No: 11-C-91942/03-01

Project Offi cer: Barbara Collins

Period: September, 2003 to 

September, 2006

Funding: $424,000

Principal 

Investigator: Lisa Mullin

Award: Grant

Awardee: Maryland Department of Aging

301 West Preston Street

Suite 1007

Baltimore, MD 21201
Active Projects Report—2004 Edition 31

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Aging and Disability Resource Center Grant

Project No: 11-C-91939/01-01

Project Offi cer: Bob Nakielny

Period: September, 2003 to 

September, 2006

Funding: $397,500

Principal 

Investigator: Ann Hartstein

Award: Grant

Awardee: Massachusetts Executive Offi ce of 

Elder Affairs

One Ashburton Place, Room 517

Boston, MA 02108

Aging and Disability Resource Center Grant

Project No: 11-C-91940/05-01

Project Offi cer: Jean Close

Period: September, 2003 to 

September, 2006

Funding: $391,742

Principal 

Investigator: Krista Boston

Award: Grant

Awardee: Minnesota Board on Aging

444 Lafayette Road, North

St Paul, MN 55155-3843

Aging and Disability Resource Center Grant

Project No: 11-C-91944/08-01

Project Offi cer: Jean Close

Period: September, 2003 to 

September, 2006

Funding: $370,621

Principal 

Investigator: Charles Rehbein

Award: Grant

Awardee: Montana DPHHS-Senior LTC 

Division, State Offi ce on Aging

PO Box 4210

Helena, MT 59604

Aging and Disability Resource Center Grant

Project No: 11-C-91934/01-01

Project Offi cer: Barbara Collins

Period: September, 2003 to 

September, 2006

Funding: $424,000

Principal 

Investigator: Edgar J. Helms

Award: Grant

Awardee: University of New Hampshire 

Offi ce of Sponsored Research

Service Building, 51 College Road

Durham, NH 03824-3585

Aging and Disability Resource Center Grant

Project No: 11-C-91945/02-01

Project Offi cer: Bob Nakielny

Period: September, 2003 to 

September, 2006

Funding: $422,962

Principal 

Investigator: Nancy Day

Award: Grant

Awardee: New Jersey Department of Health 

and Senior Services, Division of 

Aging and Community Services

PO Box 807

Trenton, NJ 08625-0807

Aging and Disability Resource Center Grant

Project No: 11-C-91949/03-01

Project Offi cer: Barry Levin

Period: September, 2003 to 

September, 2006

Funding: $404,920

Principal 

Investigator: Gregory Howe

Award: Grant

Awardee: Commonwealth of Pennsylvania

Department of Aging

303 Forum Building

Harrisburg, PA 17101-1919
32 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Aging and Disability Resource Center Grant

Project No: 11-C-91933/01-01

Project Offi cer: Bob Nakielny

Period: September, 2003 to 

September, 2006

Funding: $396,970

Principal 

Investigator: Adelita Orefi ce

Award: Grant

Awardee: Rhode Island Department of Elderly 

Affairs

35 Howard Avenue

Benjamin Rush Building #55

Cranston, RI 02920

Aging and Disability Resource Center Grant

Project No: 11-C-91950/04-01

Project Offi cer: Barbara Collins

Period: September, 2003 to 

September, 2006

Funding: $424,000

Principal 

Investigator: Sue Scally

Award: Grant

Awardee: South Carolina Department of 

Health and Human Services

Bureau of Senior Services

PO Box 8206

Columbia, SC 29202-8206

Aging and Disability Resource Center Grant

Project No: 11-C-91930/03-01

Project Offi cer: Jean Close

Period: September, 2003 to 

September, 2006

Funding: $423,457

Principal 

Investigator: William E. Lytton, Jr.

Award: Grant

Awardee: West Virginia Bureau of Senior 

Services, Program Unit

1900 Kanawha Boulevard East 

Building 10

Charleston, WV 25305

An Evaluation of the Medicare Health Outcomes 

Survey Program

Project No: 500-99-MD02

Project Offi cer: Chris Haffer

Period: May, 2003 to December, 2004

Funding: $450,000

Principal 

Investigators: Julie Tyler and Marv Mandell

Award: Contract

Awardee: Delmarva Foundation for Medical 

Care

9240 Centreville Road

Easton, MD 21601-7098

Description: The Medicare Health Outcomes Survey 

(HOS) is one of the effectiveness of care measures of the 

Health Plan Employer Data and Information Set (HEDIS) 

for Medicare. The HEDIS is a set of defi ned measures to 

assess the health care quality provided by managed care 

plans. The Medicare HOS is a measure of a health plan’s 

ability to maintain or improve the physical and emotional 

health of its Medicare benefi ciaries over time. The HOS 

uses the SF-36 (a self-reported measure of functional 

status) to assess the physical and mental health status, at 

2-year intervals, of Medicare benefi ciaries in managed 

care. The goal of the HOS Program has been to gather 

valid and reliable health status data in Medicare managed 

care for use in quality improvement activities, public 

reporting, plan accountability, and improving health 

outcomes, The purpose of this contract is to conduct 

an evaluation of all aspects of the Medicare Health 

Outcomes Survey Program and to report on the extent to 

which the HOS is meeting its goals.

Status: The contractor will complete the evaluation 

of the Medicare HOS Program at the end of 2004. 

The results of the evaluation will include a report 

on the historical context of HOS and assessments of 

the HOS instrument and operational protocol (i.e., 

instrument power, precision, reliability and validity, 

survey attrition, alternative sampling strategies, survey 

administration methods) and the utility of HOS data for 

Medicare+Choice organizations, quality improvement 

organizations, CMS, and health services researchers. ■

COMMUNITY-BASED TREATMENT 

ALTERNATIVES FOR CHILDREN GRANTS

The Community-Based Treatment Alternatives for 

Children Grants, part of the Real Choice Systems 

Change Grants for Community Living, will assist States 

in developing a comprehensive, community-based 

mental health service delivery system through Medicaid, 

for children with serious emotional disturbances who 

would otherwise require care in a psychiatric residential 

treatment facility (PRTF). Currently, Medicaid provides 

inpatient psychiatric services for children under age 

21 in hospitals, and extends these Medicaid benefi ts to 
Active Projects Report—2004 Edition 33

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

children in PRTFs. However, PRTFs do not meet the 

CMS defi nition of ‘‘hospital’’ so they do not qualify 

as institutions against which States may measure § 

1915(c) waiver costs. Over the last decade, PRTFs have 

become the primary providers for children with serious 

emotional disturbances requiring an institutional level of 

care; however, States have been unable to use § 1915(c) 

waiver authority to provide Medicaid-funded home and 

community-based alternatives to care, which would 

keep the children in their homes and with their families. 

The funds available through this solicitation will assist 

States in assessing community-based alternatives to 

residential treatment. 

Status: This project is in its start-up phase. ■

Community-Based Treatment Alternatives 

for Children

Project No: 11-P-92030/05-01

Project Offi cer: Pat Prete

Period: September, 2003 to 

September, 2006

Funding: $100,000

Principal 

Investigator: Amy Starin

Award: Grant

Awardee: Illinois Department of Human 

Services

4200 Oak Park Avenue

Chicago, Il 60607

Community-Based Treatment Alternatives 

for Children

Project No: 18-P-92001/03-01

Project Offi cer: Peggy Clark

Period: September, 2003 to 

September, 2006

Funding: $100,000

Principal 

Investigator: Thomas Merrick

Award: Grant

Awardee: Maryland Department of Health 

and Mental Hygiene

55 Wade Avenue

Catonsville, MD 21228

Community-Based Treatment Alternatives 

for Children

Project No: 11-P-92104/01-01

Project Offi cer: Peggy Clark

Period: September, 2003 to 

September, 2006

Funding: $100,000

Principal 

Investigator: Abigail Josephs

Award: Grant

Awardee: Commonwealth of Massachusetts 

Division of Medical Assistance

One Ashburton Place, Room 1109

Boston, MA 02108

Community-Based Treatment Alternatives 

for Children

Project No: 11-P-92008/04-01

Project Offi cer: Pat Prete

Period: September, 2003 to 

September, 2006

Funding: $99,000

Principal 

Investigator: Kenneth Sullivan

Award: Grant

Awardee: State of Mississippi—Offi ce of the 

Governor, Division of Medicaid

239 North Lamar Street, Suite 801

Jackson, MS 39201-1399

Community-Based Treatment Alternatives 

for Children

Project No: 18-P-92043/07-01

Project Offi cer: Deondra Moseley

Period: September, 2003 to 

September, 2006

Funding: $99,821

Principal 

Investigator: Linda Roebuck

Award: Grant

Awardee: Missouri Department of Mental 

Health

PO Box 687

Jefferson City, MI 65101
34 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Community-Based Treatment Alternatives 

for Children

Project No: 18-P-92003/06-01

Project Offi cer: Deondra Moseley

Period: September, 2003 to 

September, 2006

Funding: $93,600

Principal 

Investigator: Kimberly McPherson

Award: Grant

Awardee: Texas Health and Human Services 

Commission

PO Box 13247

Austin, TX 78711

COMMUNITY-INTEGRATED PERSONAL 

ASSISTANCE SERVICES AND SUPPORTS 

GRANTS

The Community-Integrated Personal Assistance Services 

and Supports Grants are a part of the Real Choice 

Systems Change Grants for Community Living. Personal 

assistance is the most frequently used service that enables 

people with a disability or long-term illness to live in the 

community. Many States have taken a leadership role in 

designing systems that not only offer the basic personal 

assistance service but also make that service available 

in a manner that affords consumers maximum control 

over the selection of individuals working on their behalf 

and the manner in which services are provided. These 

particular projects will assist States to improve personal 

assistance services that are consumer-directed or offer 

maximum individual control.

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91567/06

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $900,000

Principal 

Investigator: Larry Ward

Award: Grant

Awardee: Arkansas Department of Human 

Services

329 Donaghey Plaza South

PO Box 1437

Little Rock, AR 72203

Status: This project is in its third year of funding. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91662/00

Project Offi cer: Maria Reed

Period: September, 2001 to 

September, 2004

Funding: $900,000

Principal 

Investigator: Susan Cook

Award: Grant

Awardee: Alaska Department of 

Administration

3601 C Street, Suite 310

Anchorage, AK 99503

Status: This grant is in its third year of funding. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 11-P-92065/09

Project Offi cer: Melissa Harris

Period: September, 2003 to 

September, 2006

Funding: $600,000

Principal 

Investigator: Ric Zaharia

Award: Grant

Awardee: Arizona Department of Economic 

Security, Division of Developmental 

Disabilities

1789 West Jefferson

Phoenix, AZ 85007

Status: This project is in its start-up phase. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91630/08-01

Project Offi cer: Deondra Moseley

Period: September, 2002 to 

September, 2005

Funding: $725,000

Principal 

Investigator: William West

Award: Grant

Awardee: Colorado Department of Health 

Care Policy and Financing

1570 Sherman Street

Denver, CO 80203-1714

Status: This project is in its second year of funding. ■
Active Projects Report—2004 Edition 35

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Community-Integrated Personal Assistance 

Services and Supports

Project No: 11-P-92005/01-01

Project Offi cer: Marguerite Schervish

Period: September, 2003 to 

September, 2006

Funding: $595,349

Principal 

Investigator: David Parrella

Award: Grant

Awardee: Connecticut Department of Social 

Services

25 Sigourney Street

Hartford, CT 06106

Status: The project is in the start-up phase. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91647/00

Project Offi cer: Mary Frances Laverdure

Period: September, 2001 to 

September, 2004

Funding: $300,000

Principal 

Investigator: Victor Borja

Award: Grant

Awardee: Guam Department of Integrated 

Services for Individuals with 

Disabilities

396 Chalan Kanton Ladera

Talofof, GU 96915

Status: The project is under way. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 11-P-91619/09-01

Project Offi cer: Mary Frances Laverdure

Period: September, 2002 to 

September, 2005

Funding: $725,000

Principal 

Investigator: Bruce Anderson

Award: Grant

Awardee: State of Hawaii Department of 

Health

PO Box 3378

Honolulu, HI 96801

Status: This project is in its second year of funding. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91654/05-01

Project Offi cer: Marguerite Schervish

Period: September, 2002 to 

September, 2005

Funding: $725,000

Principal 

Investigator: Kristen Schunk

Award: Grant

Awardee: Indiana Family and Social Services 

Administration

402 West Washington Street

Room W-451

PO Box 7083

Indianapolis, IN 46207-7083

Status: This project is on-going. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91563/07-01

Project Offi cer: Marguerite Schervish

Period: September, 2002 to 

September, 2005

Funding: $725,000

Principal 

Investigator: Sara Sack

Award: Grant

Awardee: The University of Kansas Center 

for Research, Inc.

Younberg Hall, 2601 Gabriel

Parson, KS 67357

Status: The project is under way. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 11-P-92099/06-01

Project Offi cer: Marguerite Schervish

Period: September, 2003 to 

September, 2006

Funding: $464,184

Principal 

Investigator: Anthony Speier

Award: Grant

Awardee: Louisiana Department of Health 

and Hospitals

Offi ce of Mental Health

PO Box 4049

Baton Rouge, LA 70821-4049

Status: The project is in the start-up phase. ■
36 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Community-Integrated Personal Assistance 

Services and Supports

Project No: 11-P-92058/01-01

Project Offi cer: Gregg Ukaegbu

Period: September, 2003 to 

September, 2006

Funding: $579,178

Principal 

Investigator: Margaret Chow-Menzer

Award: Grant

Awardee: Massachusetts Department of 

Mental Retardation

Division of Systems Integration

500 Harrison Avenue

Boston, MA 02118

Status: This project is in the start-up phase. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91634/05

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $755,972

Principal 

Investigator: Brenda Fink

Award: Grant

Awardee: Michigan Department of 

Community Health

320 South Walnut

PO Box 30479

Lansing, MI 48909

Status: This project is in its third year of funding. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91546/05

Project Offi cer: Mark Reed

Period: September, 2001 to 

September, 2004

Funding: $900,000

Principal 

Investigator: Ann Roscoe

Award: Grant

Awardee: Minnesota Department of Human 

Services

Human Services Building

444 Lafayette Road

St. Paul, MN 55155-3849

Status: This grant is in its third year of funding. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91657/08

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $850,000

Principal 

Investigator: Karen Antonick

Award: Grant

Awardee: Montana Department of Public 

Health and Human Services

PO Box 4210

Helena, MT 59604-4210

Status: This project is in its third year of funding. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91668/04-01

Project Offi cer: Mary Frances Laverdure

Period: September, 2002 to 

September, 2005

Funding: $725,000

Principal 

Investigator: Lynda McDaniel

Award: Grant

Awardee: North Carolina Department of 

Health and Human Services

Division of Mental Health DD/

Substance Abuse Services

2001 Mail Service Center

Raleigh, NC 27699-2001

Status: This project is in its second year of funding. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 11-P-92081/07-01

Project Offi cer: Gregg Ukaegbu

Period: September, 2003 to 

September, 2006

Funding: $600,000

Principal 

Investigator: Mary Jo Iwan

Award: Grant

Awardee: Nebraska Department of Health 

and Human Services

301 Centennial Mall South, 5th Floor

PO Box 95044

Lincoln, NE 68509-5026

Status: This project is in the start-up phase. ■
Active Projects Report—2004 Edition 37

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91613/01

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $900,000

Principal 

Investigator: Colleen Ives

Award: Grant

Awardee: Granite State Independent Living

PO Box 7268

Concord, NH 03302-7268

Status: This project is in its third year of funding. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91570/09

Project Offi cer: Mary Frances Laverdure

Period: September, 2001 to 

September, 2004

Funding: $655,988

Principal 

Investigator: Donny Loux

Award: Grant

Awardee: Nevada Department of 

Employment, Training and 

Rehabilitation

711 South Stewart Street

Carson City, NV 89701

Status: This grant is in its third year of funding. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91658/06

Project Offi cer: Gregg Ukaegbu

Period: September, 2001 to 

September, 2004

Funding: $850,000

Principal 

Investigator: Carey Garland

Award: Grant

Awardee: Oklahoma Department of Human 

Services

312 NE 28th, Room 101

Oklahoma City, OK 73105

Status: The project is under way. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 11-P-92140/00-01

Project Offi cer: Gregg Ukaegbu

Period: September, 2003 to 

September, 2006

Funding: $585,007

Principal 

Investigator: Laurie Powers

Award: Grant

Awardee: Oregon Health and Science 

University

3181 SW Sam Jackson Park Road 

DB669

Portland, OR 97201-3098

Status: This project is in the start-up phase. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91519/01

Project Offi cer: Gregg Ukaegbu

Period: September, 2001 to 

September 2004

Funding: $539,730

Principal 

Investigator: Deborah Florio

Award: Grant

Awardee: Rhode Island Department of 

Human Services, HCQFP, Center 

for Adult Health

600 New London Avenue

Cranston, RI 02920

Status: The project is under way. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91538/04-01

Project Offi cer: Anita Yuskauskas

Period: September, 2002 to 

September, 2005

Funding: $725,000

Principal 

Investigator: Tami Wilson

Award: Grant

Awardee: Tennessee Department of Finance 

and Administration

Doctor’s Building, 5th Floor

729 Church Street

Nashville, TN 37247-0064

Status: This project is in its second year of funding. ■
38 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Community-Integrated Personal Assistance 

Services and Supports

Project No: 11-P-92100/06-01

Project Offi cer: Gregg Ukaegbu

Period: September, 2003 to 

September, 2006

Funding: $599,763

Principal 

Investigator: Cindy Kenneally

Award: Grant

Awardee: Texas Department of Human 

Services

PO Box 149030, Mailcode W521

Austin, TX 78714-9030

Status: Initial implementation activities in progress. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 11-P-92029/03-01

Project Offi cer: Melissa Harris

Period: September, 2003 to 

September, 2006

Funding: $513,557

Principal 

Investigator: Tera Yoder

Award: Grant

Awardee: Virginia Commonwealth University 

Partnership for People with 

Disabilities

PO Box 980568

Richmond, VA 23298-0568

Status: This project is in its start-up phase. ■

Community-Integrated Personal Assistance 

Services and Supports

Project No: 18-P-91622/03-01

Project Offi cer: Anita Yuskauskas

Period: September, 2002 to 

September, 2005

Funding: $725,000

Principal 

Investigator: Sherry Shuman

Award: Grant

Awardee: West Virginia University Research 

Corporation on behalf of WVU/

WVUCED

955 Hartman Run Road

Morgantown, WV 26505-6845

Status: This project is in its second year of funding. ■

Design of Evaluation Options of the Systems 

Change Grants

Project No: 500-00-0044/03

Project Offi cer: Susan Radke

Period: September, 2002 to July, 2004

Funding: $299,976

Principal 

Investigator: Edith Walsh

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: The purpose of this task order is to design 

research study options to evaluate the Systems Change 

Grants. There are four different types of grants: 

(1) Nursing Facility Transitions Grants, (2) CommunityIntegrated Personal Assistance Services and Supports 

Grants, (3) Real Choice Systems Change Grants, and 

(4) National Technical Assistance Exchange for 

Community Living Grants. Most States and Territories 

received funding from one or more of the four types of 

grants. The Americans with Disabilities Act (ADA), the 

Olmstead decision, and the Systems Change Grants apply 

to all Americans with a disability or long-term illness 

regardless of age or income. The Federal Government 

assists States and localities that are required to administer 

their services, programs, and activities “in the most 

integrated setting appropriate to the needs of qualifi ed 

individuals with disabilities.” The scope of the ADA and 

the Olmstead decision are not limited to Medicaid or 

Medicare benefi ciaries.

Status: In June 2001, the Research Triangle Institute 

(RTI) was selected as a primary contractor. RTI reviewed 

the System Change Grant summaries and developed a 

policy outcome typology for potential System Change 

Grant evaluations. CMS used this information to 

prioritize policy goals and identify potential research 

projects. CMS will change the Statement of Work 

(SOW) to have RTI identify only two to three potential 

projects from the goals that were prioritized, select 

one project and implement a study from one of the 

priority areas. A no-cost extension to the evaluation is 

anticipated. The evaluation will be designed to also be 

replicated at a later date. The output of this project shall 

be a written report describing designs of research studies 

that will analyze the impact of the Systems Change 

Grants on the provision of care in the community. ■

FAMILY-TO-FAMILY HEALTH CARE 

INFORMATION AND EDUCATION 

CENTERS GRANTS

The Family-to-Family Health Care Information and 

Education Centers Grants, part of the Real Choice 
Active Projects Report—2004 Edition 39

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Systems Change Grants for Community Living, will 

support the development of Family-to-Family Health 

Care Information and Education Centers (Information 

and Education Centers). Organizations will use these 

awards to establish statewide family-run centers that will 

(1) provide education and training opportunities for 

families with children with special health care needs,

(2) develop and disseminate needed health care and home 

and community-based services (HCBS) information to 

families and providers, (3) collaborate with other Familyto-Family Health Care Information and Education 

Centers to benefi t children with special health care needs, 

and (4) promote the philosophy of individual and familydirected supports CMS is collaborating with the Health 

Resources and Services Administration (HRSA) in this 

initiative. In 2001, the HRSA, Maternal and Child 

Health Bureau, initiated a program to develop the 

capacities of families with children with special health 

care needs and assist States to meet their Healthy People 

2010 objectives for community-based services for 

children with special health care needs. The HRSA 

program is also entitled Family-to-Family Health Care 

Information and Education Centers. (For information on 

the Healthy People 2010 initiative, please visit the Web 

site at http://www.healthypeople.gov.) CMS recognizes 

the wealth of knowledge that exists among parents who 

have years of experience with the long-term care system 

and the potential for this knowledge to be of assistance to 

other families and service providers. The goals of this 

initiative are to increase both access to and choice in 

HCBS for families who have children with special health 

care needs. Applicants must demonstrate that the project 

(1) establishes new capacity, (2) does not duplicate 

existing work or supplant existing funding, and 

(3) devotes all funding under the new proposal to 

endeavors that advance the goal and vision of the 

Information and Education Centers grant program.

Status: The project is in the start-up phase. ■

Family-to-Family Health Care Information and 

Education Centers

Project No: 95-P-92139/00-01

Project Offi cer: Kathy Rama

Period: September, 2003 to 

September, 2006

Funding: $149,991

Principal 

Investigator: Jayson Smart

Award: Grant

Awardee: Stone Soup Group

2401 East 42nd Avenue, Suite 202

Anchorage, AK 99508

Family-to-Family Health Care Information and 

Education Centers

Project No: 95-P-92020/08-01

Project Offi cer: Kathy Rama

Period: September, 2003 to 

September, 2006

Funding: $150,000

Principal 

Investigator: Christy Blakely

Award: Grant

Awardee: Cerebral Palsy of Colorado

Family Voices of Colorado

2200 South Jasmine Street

Denver, CO 80222

Family-to-Family Health Care Information and 

Education Centers

Project No: 95-P-92093/05-01

Project Offi cer: Kathy Rama

Period: September, 2003 to 

September, 2006

Funding: $150,000

Principal 

Investigator: Donna Gore Olsen

Award: Grant

Awardee: Parents, Let’s Unite for Kids

4755 Kingway Drive, Suite 105

Indianapolis, IN 46205

Family-to-Family Health Care Information and 

Education Centers

Project No: 95-P-92063/08-01

Project Offi cer: Kathy Rama

Period: September, 2003 to 

September, 2006

Funding: $150,000

Principal 

Investigator: Dennis Moore

Award: Grant

Awardee: Parents, Let’s Unite for Kids

4755 Kingway Drive, Suite 105

Indianapolis, IN 46205
40 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Family-to-Family Health Care Information and 

Education Centers

Project No: 95-P-92038/03-01

Project Offi cer: Kathy Rama

Period: September, 2003 to 

September, 2006

Funding: $150,000

Principal 

Investigator: Josie Thomas

Award: Grant

Awardee: The Parents Place of Maryland, Inc.

7484 Candlewood Road, Suite S

Hanover, MD 21076

Family-to-Family Health Care Information and 

Education Centers

Project No: 95-P-92042/02-01

Project Offi cer: Kathy Rama

Period: September, 2003 to 

September, 2006

Funding: $150,000

Principal 

Investigator: Diana MTK Autin

Award: Grant

Awardee: Statewide Parent Advocacy 

Network of New Jersey, Inc. 

(SPAN)

35 Halsey Street

Newark, NJ 07120

Family-to-Family Health Care Information and 

Education Centers

Project No: 95-P-92112/07-01

Project Offi cer: Kathy Rama

Period: September, 2003 to 

September, 2006

Funding: $150,000

Principal 

Investigator: Cheryl Dinnell

Award: Grant

Awardee: Family TIES of Nevada, Inc., Family 

Voices of Nevada

PO Box 50815

Sparks, NV 89435-0815

Family-to-Family Health Care Information and 

Education Centers

Project No: 95-P-92108/08-01

Project Offi cer: Kathy Rama

Period: September, 2003 to 

September, 2006

Funding: $150,000

Principal 

Investigator: Lynn Boettcher Fjellanger

Award: Grant

Awardee: South Dakota Parent Connection, 

Inc.

3701 West 49th Street, Suite 200B

Sioux Falls, SD 57103

Family-to-Family Health Care Information and 

Education Centers

Project No: 95-P-92056/05-01

Project Offi cer: Kathy Rama

Period: September, 2003 to 

September, 2006

Funding: $142,972

Principal 

Investigator: Elizabeth Hecht

Award: Grant

Awardee: Family Voices of Wisconsin

1500 Highland Avenue

Madison, WI 53705

INDEPENDENCE PLUS INITIATIVE GRANTS

The Independence Plus Initiative Grants, part of the Real 

Choice Systems Change Grants for Community Living, 

will assist States in meeting the Federal expectations 

established by CMS for the approval of self-directed 

program waivers and demonstration projects within 

the Independence Plus framework. These expectations 

include person-centered planning, individual budgeting, 

self-directed supports (including fi nancial management 

services and supports brokerage), and quality assurance 

and improvement systems (including the participant 

protections of emergency back-up and viable incident 

management systems).

Status: This project is in its start-up phase. ■
Active Projects Report—2004 Edition 41

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Independence Plus Initiative

Project No: 18-P-92019/08-01

Project Offi cer: Anita Yuskauskas

Period: September, 2003 to 

September, 2006

Funding: $391,137

Principal 

Investigator: William West

Award: Grant

Awardee: Colorado DHCPF/Program 

Integrity Quality Improvement

1570 Grant Street

Denver, CO 80203

Independence Plus Initiative

Project No: 18-P-92079/01-01

Project Offi cer: Marguerite Schervish

Period: September, 2003 to 

September, 2006

Funding: $175,000

Principal 

Investigator: Laura Nuss

Award: Grant

Awardee: Connecticut Department of Mental 

Retardation

460 Capitol Avenue

Hartford, CT 06016

Independence Plus Initiative

Project No: 18-P-92126/04-01

Project Offi cer: Anita Yuskauskas

Period: September, 2003 to 

September, 2006

Funding: $501,801

Principal 

Investigator: Shelly Brantley

Award: Grant

Awardee: Florida Department of Children 

and Families

1317 Winewood Boulevard

Building 3

Tallahassee, FL 32399

Independence Plus Initiative

Project No: 18-P-92088/04-01

Project Offi cer: Deondra Moseley

Period: September, 2003 to 

September, 2006

Funding: $432,108

Principal 

Investigator: Darlene Meador

Award: Grant

Awardee: Georgia Department of Human 

Resources

Division of MHDDAD

2 Peachtree Street, NW 22.224

Atlanta, GA 30303

Independence Plus Initiative

Project No: 18-P-92069/00-01

Project Offi cer: Deondra Moseley

Period: September, 2003 to 

September, 2006

Funding: $499,643

Principal 

Investigator: David Rogers

Award: Grant

Awardee: Idaho Department of Health and 

Welfare, Division of Family and 

Community Services

450 West State Street

PO Box 83720

Pocatello, ID 83720-0036

Independence Plus Initiative

Project No: 18-P-92071/06-01

Project Offi cer: Marguerite Schervish

Period: September, 2003 to 

September, 2006

Funding: $499,889

Principal 

Investigator: Judy Moore

Award: Grant

Awardee: Louisiana Department of Health 

and Hospitals

446 North 12th Street

Baton Rouge, LA 70802
42 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Independence Plus Initiative

Project No: 18-P-92119/01-01

Project Offi cer: Deondra Moseley

Period: September, 2003 to 

September, 2006

Funding: $499,992

Principal 

Investigator: Darlene O’Connor

Award: Grant

Awardee: University of Massachusetts Medical 

School

55 Lake Avenue North

Worchester, MA 01655

Independence Plus Initiative

Project No: 18-P-92066/01-01

Project Offi cer: Anita Yuskauskas

Period: September, 2003 to 

September, 2006

Funding: $500,000

Principal 

Investigator: Jane Gallivan

Award: Grant

Awardee: Department of Behavioral and 

Development Services of Maine

State House Station #40 Kennebec 

County

Augusta, ME 04333

Independence Plus Initiative

Project No: 18-P-92062/07-01

Project Offi cer: Anita Yuskauskas

Period: September, 2003 to 

September, 2006

Funding: $427,461

Principal 

Investigator: Kay Green

Award: Grant

Awardee: State of Missouri Department of 

Mental Health

1706 East Elm Street

Jefferson City, MO 65102

Independence Plus Initiative

Project No: 18-P-92116/05-01

Project Offi cer: Melissa Harris

Period: September, 2003 to 

September, 2006

Funding: $478,600

Principal 

Investigator: Michael Head

Award: Grant

Awardee: Michigan Department of 

Community Health

320 South Walnut

PO Box 30479

Lansing, MI 48909

Independence Plus Initiative

Project No: 18-P-92047/08-01

Project Offi cer: Anita Yuskauskas

Period: September, 2003 to 

September, 2006

Funding: $499,963

Principal 

Investigator: Denise C. King

Award: Grant

Awardee: Montana Department of Public 

Health and Human Services 

Disability Service Division

PO Box 4210

Helena, MT 59604

Independence Plus Initiative

Project No: 18-P-92054/05-01

Project Offi cer: Deondra Moseley

Period: September, 2003 to 

September, 2006

Funding: $500,000

Principal 

Investigator: Dana Charlton

Award: Grant

Awardee: Ohio Department of Mental 

Retardation/Development Disability

35 East Chestnut Street, 5th Floor

Columbia, OH 43215-2541
Active Projects Report—2004 Edition 43

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

MONEY FOLLOWS THE PERSON 

REBALANCING INITIATIVE GRANTS

The Money Follows the Person Rebalancing Initiative 

Grants, part of the Real Choice Systems Change Grants 

for Community Living, will enable States to develop 

and implement strategies to reform the fi nancing and 

service designs of State long-term support systems so 

that (1) a coherent package of State plan and home- and 

community-based services waiver services is available in 

a manner that permits funding to ‘‘follow the person’’ to 

the most appropriate and preferred setting, and 

(2) fi nancing arrangements exist that enable transition 

services for individuals who transition between 

institution and community settings.

Status: This project is in its start-up phase. ■

Money Follows the Person

Project No: 11-P-92077/09-01

Project Offi cer: Mary Clarkson

Period: September, 2003 to 

September, 2006

Funding: $750,000

Principal 

Investigator: Carol Freels

Award: Grant

Awardee: California Department of Health 

Services, Offi ce of Long-Term Care

Suite 71.6031

PO Box 942732, MS 0018

Sacramento, CA 94234

Money Follows the Person

Project No: 11-P-92045/00-01

Project Offi cer: Mary Clarkson

Period: September, 2003 to 

September, 2006

Funding: $749,999

Principal 

Investigator: Beth Stamm

Award: Grant

Awardee: Idaho Department of Health and 

Welfare, Division of Family and 

Community Services

450 West State Street

PO Box 83720

Pocatello, ID 83720-0036

Money Follows the Person

Project No: 11-P-92023/01-01

Project Offi cer: Mary Clarkson

Period: September, 2003 to 

September, 2006

Funding: $750,000

Principal 

Investigator: David Goddu

Award: Grant

Awardee: Department of Behavioral and 

Development Services of Maine

State House Station #40

Kennebec County

Augusta, ME 04333

Money Follows the Person

Project No: 11-P-92115/05-01

Project Offi cer: Jean Close

Period: September, 2003 to 

September, 2006

Funding: $746,650

Principal 

Investigator: Michael Head

Award: Grant

Awardee: Michigan Department of 

Community Health

320 South Walnut

PO Box 30479

Lansing, MI 48909

Money Follows the Person

Project No: 11-P-92044/09-01

Project Offi cer: Linda Abbott

Period: September, 2003 to 

September, 2006

Funding: $749,999

Principal 

Investigator: Todd Butterworth

Award: Grant

Awardee: Nevada Department of Human 

Resources

3656 Research Way, Suite 32

Carson City, NV 89706
44 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Money Follows the Person

Project No: 11-P-92123/03-01

Project Offi cer: Jean Close

Period: September, 2003 to 

September, 2006

Funding: $698,211

Principal 

Investigator: Gregory Howe

Award: Grant

Awardee: Commonwealth of Pennsylvania 

Department of Public Welfare

PO Box 2675

Harrisburg, PA 17105

Money Follows the Person

Project No: 11-P-92101/06

Project Offi cer: Jean Close

Period: September, 2003 to 

September, 2006

Funding: $730,422

Principal 

Investigator: Cindy Kenneally

Award: Grant

Awardee: Texas Department of Human 

Services

PO Box 149030, Mailcode W521

Austin, TX 78714-9030

Money Follows the Person

Project No: 11-P-92041/00-01

Project Offi cer: Linda Abbott

Period: September, 2003 to 

September, 2006

Funding: $608,008

Principal 

Investigator: Nicole Williams

Award: Grant

Awardee: Washington Department of Social 

and Health Services

PO Box 45600

Olympia, WA 98503-5503

Money Follows the Person

Project No: 11-P-92010/05-01

Project Offi cer: Linda Abbott

Period: September, 2003 to 

September, 2006

Funding: $743,813

Principal 

Investigator: Thomas Swant

Award: Grant

Awardee: Wisconsin DHFS/Division of 

Disability and Elder Services

One West Wilson Street

PO Box 7850

Madison, WI 53707-7850

National Resource Center on Home and 

Community-Based Services—Quality Under 

Home and Community-Based Waiver

Project No: 500-96-0006/02

Project Offi cers: Thomas Shenk and Hunter McKay

Period: September, 1999 to 

September, 2004

Funding: $3,463,070

Principal 

Investigator: Brian Burwell

Award: Task Order

Awardee: Medstat Group (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Description: The purpose of this project is to develop 

and test the effectiveness of a National Consortium and 

Resource Center (NCRC) to improve access to consumer 

responsive home and community-based long-term care 

for people with disabilities of all ages. The long-range 

purpose of such a center would be to foster long-term 

care policies and practices that:

• Assist in "leveling the playing fi eld" between 

institutional and community-based models of longterm care

• Provide consumers with more control over choosing 

the setting in which they receive long-term care

• Expand the range of high quality consumer 

responsive residential options, personal assistance, 

other home and community-based supports and 

health-related services available to people with 

signifi cant mental and physical disabilities who wish 

to live in home and community-based settings

• Promote parity and equity between the availability of 

institutional and home and community-based longterm care
Active Projects Report—2004 Edition 45

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

• Explore the potential for managed care organizations 

to utilize and expand consumer-directed home and 

community care

• Support fi nancing and delivery approaches to 

consumer-responsive home and community-based 

services (HCBS) that enable States to manage and 

control their long-term care expenditures 

During a 24-month development period, this project will 

focus on two related activities that could become the 

core of a fully operational NCRC. First, project staff 

will explore the effectiveness of a variety of national 

and State level strategies for supporting collaborative 

planning and problem solving among various 

stakeholders who infl uence the direction of long-term 

care policy reform (including Federal and State policy 

of offi cials, representatives of the aging and disability 

community, and providers). Second, they will try out 

several different approaches to equipping the various 

stakeholders with the information, tools, and technologies 

they need to plan and implement cost-effective systems 

of consumer-responsive home and community-based 

services.

Status: In addition to the basic activities, this project 

also has fi ve signifi cant sub-activities: (1) the creation of 

a national inventory of quality improvement, (2) the 

development of systems and procedures for the 

collection, analysis, and management of long-term care 

data, (3) performance measurement for the quality of 

care, (4) research on the availability and adequacy of 

personal assistance services, and (5) the collection, 

analysis and dissemination of promising practices. ■

National State-to-State Technical Assistance 

Program for Community Living

Project No: 11-P-92015/02-01

Project Offi cer: Cathy Cope

Period: September, 2003 to 

September, 2006

Funding: $4,399,959

Principal 

Investigator: Donna J. Foster

Award: Grant

Awardee: Rutgers, The State University of 

New Jersey/Center for State Health 

Policy

3 Rutgers Plaza, Cook Campus

New Brunswick, NJ 08901

Description: The Real Choice Systems Change Grants 

for Community Living are designed to remove barriers 

to equality for the 54 million Americans living with 

disabilities. These grants are intended to foster the 

systemic changes to enable children and adults of any age 

who have a disability or long-term illness to:

• Live in the most integrated community setting 

appropriate to their individual support requirements 

and their preferences

• Exercise meaningful choices about their living 

environments, the providers of services they receive, 

the types of supports they use, and the manner by 

which services are provided

• Obtain quality services in a manner as consistent as 

possible with their community living preferences 

and priorities 

Each particular project will help the State design and 

implement effective and enduring improvements in 

community long-term support systems to enable children 

and adults of any age who have disabilities or long-term 

illnesses to live and participate in their communities. As 

a group, these systems change grants represent a major 

initiative to promote the design and delivery of home 

and community-based services that support people with 

a disability or long-term illness to live and participate 

in their communities. These grants are a part of the 

President’s New Freedom Initiative. 

For additional information concerning the Real Choice 

Systems Change Grants for Community Living, please 

visit our Web site at www.cms.hhs.gov. For additional 

information regarding the New Freedom Initiative, please 

visit the Web site at http://www.whitehouse.gov/infocus/

newfreedom.

Status: This project is in the start-up phase. ■

National Technical Assistance Exchange for 

Community Living—ILRU

Project No: 11-P-91554/06

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $4,322,121

Principal 

Investigator: Richard Petty

Award: Grant

Awardee: Independent Living Research 

Utilization

2323 South Shepherd, Suite 1000

Houston, TX 77019

Description: This awardee, working jointly with 

Rutgers Center for State Health Policy, will develop, 

plan, and implement all technical assistance activities 

related to the Real Choice Systems Change projects. 

They will establish a single advisory group to provide 

feedback and input. They will ensure that people with 

disabilities and long-term illnesses are meaningfully 

involved in the activities undertaken as a result of grant 

funding. They will also facilitate involvement of State 

agencies, providers, and other public and private partners. 
46 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Together they will produce a Technical Assistance 

Integrated Management and Operations plan. They will 

assist States in addressing barriers to hiring staff.

Status: The project is under way. ■

National Technical Assistance Exchange for 

Community Living—Rutgers

Project No: 11-P-91512/02

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $4,322,121

Principal 

Investigator: Susan Reinhard

Award: Grant

Awardee: Rutgers, The State University of 

New Jersey

Center for State Health Policy

317 George Street, Suite 400

New Brunswick, NJ 08901-2008

Description: This awardee, working jointly with 

Independent Living Research Utilization, will develop, 

plan, and implement all technical assistance activities 

related to the Real Choice Systems Change projects. 

They will establish a single advisory group to provide 

feedback and input. They will ensure that people with 

disabilities and long-term illnesses are meaningfully 

involved in the activities undertaken as a result of grant 

funding. They will also facilitate involvement of State 

agencies, providers, and other public and private partners. 

Together they will produce a Technical Assistance 

Integrated Management and Operations plan. They will 

assist States in addressing barriers to hiring staff.

Status: The project is under way. ■

Providing Technical Assistance to Consumer Task 

Forces

Project No: 11-P-92073/07-01

Project Offi cer: Cathy Cope

Period: September, 2003 to 

September, 2006

Funding: $549,999

Principal 

Investigator: Henry Claypool

Award: Grant

Awardee: Topeka Independent Living 

Resource Center

Consortium on Leadership 

Real Choice

501 SW Jackson, Suite 100

Topeka, KS 66603

Description: The Community-Integrated Personal 

Assistance Services and Supports Grants are a part of 

the Real Choice Systems Change Grants for Community 

Living. Personal assistance is the most frequently used 

service that enables people with a disability or long-term 

illness to live in the community. Many States have taken 

a leadership role in designing systems that not only offer 

the basic personal assistance service but also make that 

service available in a manner that affords consumers 

maximum control over the selection of individuals 

working on their behalf and the manner in which services 

are provided. These particular projects will assist 

States to improve personal assistance services that are 

consumer-directed or offer maximum individual control. 

For additional information concerning these grants, 

please visit our Web site at www.cms.hhs.gov.

Status: This project is in the start-up phase. ■

REAL CHOICE SYSTEMS CHANGE 

“STARTER GRANTS”

This grant helps the State develop plans for improving 

their long-term support systems for community living 

include people with disabilities or long-term illness in 

the planning processes and prepare for other forthcoming 

grant opportunities. This project is one of the initial 

“Starter Grants” made available to all States and 

Territories to support programs that enable people with 

disabilities or long-term illness to reside in their own 

homes and participate fully in their communities. The 

award is one way CMS assists the State with “up-front” 

expenses such as organizing or supporting a consumer 

task force or a public-private partnership.

Status: This is a standard award to allow the recipient to 

begin the activities that will lead to later project[s]. ■

Real Choice Systems Change “Starter Grant”

Project No: 10-P-91385/07

Project Offi cer: Mary Guy

Period: February, 2001 to September, 2003

Funding: $50,000

Principal 

Investigator: Karl Hockenbarger

Award: Grant

Awardee: Kansas Department of Social and 

Rehabilitation Services

Docking State Offi ce Building

915 SW Harrison Street

Topeka, KS 66612-1570
Active Projects Report—2004 Edition 47

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Real Choice Systems Change “Starter Grant”

Project No: 10-P-91401/09

Project Offi cer: Mary Guy

Period: February, 2001 to December, 2003

Funding: $50,000

Principal 

Investigator: Adjit Bindra

Award: Grant

Awardee: California Department of Health 

Services

1501 Capitol Avenue

Suite 71.6086, MS 4000

PO Box 942732

Sacramento, CA 94234-7320

REAL CHOICE SYSTEMS CHANGE GRANTS

The Real Choice Systems Change Grants for Community 

Living are designed to remove barriers to equality for 

the 54 million Americans living with disabilities. These 

grants are intended to foster the systemic changes 

to enable children and adults of any age who have a 

disability or long-term illness to:

• Live in the most integrated community setting 

appropriate to their individual support requirements 

and their preferences 

• Exercise meaningful choices about their living 

environments, the providers of services they receive, 

the types of supports they use, and the manner by 

which services are provided

• Obtain quality services in a manner as consistent as 

possible with their community living preferences 

and priorities

Each particular project will help the State design and 

implement effective and enduring improvements in 

community long-term support systems to enable children 

and adults of any age who have disabilities or long-term 

illnesses to live and participate in their communities. As 

a group, these systems change grants represent a major 

initiative to promote the design and delivery of home 

and community-based services that support people with 

a disability or long-term illness to live and participate 

in their communities. These grants are a part of the 

President’s New Freedom Initiative. 

For additional information concerning the Real Choice 

Systems Change Grants for Community Living, please 

visit our Web site at www.cms.hhs.gov. For additional 

information regarding the New Freedom Initiative, please 

visit the Web site at http://www.whitehouse.gov/infocus/

newfreedom.

Real Choice Systems Change—Alabama

Project No: 18-P-91592/04

Project Offi cer: Maria Reed

Period: September, 2001 to 

September, 2004

Funding: $2,000,000

Principal 

Investigator: Marilyn Ferguson

Award: Grant

Awardee: Alabama Medicaid Agency

1665 University Boulevard

PO Box 5624

Birmingham, AL 35294-0022

Status: This grant is in its third year of funding. ■

Real Choice Systems Change—Arkansas

Project No: 18-P-91598/06

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $1,385,000

Principal 

Investigator: Debbie Hopkins

Award: Grant

Awardee: Arkansas Department of Human 

Services

329 Donaghey Plaza South

PO Box 1437

Little Rock, AR 72203

Status: This project is in its third year of funding. ■

Real Choice Systems Change—Delaware

Project No: 18-P-91557/03

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $1,200,000

Principal 

Investigator: Joseph B. Keyes

Award: Grant

Awardee: Delaware Health and Social 

Services (Dover)

1901 North Dupont Highway

New Castle, DE 19720

Status: This grant is in its third year of funding. ■
48 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Real Choice Systems Change—Florida

Project No: 18-P-91636/04

Project Offi cer: Linda Abbott

Period: September, 2001 to 

September, 2004

Funding: $2,000,000

Principal 

Investigator: Lloyd Tribley

Award: Grant

Awardee: Florida Department of Management 

Services

4040 Esplanade Way, Suite 152

Tallahassee, FL 32399

Status: This grant is in its third year of funding. ■

Real Choice Systems Change—Georgia

Project No: 18-P-91579/04-01

Project Offi cer: Melissa Harris

Period: September, 2002 to 

September, 2005

Funding: $1,385,000

Principal 

Investigator: Betty Knott

Award: Grant

Awardee: Georgia Department of Human 

Resources

Division of MHDDAD

2 Peachtree Street, NW 22.224

Atlanta, GA 30303

Status: This project is in its second year of funding. ■

Real Choice Systems Change—Guam

Project No: 18-P-91629/00

Project Offi cer: Mary Frances Laverdure

Period: September, 2001 to 

September, 2004

Funding: $673,106

Principal 

Investigator: Peter John Camacho

Award: Grant

Awardee: Guam Department of Public Health 

and Social Services

PO Box 2816

Hagatna, GU 96932

Status: The project is under way. ■

Real Choice Systems Change—Hawaii

Project No: 18-P-91620/09

Project Offi cer: Patricia Helphenstine

Period: September, 2001 to 

September, 2004

Funding: $1,350,000

Principal 

Investigator: Susan Chandler

Award: Grant

Awardee: Hawaii Department of Human 

Services

Queen Liliuokalani Building

1390 Miller Street

Honolulu, HI 96813

Status: This is in its third year of funding. ■

Real Choice Systems Change—Idaho

Project No: 18-P-91537/00

Project Offi cer: Linda Abbott

Period: September, 2001 to 

September, 2004

Funding: $1,102,148

Principal 

Investigator: Beth Stamm

Award: Grant

Awardee: Idaho Department of Health and 

Welfare 

450 West State Street, 5th Floor

Boise, ID 83720-0036

Status: This grant is in its third year of funding. ■

Real Choice Systems Change—Illinois

Project No: 18-P-91511/05

Project Offi cer: Deondra Moseley

Period: September, 2001 to 

September, 2004

Funding: $800,000

Principal 

Investigator: Krista Saputo

Award: Grant

Awardee: Illinois Department of Human 

Services

425 South 4th Street

Springfi eld, IL 62701

Status: This grant is in its third year of funding. ■
Active Projects Report—2004 Edition 49

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Real Choice Systems Change—Iowa

Project No: 18-P-91596/07

Project Offi cer: Jeannine Eberly

Period: September, 2001 to 

September, 2004

Funding: $1,385,000

Principal 

Investigator: Lila Starr

Award: Grant

Awardee: Iowa Department of Human 

Services

Hoover Building, 5th Floor, East 

13th and Walnut Streets

Des Moines, IA 50319-0114

Status: This project is in its third year of funding. ■

Real Choice Systems Change—Kentucky

Project No: 18-P-91602/04

Project Offi cer: Kathryn King

Period: September, 2001 to 

September, 2004

Funding: $2,000,000

Principal 

Investigator: Timothy Hawley

Award: Grant

Awardee: Kentucky Cabinet for Health 

Services

100 Fair Oaks Lane, 4E-B

Frankfort, KY 40621

Status: This grant is in its third year of funding. ■

Real Choice Systems Change—Maine

Project No: 18-P-91540/01

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $2,300,000

Principal 

Investigator: Christine Zukas-Lessard

Award: Grant

Awardee: Maine Department of Human 

Services

11 State House Station

Augusta, ME 04333

Status: This project is in its third year of funding. ■

Real Choice Systems Change—Maryland

Project No: 18-P-91593/03

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $1,385,000

Principal 

Investigator: Mark Leeds

Award: Grant

Awardee: Maryland

201 West Preston Street

Baltimore, MD 21201

Status: This project is in its third year of funding. ■

Real Choice Systems Change—Massachusetts

Project No: 18-P-91632/01

Project Offi cer: Mark Reed

Period: September, 2001 to 

September, 2004

Funding: $1,385,000

Principal 

Investigator: Jay Himmelstein

Award: Grant

Awardee: University of Massachusetts Medical 

School

55 Lake Avenue North

Worchester, MA 01655

Status: The project is under way. ■

Real Choice Systems Change—Michigan

Project No: 18-P-91663/05

Project Offi cer: Mark Reed

Period: September, 2001 to 

September, 2004

Funding: $2,000,000

Principal 

Investigator: Brenda Fink

Award: Grant

Awardee: Michigan, Department of 

Community Health

320 South Walnut

PO Box 30479

Lansing, MI 48909

Status: The project is under way. ■
50 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Real Choice Systems Change—Minnesota

Project No: 18-P-91547/05

Project Offi cer: Jeannine Eberly

Period: September, 2001 to 

September, 2004

Funding: $2,300,000

Principal 

Investigator: Karen Langenfeld

Award: Grant

Awardee: Minnesota Department of Human 

Services

Human Services Building

444 Lafayette Road

St. Paul, MN 55155-3849

Status: This project is in its third year of funding. ■

Real Choice Systems Change—Missouri

Project No: 18-P-91535/07

Project Offi cer: Jeannine Eberly

Period: September, 2001 to 

September, 2004

Funding: $2,000,000

Principal 

Investigator: Sheri Taylor

Award: Grant

Awardee: Missouri Department of Social 

Services

615 Howerton Court

PO Box 6500

Jefferson City, MO 65102-6500

Status: This project is in its third year of funding. ■

Real Choice Systems Change—Montana

Project No: 18-P-91609/08

Project Offi cer: Patricia Helphenstine

Period: September, 2002 to 

September, 2005

Funding: $1,313,996

Principal 

Investigator: John Zeeck

Award: Grant

Awardee: Montana Department of Public 

Health and Human Services

PO Box 4210

Helena, MT 59604-4210

Status: This project is in its second year of funding. ■

Real Choice Systems Change—Nebraska

Project No: 18-P-91568/07

Project Offi cer: Melissa Harris

Period: September, 2001 to 

September, 2004

Funding: $2,000,000

Principal 

Investigator: Joni Thomas

Award: Grant

Awardee: Nebraska Department of Health 

and Human Services

301 Centennial Mall South

5th Floor

PO Box 95044

Lincoln, NE 68509-5026

Status: This project is in its third year of funding. ■

Real Choice Systems Change—Nevada

Project No: 18-P-91574/09-01

Project Offi cer: Melissa Harris

Period: September, 2002 to 

September, 2005

Funding: $1,385,000

Principal 

Investigator: Judith Wright

Award: Grant

Awardee: Nevada Department of Human 

Resources

505 East King Street

Carson City, NV 89701

Status: This project is in its second year of funding. ■

Real Choice Systems Change—New Hampshire

Project No: 18-P-91516/01

Project Offi cer: Mary Frances Laverdure

Period: September, 2001 to 

September, 2004

Funding: $2,300,000

Principal 

Investigator: Susan Fox

Award: Grant

Awardee: New Hampshire Department of 

Health and Human Services

105 Pleasant Street

Concord, NH 03301

Status: This grant is in its third year of funding. ■
Active Projects Report—2004 Edition 51

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Real Choice Systems Change—New Jersey

Project No: 18-P-91556/02

Project Offi cer: Kathryn King

Period: September, 2001 to 

September, 2004

Funding: $2,000,000

Principal 

Investigator: William Ditto

Award: Grant

Awardee: New Jersey Department of Human 

Services

222 South Warren Street

PO Box 700

Trenton, NJ 08625-0700

Status: This grant is in its third year of funding. ■

Real Choice Systems Change—New Mexico

Project No: 18-P-91644/06

Project Offi cer: Linda Abbott

Period: September, 2002 to 

September, 2005

Funding: $1,385,000

Principal 

Investigator: Debbie Armstrong

Award: Grant

Awardee: New Mexico Department of 

Human Services, Medical Assistance 

Division

228 East Palace Avenue

La Villa Revera Building, 1st Floor

Santa Fe, NM 87501

Status: This project is in its second year of funding. ■

Real Choice Systems Change—New York

Project No: 18-P-91664/02

Project Offi cer: Mary Clarkson

Period: September, 2002 to 

September, 2005

Funding: $1,385,000

Principal 

Investigator: Betty Rice

Award: Grant

Awardee: New York Department of Health, 

DPPG, Offi ce of Medicaid 

Management

1 Commerce Plaza, Room 724

Albany, NY 12237

Status: This project is in its second year of funding. ■

Real Choice Systems Change—North Carolina

Project No: 18-P-91661/04

Project Offi cer: Mary Frances Laverdure

Period: September, 2001 to 

September, 2004

Funding: $1,600,000

Principal 

Investigator: Lynda McDaniel

Award: Grant

Awardee: North Carolina Department of 

Health and Human Services

2511 Mail Service Center

Raleigh, NC 27699-2515

Status: The project is under way. ■

Real Choice Systems Change—Ohio

Project No: 18-P-91611/05-01

Project Offi cer: Sue Knefl ey

Period: September, 2002 to 

September, 2005

Funding: $1,385,000

Principal 

Investigator: Roland Hornbostel

Award: Grant

Awardee: Ohio Department of Job and Family 

Services

50 West Broad Street, 9th Floor

Columbus, OH 43215

Status: This project is in its second year of funding. ■

Real Choice Systems Change—Oklahoma

Project No: 18-P-91659/06-01

Project Offi cer: Thomas Shenk

Period: September, 2003 to 

September, 2005

Funding: $1,385,999

Principal 

Investigator: Carey Garland

Award: Grant

Awardee: Oklahoma Department of Human 

Services

Aging Services Division

PO Box 25352

Oklahoma City, OK 73125

Status: This project is in its second year of funding. ■
52 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Real Choice Systems Change—Oregon

Project No: 18-P-91670/00

Project Offi cer: Kathryn King

Period: September, 2001 to 

September, 2004

Funding: $2,000,996

Principal 

Investigator: Karl Reer

Award: Grant

Awardee: Oregon Department of Human 

Services

2575 Bittern Street, NE

Salem, OR 97309-0740

Status: This grant is in its third year of funding. ■

Real Choice Systems Change—Pennsylvania

Project No: 18-P-91561/03

Project Offi cer: Patricia Helphenstine

Period: September, 2002 to 

September, 2005

Funding: $1,385,000

Principal 

Investigator: Cheryl Martin

Award: Grant

Awardee: Pennsylvania Department of Public 

Welfare

PO Box 2675

Harrisburg, PA 17105-2675

Status: This project is in its second year of funding. ■

Real Choice Systems Change—Rhode Island

Project No: 18-P-91594/01-01

Project Offi cer: Sue Knefl ey

Period: September, 2002 to 

September, 2005

Funding: $1,385,000

Principal 

Investigator: Frank Spinelli

Award: Grant

Awardee: Rhode Island Department of 

Human Services

Center for Adult Health

600 New London Avenue

Cranston, RI 02920

Status: This project is in its second year of funding. ■

Real Choice Systems Change—South Carolina

Project No: 18-P-91555/04

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $2,300,000

Principal 

Investigator: Sue Scally

Award: Grant

Awardee: South Carolina Department of 

Health and Human Services

PO Box 8206

Columbia, SC 29202-8206

Status: This grant is in its third year of funding. ■

Real Choice Systems Change—Tennessee

Project No: 18-P-91515/04

Project Offi cer: Kathryn King

Period: September, 2001 to 

September, 2004

Funding: $1,768,604

Principal 

Investigator: Deborah Wolkhamer

Award: Grant

Awardee: Tennessee Department of Mental 

Health and Developmental 

Disabilities

Cordell Hull Building, 3rd Floor

425 5th Avenue, North

Nashville, TN 37243

Status: This grant is in its third year of funding. ■

Real Choice Systems Change—Texas

Project No: 18-P-91543/06-01

Project Offi cer: Sue Knefl ey

Period: September, 2002 to 

September, 2005

Funding: $1,385,000

Principal 

Investigator: Christy Fair

Award: Grant

Awardee: Texas Health and Human Services 

Commission

PO Box 13247

Austin, TX 78711-3247

Status: This project is in its second year of funding. ■
Active Projects Report—2004 Edition 53

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Real Choice Systems Change—Utah

Project No: 18-P-91539/08-01

Project Offi cer: Melissa Harris

Period: September, 2002 to 

September, 2005

Funding: $1,385,000

Principal 

Investigator: Sjan Talbot

Award: Grant

Awardee: Utah Department of Human 

Services

120 North 200 West, Suite 319

PO Box 45500

Salt Lake City, UT 84103

Status: This project is in its second year of funding. ■

Real Choice Systems Change—Vermont

Project No: 18-P-91565/01

Project Offi cer: Cathy Cope

Period: September, 2001 to 

September, 2004

Funding: $2,000,000

Principal 

Investigator: Joan Haslett

Award: Grant

Awardee: Vermont Agency of Human Services

103 South Main Street

Waterbury, VT 05671-1601

Status: This project is in its third year of funding. ■

Real Choice Systems Change—Virginia

Project No: 18-P-91599/05

Project Offi cer: Sue Knefl ey

Period: September, 2001 to 

September, 2004

Funding: $1,385,000

Principal 

Investigator: Diana Thorpe

Award: Grant

Awardee: Virginia Department of Medical 

Assistance Services

600 East Broad Street, Suite 1300

Richmond, VA 23219

Status: This grant is in its third year of funding ■

Real Choice Systems Change—Washington

Project No: 18-P-91525/00-01

Project Offi cer: Melissa Harris

Period: September, 2002 to 

September, 2005

Funding: $1,385,000

Principal 

Investigator: Cathy Cochran

Award: Grant

Awardee: Washington Department of Social 

and Health Services

PO Box 45600

Olympia, WA 98504

Status: This project is in its second year of funding. ■

Real Choice Systems Change—West Virginia

Project No: 18-P-91621/03

Project Offi cer: Patricia Helphenstine

Period: September, 2002 to 

September, 2005

Funding: $1,313,996

Principal 

Investigator: Julie Shelton

Award: Grant

Awardee: West Virginia Department of Health 

and Human Resources Behavioral 

and Alternative Health Care 

State Capitol Complex, Building 3 

Room 251

Charleston, WV 25305

Status: This project is in its second year of funding. ■

Real Choice Systems Change—Wisconsin

Project No: 18-P-91587/05-01

Project Offi cer: Melissa Harris

Period: September, 2002 to 

September, 2005

Funding: $1,385,000

Principal 

Investigator: Gail Propsom

Award: Grant

Awardee: Wisconsin Department of Health 

and Family Services/DDES

One West Wilson Street

PO Box 7851

Madison, WI 53707-7851

Status: This project is in its second year of funding. ■
54 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

REAL CHOICE SYSTEMS CHANGE GRANTS 

FOR COMMUNITY LIVING—RESPITE FOR 

ADULTS GRANTS

The Respite for Adults Grants, part of the Real Choice 

Systems Change Grants for Community Living, will 

enable States to conduct studies assessing the feasibility 

of developing respite projects for caregivers of adults 

through Medicaid or other funding streams. States may 

examine the feasibility of providing respite for adults, 

as if it were a Medicaid service, to a limited target 

group (i.e., the elderly; individuals with mental illness, 

developmental disability, physical disability, etc.). Such 

projects will be expected to build in elements that are 

responsive to individual needs and offer the opportunity 

for consumer direction. For additional information 

concerning these grants, please visit our Web site at 

www.cms.hhs.gov.

Status: This project is in the start-up phase. ■

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

Project No: 11-P-92097/09-01

Project Offi cer: Kathryn King

Period: September, 2003 to 

September, 2006

Funding: $100,000

Principal 

Investigator: Jane Laciste

Award: Grant

Awardee: California Department of Mental 

Health System of Care—Adult 

Programs

1600 9th Street, Room 130

Sacramento, CA 95814

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

Project No: 11-P-92134/02-01

Project Offi cer: Kathryn King

Period: September, 2003 to 

September, 2006

Funding: $74,285

Principal 

Investigator: Lisa Baum

Award: Grant

Awardee: New York State Department of 

Health

One Commerce Tower, Room 724

Albany, NY 12260

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

Project No: 11-P-92018/05-01

Project Offi cer: Kathryn King

Period: September, 2003 to 

September, 2006

Funding: $73,854

Principal 

Investigator: Sharon Evanich

Award: Grant

Awardee: Ohio Department of Aging 

Administrative Division

50 West Broad Street, 9th Floor 

Franklin County

Columbus, OH 43215

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

Project No: 11-P-92022/01-01

Project Offi cer: Kathryn King

Period: September, 2003 to 

September, 2006

Funding: $100,000

Principal 

Investigator: Dianne Kayala

Award: Grant

Awardee: Rhode Island Department of 

Human Services, HCQFP, Center 

for Adult Health

600 New London Avenue

Cranston, RI 02920

REAL CHOICE SYSTEMS CHANGE GRANTS 

FOR COMMUNITY LIVING—RESPITE FOR 

CHILDREN GRANTS

The Respite for Adults Grants, part of the Real Choice 

Systems Change Grants for Community Living, will 

enable States to conduct feasibility studies and explore 

development of Medicaid respite projects specifi cally 

targeted for caregivers of children. States may examine 

the feasibility of providing respite for children, as if 

it were a Medicaid service, to a limited target group 

(i.e., children with a physical disability, mental illness, 

developmental disability, etc.). Such projects will be 

expected to build in elements that are responsive to 

individual needs and offer the opportunity for consumer 

direction. For additional information concerning these 

grants, please visit our Web site at www.cms.hhs.gov.

Status: This project is in the start-up phase. ■
Active Projects Report—2004 Edition 55

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Real Choice Systems Change Grant for 

Community Living—Respite for Children

Project No: 11-P-92004/04-01

Project Offi cer: John Kapustka

Period: September, 2003 to 

September, 2006

Funding: $100,000

Principal 

Investigator: Dee Drake

Award: Grant

Awardee: Alabama Department of Mental 

Health and Mental Retardation

RSA Union Building 

100 North Union Street

PO Box 30141

Montgomery, AL 36130

Real Choice Systems Change Grant for 

Community Living—Respite for Children

Project No: 11-P-92128/06-01

Project Offi cer: John Kapustka

Period: September, 2003 to 

September, 2006

Funding: $75,000

Principal 

Investigator: Bruce Whitten

Award: Grant

Awardee: Arkansas Department of Human 

Services/Division of Developmental 

Disabilities Services/CMS

PO Box 1437-Slot S380

Little Rock, AR 72203

Real Choice Systems Change Grant for 

Community Living—Respite for Children

Project No: 18-P-92002/03-01

Project Offi cer: Fred Harris

Period: September, 2003 to 

September, 2006

Funding: $100,000

Principal 

Investigator: Thomas Merrick

Award: Grant

Awardee: Maryland Department of Health 

and Mental Hygiene

Mental Hygiene Administration

55 Wade Avenue

SGHC Mitchell Building

Catonsville, MD 21228

Real Choice Systems Change Grant for 

Community Living—Respite for Children

Project No: 11-P-92033/05-01

Project Offi cer: Fred Harris

Period: September, 2003 to 

September, 2006

Funding: $99,399

Principal 

Investigator: Sheri Falvay

Award: Grant

Awardee: Michigan Department of 

Community Health

Lewis Case Building, 5th Floor

Lansing, MI 48913

Real Choice Systems Change Grant for 

Community Living—Respite for Children

Project No: 18-P-92133/00-01

Project Offi cer: Fred Harris

Period: September, 2003 to 

September, 2006

Funding: $99,274

Principal 

Investigator: Mike J. Maley

Award: Grant

Awardee: Oregon Department of Human 

Services for Seniors and People 

with Disabilities

500 Summer Street, NE, E-02

Salem, OR 97301-1073

Real Choice Systems Change Grant for 

Community Living—Respite for Children

Project No: 11-P-92014/01-01

Project Offi cer: John Kapustka

Period: September, 2003 to 

September, 2006

Funding: $100,000

Principal 

Investigator: Deborah Florio

Award: Grant

Awardee: Rhode Island Department of 

Human Services, HCQFP

Center for Adult Health

600 New London Avenue

Cranston, RI 02920
56 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Research on System Change for 

Community Living

Project No: 500-00-0044/02

Project Offi cer: Mary Frances Laverdure

Period: September, 2001 to 

September, 2006

Funding: $1,899,996

Principal 

Investigator: Richard Strowd

Award: Task Order

Awardee: Research Triangle Institute (DC)

1615 M Street, NW, Suite 740

Washington, DC 20036-3209

Description: The Centers for Medicare & Medicaid 

Services (CMS) has awarded a number of Systems 

Change Grants for Community Living. The goal of 

this related project is to conduct both formative and 

summative evaluation activities. The project will capture 

relevant data about:

• The target populations selected by the grantees for 

systemic change activities

• The specifi c long-term care needs of the populations 

to be addressed in systems change activities

• The similarities and differences between methods 

selected by grantees to address the needs identifi ed in 

their State

• The challenges and barriers faced by grantees in 

addressing the long-term care needs of their selected 

populations

• The changes made in the provision of long-term care 

in the grantee States as a result of the activities of the 

grantees

• The factors infl uencing environments to create 

successful systems change

The project will also establish the initial framework and 

foundation for future summative evaluation activities, 

including:

• Outcome evaluations to measure whether the 

Systems Change Grants have caused demonstrable 

effects

• Impact evaluation to assesses the net effects both 

intended and unintended of the Systems Change 

Grants

• Value evaluation to examine the cost effectiveness 

of systems changes; the individual value to the 

consumer in the promotion of dignity, independence, 

individual responsibility, and choice; and selfdirection, as well as the value to the community

Specifi cally, the project will:

• Collect, analyze, and evaluate data from the systems 

change activities of Systems Change Grantees 

regarding: 

— the extent of effectiveness and impact of 

consumer involvement in programmatic design, 

implementation, and evaluation 

— the types of direct services provided using grant 

funds, including the amount, duration, and scope 

of services provided

— the types of changes made in State Medicaid 

programs to achieve enduring systems change

— the changes in delivery of long-term services 

and supports and payment systems under State 

Medicaid programs and other funding streams 

• Evaluate innovative systems and methods for 

delivery of community-based long-term care services 

and supports 

• Perform research to assess the need for structural 

reforms of State Medicaid programs, and other 

Federal programs supporting long-term care

• Develop tools for measuring changes in access, 

availability, quality, and value of community-based 

long-term care

• Develop improved information resources to assist 

consumers and their representatives in choosing 

long-term care providers and supports

• Evaluate new payment and delivery models to 

improve access, availability, quality, and value of 

community-based long-term care

Status: This project is in year 2. ■

NURSING FACILITY TRANSITIONS, 

INDEPENDENT LIVING PARTNERSHIP 

GRANTS

Description: The Nursing Facility Transitions, 

Independent Living Partnership Grants, part of the 
Active Projects Report—2004 Edition 57

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Real Choice Systems Change Grants for Community 

Living, will help States transition eligible individuals 

from nursing facilities to the community through grants 

to support independent living partnerships to selected 

independent living centers (ILCs). These grants will 

promote partnerships between ILCs and States to support 

nursing facility transitions.

Nursing Facility Transitions, Independent 

Living Partnership

Project No: 18-P-91656/04

Project Offi cer: Maria Reed

Period: September, 2001 to 

September, 2004

Funding: $450,000

Principal 

Investigator: Daniel Kessler

Award: Grant

Awardee: Mid Alabama Chapter of the 

Alabama Coalition of Citizens with 

Disabilities

206 13th Street South

Birmingham, AL 35233-1317

Status: This grant is in its third year of funding. ■

Nursing Facility Transitions, Independent 

Living Partnership

Project No: 18-P-91582/09-01

Project Offi cer: Thomas Shenk

Period: September, 2002 to 

September, 2005

Funding: $337,500

Principal 

Investigator: Sandy Hobart

Award: Grant

Awardee: Community Resources for 

Independence

980 Hopper Avenue

Santa Rosa, CA 95403

Status: This project is in its second year of funding. ■

Nursing Facility Transitions, Independent 

Living Partnership

Project No: 18-P-91528/03-01

Project Offi cer: Thomas Shenk

Period: September, 2002 to 

September, 2005

Funding: $270,000

Principal 

Investigator: Larry Henderson

Award: Grant

Awardee: Independent Resources Inc

Two Fox Point Centre

6 Denny Road, Suite 205

Wilmington, DE 19809

Status: This project is in its second year of funding. ■

Nursing Facility Transitions, Independent 

Living Partnership

Project No: 18-P-91650/04

Project Offi cer: Mary Guy

Period: September, 2001 to 

September, 2004

Funding: $400,000

Principal 

Investigator: Rebecca Ramage-Tuttle

Award: Grant

Awardee: DisABILITY LINK

755 Commerce Drive, Suite 415

Decatur, GA 30030

Status: This project is in its third year of funding. ■

Nursing Facility Transitions, Independent 

Living Partnership

Project No: 18-P-91513/05-01

Project Offi cer: Mary Frances Laverdure

Period: September, 2002 to 

September, 2005

Funding: $400,000

Principal 

Investigator: David Hancox

Award: Grant

Awardee: Metropolitan Center for 

Independent Living

1600 University Avenue West

Suite 16

St Paul, MN 55104-3834

Status: This project is in its second year of funding. ■
58 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Nursing Facility Transitions, Independent 

Living Partnership

Project No: 18-P-91637/02-01

Project Offi cer: Mary Guy

Period: September, 2002 to 

September, 2005

Funding: $400,000

Principal 

Investigator: Pamela Reid

Award: Grant

Awardee: Resources for Independent 

Living Inc.

126 Franklin Street

Riverside, NJ 08075

Status: This project is in its second year of funding. ■

Nursing Facility Transitions, Independent 

Living Partnership

Project No: 18-P-91580/06

Project Offi cer: Mary Guy

Period: September, 2001 to 

September, 2004

Funding: $308,178

Principal 

Investigator: Ronald Rocha

Award: Grant

Awardee: ARCIL, Inc.

825 East Rundberg Lane, Suite A-1

Austin, TX 78753

Status: This grant is in its third year of funding. ■

Nursing Facility Transitions, Independent Living 

Partnership

Project No: 18-P-91626/08-01

Project Offi cer: Mary Guy

Period: September, 2002 to 

September, 2005

Funding: $400,000

Principal 

Investigator: Debra Mair

Award: Grant

Awardee: Utah Independent Living 

Center Inc.

3445 South Main Street

Salt Lake City, UT 84115

Status: This project is in its second year of funding. ■

Nursing Facility Transitions, Independent 

Living Partnership

Project No: 18-P-91551/05

Project Offi cer: Mary Clarkson

Period: September, 2001 to 

September, 2004

Funding: $450,000

Principal 

Investigator: Kathie Knoble-Ivevson

Award: Grant

Awardee: Great Rivers Independent Living 

Services, Inc.

4328 Norman Coulee Road

Lacrosse, WI 54601

Status: The project is under way. ■

NURSING FACILITY TRANSITIONS, STATE 

PROGRAM GRANTS

The Nursing Facility Transitions, State Program Grants, 

part of the Real Choice Systems Change Grants for 

Community Living, will help States transition eligible 

individuals from nursing facilities to the community. 

State program grants can be used for a wide range of 

activities, e.g., a State may wish to use State program 

grant funds to develop strategies for linking individuals 

with disabilities to Section 8 rental housing vouchers 

or developing other coordinated housing strategies. 

They will help individual States enable people with 

disabilities to reside in their own homes and participate 

fully in community life by designing and implementing 

improvements in community long-term support systems 

in partnership with the disability and aging communities. 

These systemic changes will allow children and adults 

with disabilities or long-term illnesses to live in the 

most integrated setting suited to their needs, exercise 

meaningful choices about their living arrangements, and 

exercise more control over the providers of the services 

they receive.

Nursing Facility Transitions, State Program 

Project No: 18-P-91569/04-01

Project Offi cer: Thomas Shenk

Period: September, 2002 to 

September, 2005

Funding: $770,000

Principal 

Investigator: Mellissa Mauser Galvin

Award: Grant

Awardee: Alabama Medicaid Agency

1665 University Boulevard

PO Box 5624

Birmingham, AL 35294-0022

Status: This project is in its second year of funding. ■
Active Projects Report—2004 Edition 59

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Nursing Facility Transitions, State Program

Project No: 18-P-91585/00

Project Offi cer: Mary Guy

Period: September, 2001 to 

September, 2004

Funding: $800,000

Principal 

Investigator: Christina Klein

Award: Grant

Awardee: Alaska Department of 

Administration

3601 C Street, Suite 310

Anchorage, AK 99503

Status: The project is under way. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91583/06-01

Project Offi cer: Thomas Shenk

Period: September, 2002 to 

September, 2005

Funding: $598,444

Principal 

Investigator: Kris Baldwin

Award: Grant

Awardee: Arkansas Department of Human 

Services

329 Donaghey Plaza South

PO Box 1437

Little Rock, AR 72203

Status: This project is in its second year of funding. ■

Nursing Facility Transitions, State 

Program Grants

Project No: 18-P-91651/08

Project Offi cer: Thomas Shenk

Period: September, 2001 to 

September, 2004

Funding: $800,000

Principal 

Investigator: Kristie Braaten

Award: Grant

Awardee: Colorado Department of Health 

Care Policy and Financing

1570 Sherman Street

Denver, CO 80203-1714

Status: The project is under way. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91544/01

Project Offi cer: Thomas Shenk

Period: September, 2001 to 

September, 2004

Funding: $800,000

Principal 

Investigator: Michele Parsons

Award: Grant

Awardee: Connecticut Department of Social 

Services

25 Sigourney Street

Hartford, CT 06106-5033

Status: This grant is in its third year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91534/03-01

Project Offi cer: Thomas Shenk

Period: September, 2002 to 

September, 2005

Funding: $566,772

Principal 

Investigator: Victor Orija

Award: Grant

Awardee: Delaware Health and Social 

Services (Dover)

1901 North Dupont Highway

New Castle, DE 19720

Status: This project is in its second year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91638/04

Project Offi cer: Mary Guy

Period: September, 2001 to 

September, 2004

Funding: $6,272,111

Principal 

Investigator: Bonnie Hurd

Award: Grant

Awardee: Georgia Department of 

Community Health

2 Peachtree Street, NW

37th Floor

Atlanta, GA 30303

Status: This project is in its fi nal year of funding. ■
60 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Nursing Facility Transitions, State Program

Project No: 18-P-91655/05

Project Offi cer: Mary Guy

Period: September, 2001 to 

September, 2004

Funding: $770,000

Principal 

Investigator: Alison Becker

Award: Grant

Awardee: Indiana Family and Social Services 

Administration

402 West Washington Street

Room W-451

PO Box 7083

Indianapolis, IN 46207-7083

Status: This project is in its third year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91576/06-01

Project Offi cer: Thomas Shenk

Period: September, 2002 to 

September, 2005

Funding: $600,000

Principal 

Investigator: Helene Robinson

Award: Grant

Awardee: Louisiana Department of Health 

and Hospitals

PO Box 2870, Bin 30

Baton Rouge, LA 70821-2870

Status: This project is in its second year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91524/03

Project Offi cer: Mary Clarkson

Period: September, 2001 to 

September, 2004

Funding: $800,000

Principal 

Investigator: Rhoda Workman

Award: Grant

Awardee: Maryland Department of Human 

Resources

311 West Saratoga Street

Baltimore, MD 21201-3521

Status: This grant is in its third year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91591/01

Project Offi cer: Kathryn King

Period: September, 2001 to 

September, 2004

Funding: $770,000

Principal 

Investigator: Margaret Chow-Menzer

Award: Grant

Awardee: Massachusetts Department of 

Mental Retardation

500 Harnson Avenue

Boston, MA 02118

Status: This grant is in its third year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91667/05

Project Offi cer: Mary Guy

Period: September, 2001 to 

September, 2004

Funding: $770,000

Principal 

Investigator: David Verseput

Award: Grant

Awardee: Michigan Department of 

Community Health

Lewis Case Building, 5th Floor

Lansing, MI 48913

Status: This project is in its third year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91520/07-01

Project Offi cer: Mary Clarkson

Period: September, 2002 to 

September, 2005

Funding: $600,000

Principal 

Investigator: Mary Jo Iwan

Award: Grant

Awardee: Nebraska Department of Health 

and Human Services

301 Centennial Mall South

5th Floor

PO Box 95044

Lincoln, NE 68509-5026

Status: This project is in its second year of funding. ■
Active Projects Report—2004 Edition 61

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Nursing Facility Transitions, State Program

Project No: 18-P-91639/01

Project Offi cer: Mary Frances Laverdure

Period: September, 2001 to 

September, 2004

Funding: $770,000

Principal 

Investigator: Todd Ringlestein

Award: Grant

Awardee: New Hampshire Department of 

Health and Human Services 

105 Pleasant Street

Concord, NH 03301

Status: The project is under way. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91559/02-01

Project Offi cer: Mary Guy

Period: September, 2002 to 

September, 2005

Funding: $600,000

Principal 

Investigator: Sharon Briggs

Award: Grant

Awardee: New Jersey Department of Health 

and Senior Services, Division of 

Consumer Support, OLTCO, 

Community Choice Initiative

PO Box 722

Trenton, NJ 08625-0722

Status: This project is in its second year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91649/04-01

Project Offi cer: Mary Guy

Period: September, 2002 to 

September, 2005

Funding: $600,000

Principal 

Investigator: Lynne Perrin

Award: Grant

Awardee: North Carolina Department of 

Health and Human Services

2511 Mail Service Center

Raleigh, NC 27699-2515

Status: This project is in its second year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91642/01-01

Project Offi cer: Thomas Shenk

Period: September, 2002 to 

September, 2005

Funding: $600,000

Principal 

Investigator: Dianne Kayala

Award: Grant

Awardee: Rhode Island Department of 

Human Services, HCQFP, Center 

for Adult Health

600 New London Avenue

Cranston, RI 02920

Status: This project is in its second year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91552/04-01

Project Offi cer: Mary Clarkson

Period: September, 2002 to 

September, 2005

Funding: $600,000

Principal 

Investigator: Kara Lewis

Award: Grant

Awardee: South Carolina Department of 

Health and Human Services

PO Box 8206

Columbia, SC 29202-8206

Status: This project is in its second year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91518/00

Project Offi cer: Thomas Shenk

Period: September, 2001 to 

September, 2004

Funding: $770,000

Principal 

Investigator: Kristina Smock

Award: Grant

Awardee: Washington Aging and Adult 

Services Administration

PO Box 45600

Olympia, WA 98504-5600

Status: This grant is in its third year of funding. ■
62 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Nursing Facility Transitions, State Program

Project No: 18-P-91623/03

Project Offi cer: Thomas Shenk

Period: September, 2001 to 

September, 2004

Funding: $551,678

Principal 

Investigator: Julie Shelton

Award: Grant

Awardee: West Virginia Department of Health 

and Human Resources

Bureau for Medical Services

350 Capitol Street, Room 251

Charleston, WV 25301-3706

Status: This grant is in its third year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91672/05

Project Offi cer: Mary Clarkson

Period: September, 2001 to 

September, 2004

Funding: $800,000

Principal 

Investigator: Gail Propsom

Award: Grant

Awardee: Department of Health and Family 

Services, Division of Supportive 

Living

One West Wilson

PO Box 7851

Madison, WI 53707-7851

Status: This grant is in its third year of funding. ■

Nursing Facility Transitions, State Program

Project No: 18-P-91575/08-01

Project Offi cer: Mary Guy

Period: September, 2002 to 

September, 2005

Funding: $600,000

Principal 

Investigator: Joan Franklin

Award: Grant

Awardee: Wyoming Department of Health

6101 North Yellowstone Road

Room 259B

Cheyenne, WY 82002

Status: This project is in its second year of funding. ■

Nursing Home Transition 2000 Program Grant: 

Partnership for Community Living

Project No: 11-P-91208/04

Project Offi cer: Thomas Shenk

Period: September, 2000 to 

September, 2003

Funding: $500,000

Principal 

Investigator: David Rogers

Award: Grant

Awardee: Florida Agency for Health Care 

Administration

2727 Mahan Drive

Tallahasee, FL 32308

Description: This project targets Medicaid eligible 

individuals residing in nursing facilities, under the age of 

55, who have sustained a traumatic brain injury and/or 

spinal cord injury. The goal is to transition individuals 

who choose to return to the community from nursing 

facilities by providing services and supporting unmet 

needs. Funding will help to expand current infrastructure 

for community-based supports and services, replicate 

the project with other disability groups, and sustain 

transitioned individuals in the community. Transition 

services include those not currently available, such 

as start-up costs to secure housing, food, home 

modifi cations, and housing workshops and education. 

The project is a cooperative agreement between Florida, 

State and local agencies, and private organizations.

Status: This effort has now been incorporated into 

the Real Choice System Change projects that focus on 

the disabled. ■

Nursing Home Transition Grant—Arkansas 

Passages

Project No: 11-P-91210/06

Project Offi cer: Thomas Shenk

Period: September, 2000 to 

September, 2002

Funding: $500,000

Principal 

Investigator: Suzanne Crisp

Award: Grant

Awardee: Arkansas Department of 

Human Services

329 Donaghey Plaza South

PO Box 1437

Little Rock, AR 72203

Description: This project will assist a minimum of 80 

persons to transition from nursing home to home care. 

The program will support staff, trained as independent 

services coordinators, from independent living centers 

and the area agencies on aging to identify persons 

who have the desire to return home. A comprehensive 
Active Projects Report—2004 Edition 63

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

assessment and detailed transition plan for returning to 

the home will be completed. Reimbursement to agencies 

for staff will be from grant funds. Transitional support 

services will provide payment for items, or services, 

to ensure the participant’s environment is suffi cient to 

promote a reasonable quality of life and independence. 

A selection of Medicaid State Plan services, waiver 

services, and community resources will be available to 

assist the transitioning of each participant and will serve 

as the major source of funding for most services.

Status: This effort has now been incorporated into 

the Real Choice System Change projects that focus on 

the disabled. ■

Pennsylvania Nursing Home Transition 

Grant 2000

Project No: 11-P-91191/03

Project Offi cer: Thomas Shenk

Period: September, 2000 to 

September, 2003

Funding: $500,000

Principal 

Investigator: Dale Laninga

Award: Grant

Awardee: Pennsylvania Department of Public 

Welfare

PO Box 2675

Harrisburg, PA 17105-2675

Description: This project links the U.S. Department of 

Health and Human Services to work collaboratively with 

the State of Pennsylvania to enhance choices available 

to Medicaid benefi ciaries who are currently residing 

in nursing homes. The goal is to empower consumers, 

promote consumer choice, and assist people to transition 

from nursing homes into the community. This project 

builds on the existing efforts in Pennsylvania to remove 

the bias toward the use of nursing facilities in the existing 

long-term care system. While much work to date has had 

a pre-admission focus, this project complements current 

efforts by assisting persons currently in nursing homes to 

return to the community. Existing service programs and 

waivers will fund the services needed in the community 

and the project will pay for certain transitional needs 

that cannot be paid for with existing funding, such as 

deposits for housing and utilities or groceries. The State 

will evaluate the program to assist in the identifi cation of 

barriers to returning to the community, either perceived 

or real, and will develop outcome measures so that the 

program can be evaluated for effectiveness and possibly 

replicated and/or continued beyond the terms of the 

Federal grant.

Status: This effort has now been incorporated into 

the Real Choice System Change projects that focus on 

the disabled. ■

New Freedom Initiative Research

Project No: 500-00-0021/02

Project Offi cer: Adrienne Delozier

Period: September, 2003 to 

September, 2005

Funding: $1,099,768

Principal 

Investigator: Brian Burwell

Award: Task Order

Awardee: Medstat Group (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Description: On June 22, 1999, the U.S. Supreme 

Court, in Olmstead v. L.C., provided an important 

legal framework for State and Federal efforts to enable 

individuals with disabilities to live in the most integrated 

setting appropriate to their needs. This decision affi rmed 

that no one should have to live in an institution or nursing 

home if they can live in the community with the right 

mix of supportive services for their long-term care. The 

Americans with Disabilities Act of 1990 (ADA) is both 

reinforced and clarifi ed with the Olmstead decision. 

This decision has challenged the Federal Government 

and States to develop more opportunities for individuals 

with disabilities to live and participate in the community 

through more accessible systems of cost-effective 

community-based services. The Medicaid program plays 

a critical role in making long-term care available in the 

community by offering States many opportunities to 

deliver this care through mandatory State plan services 

like home health and optional services such as personal 

care. In addition, most States rely heavily on the 

Medicaid 1915(c), 1915(b), and 1115 waiver authorities 

to provide long-term care in the community.

On June 19, 2001, the President released an Executive 

Order aimed at expanding community-based alternatives 

for people with disabilities. He directed a number of 

Cabinet Secretaries, including Secretary of Health and 

Human Services (HHS) to “swift(ly) implement the 

Olmstead Decision (and) evaluate the policies, programs, 

statutes and regulations ...to determine whether any 

should be revised or modifi ed to improve the availability 

of community-based service for qualifi ed individuals 

with disabilities.” Each agency head was required to 

report to the President, through the Secretary of HHS, the 

results of their evaluation. A preliminary report, entitled 

Delivering on the Promise, was sent to the President on 

December 21, 2001. Individual agency and department 

reports were sent on March 25, 2002. The HHS Report is 

entitled Progress on the Promise.

This contract supports several tasks that further the 

goals of the ADA, the Olmstead Decision, and the New 

Freedom Initiative including:
64 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

• Collection, Analysis, and Dissemination 

of Promising Practices, State Planning and 

Infrastructure—Supports the dissemination of 

timely information about effective models of and 

new innovations around long-term support on 

program and policy innovations so that all States and 

stakeholders may benefi t from the experiences of 

their peers across the country.

• Ongoing Collection and Analysis of State Data 

for Long-Term Care Services—Supports the 

development of a Waiver Management System 

Database that will allow the Center for Medicaid 

and State Operations to (1) better manage its waiver 

programs and other long-term care services, and 

(2) ascertain progress States are making toward 

increasing the availability of community care 

opportunities for individuals with disabilities and 

the development of more accessible system of costeffective community-based care.

• Implementing New Freedom Executive Order—

Funds research to conduct an in-depth analysis of 

the issues identifi ed in the Report to the President 

and provides a further assessment of the identifi ed 

barriers to fulfi lling the ADA/Olmstead decision and 

implementing reforms in long-term care.

• Family or Individual Directed Community Services 

Research—Supports the development of a core 

curricula for “Paradigm Shift: Moving from Medical 

to Empowerment Model.”

Status: The project is under way. ■

ADA and Quality Initiatives

Project No: 500-00-0021/01

Project Offi cer: Adrienne Delozier

Period: September, 2003 to 

September, 2005

Funding: $2,114,494

Principal 

Investigator: Brian Burwell

Award: Task Order

Awardee: Medstat Group (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Description: On June 22, 1999, the U.S. Supreme 

Court, in Olmstead v. L.C., provided an important 

legal framework for State and Federal efforts to enable 

individuals with disabilities to live in the most integrated 

setting appropriate to their needs. This decision affi rmed 

that no one should have to live in an institution or nursing 

home if they can live in the community with the right 

mix of supportive services for their long-term care. The 

Americans with Disabilities Act of 1990 (ADA) is both 

reinforced and clarifi ed with the Olmstead decision. 

This decision has challenged the Federal Government 

and States to develop more opportunities for individuals 

with disabilities to live and participate in the community 

through more accessible systems of cost-effective 

community-based services. The Medicaid program plays 

a critical role in making long-term care available in the 

community by offering States many opportunities to 

deliver this care through mandatory State plan services 

like home health and optional services such as personal 

care. In addition, most States rely heavily on the 

Medicaid 1915(c), 1915(b), and 1115 waiver authorities 

to provide long-term care in the community.

On June 19, 2001, the President released an Executive 

Order aimed at expanding community-based alternatives 

for people with disabilities. He directed a number of 

Cabinet Secretaries, including the Secretary of Health 

and Human Services (HHS), to “swift(ly) implement the 

Olmstead Decision (and) evaluate the policies, programs, 

statutes and regulations ...to determine whether any 

should be revised or modifi ed to improve the availability 

of community-based service for qualifi ed individuals 

with disabilities.” Each agency head was required to 

report to the President, through the Secretary of HHS, the 

results of their evaluation. A preliminary report, entitled 

Delivering on the Promise, was sent to the President on 

December 21, 2001. Individual agency and department 

reports were sent on March 25, 2002. The HHS Report is 

entitled Progress on the Promise.

This contract supports several tasks that further the 

goals of the ADA, the Olmstead Decision, and the New 

Freedom Initiative including:

• Ensuring Quality in the Medicaid Home and 

Community-Based Services (HCBS) Waiver 

Program—Provides a National Technical Assistance 

Contractor for the provision of technical assistance 

to States, the Centers for Medicare & Medicaid 

Services (CMS) Central Offi ce, and CMS Regional 

Offi ces in the areas of quality management, including 

quality assurance and improvement.

• Resource Network for ADA/Olmstead—Supports 

the Web site HCBS.org that facilities communication 

between States and consumers, provides seminal 

research and summaries on HCBS programs or 

initiatives, and provides important HCBS data. 

• Olmstead-Informational Tools for States—Funds 

efforts by the National Conference of State 

Legislatures to help legislators understand their 

responsibilities and opportunities to provide costeffective, high quality community-based services; 

develop systems that support employment of people 

with disabilities; and understand then comply with 

the Olmstead v. L.C. Supreme Court decision.
Active Projects Report—2004 Edition 65

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

• Executive Order Administrative Costs—Will support 

the logistical planning and convening of two New 

Freedom Initiative Policy Summits.

• New Model Waivers—Will develop a training 

curriculum for CMS to present to States on selfdirection in the context of Independence Plus waivers 

and demonstrations and implementing the required 

standards. Will also support technical assistance to 

States on implementation and CMS requirements 

related to Independence Plus.

Status: The project is under way. ■

Sustaining Culture Change in LTC Facilities for 

the Elderly

Project No: 18-P-91857/03-01

Project Offi cer: Mary Clarkson

Period: September, 2003 to 

September, 2004

Funding: $99,350

Principal 

Investigator: Arthur W. Rashap

Award: Grant

Awardee: Jefferson Area Board for Aging

674 Hillsdale Avenue, Suite 9

Charlottesville, VA 22901

Description: The Nursing Facility Transitions, State 

Program Grants, part of the Real Choice Systems Change 

Grants for Community Living, will help States transition 

eligible individuals from nursing facilities to the 

community. State program grants can be used for a wide 

range of activities, e.g., a State may wish to use State 

program grant funds to develop strategies for linking 

individuals with disabilities to Section 8 rental housing 

vouchers or developing other coordinated housing 

strategies. They will help individual States enable 

people with disabilities to reside in their own homes 

and participate fully in community life by designing 

and implementing improvements in community longterm support systems in partnership with the disability 

and aging communities. These systemic changes will 

allow children and adults with disabilities or long-term 

illnesses to live in the most integrated setting suited to 

their needs, exercise meaningful choices about their 

living arrangements, and exercise more control over the 

providers of the services they receive. For additional 

information concerning these grants, please visit our Web 

site at www.cms.hhs.gov.

Status: This project is in the start-up phase. ■

Cash and Counseling Demonstration: Florida

Project No: 11-W-00117/04

Project Offi cer: Tonya Moore

Period: October, 1998 to February, 2008

Funding: $0

Principal 

Investigator: Kerry Schoolfi eld

Award: Waiver-Only Project

Awardee: Florida Agency for Health Care 

Administration 

2727 Mahan Drive

Tallahasee, FL 32308

Description: The purpose of these demonstrations is to 

provide greater autonomy to consumers of long-term care 

services by empowering them to purchase the assistance 

they require to perform activities of daily living. They 

are Section 1115 waiver projects awarded to the States 

of Arkansas, Florida, New Jersey, and New York. 

Persons chosen to participate in these demonstrations 

will be assigned to either a treatment or a control group. 

Benefi ciaries selected for the treatment group will 

receive cash allowances, which they can use to select and 

purchase the personal assistance services (PAS) that meet 

their needs. Fiscal and counseling intermediary services 

will be available to those members of the treatment group 

who wish to utilize them. Individuals assigned to the 

control group will receive PAS services from traditional 

Medicaid providers, with the State making all vendor 

payments. Other partners in this collaborative effort 

include the Robert Wood Johnson Foundation, which 

funded the development of these projects; the Offi ce 

of the Assistant Secretary for Planning and Evaluation 

within the Department of Health and Human Services, 

which is funding the evaluation; the National Program 

Offi ce at the University of Maryland Center on Aging, 

which is performing various coordinating functions; 

and the National Council on Aging, which has served in 

an advisory capacity. An evaluation contract has been 

awarded to Mathematica Policy Research, Inc. It will 

assess differential outcomes with respect to cost, quality, 

and client satisfaction between traditional PAS services 

and alternative choice modalities.

Status: CMS approved the Florida operational protocol 

and conducted the initial portion of an operational 

readiness review. ■
66 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

New Jersey Cash and Counseling Demonstration

Project No: 11-W-00118/02

Project Offi cer: Melissa Harris

Period: May, 2000 to April, 2005

Funding: $0

Principal 

Investigator: William Ditto

Award: Waiver-Only Project

Awardee: New Jersey Department of Human 

Services

222 South Warren Street

PO Box 700

Trenton, NJ 08625-0700

Description: The purpose of these demonstrations is to 

provide greater autonomy to consumers of long-term care 

services by empowering them to purchase the assistance 

they require to perform activities of daily living. They 

are Section 1115 waiver projects awarded to the States of 

Arkansas, Florida, and New Jersey. Persons chosen to 

participate in this demonstration will be assigned to either 

a treatment or a control group. Benefi ciaries selected for 

the treatment group will receive cash allowances, which 

they can use to select and purchase the personal 

assistance services (PAS) that meet their needs. Fiscal 

and counseling intermediary services will be available to 

those members of the treatment group who wish to utilize 

them. Individuals assigned to the control group will 

receive PAS services from traditional Medicaid 

providers, with the State making all vendor payments. 

Other partners in this collaborative effort include the 

Robert Wood Johnson Foundation, which funded the 

development of these projects; the Offi ce of the Assistant 

Secretary for Planning and Evaluation within the 

Department of Health and Human Services, which is 

funding the evaluation; the National Program Offi ce at 

the University of Maryland’s Center on Aging, which is 

performing various coordinating functions; and the 

National Council on Aging, which has served in an 

advisory capacity. An evaluation contract has been 

awarded to Mathematica Policy Research, Inc. It will 

assess differential outcomes with respect to cost, quality, 

and client satisfaction between traditional PAS services 

and alternative choice modalities.

Status: New Jersey received approval on October 8, 

2003, to align their 5 years of demonstration status with 

their period of implementation. The revised dates of 

Section 1115 authority are May 1, 2000, through 

April 30, 2005. ■

New York Cash and Counseling Demonstration: 

“Personal Preference Program”

Project No: 11-W-00119/02

Project Offi cer: Tonya Moore

Period: October, 1998 to October, 2003

Funding: $0

Principal 

Investigator: Karen Calley

Award: Waiver-Only Project

Awardee: New York Department of 

Health (Albany)

The Riverview Center, 4th Floor, 

150 Broadway

Albany, NY 12204-2719

Description: The purpose of these demonstrations 

is to provide greater autonomy to consumers of longterm care services by empowering them to purchase 

the assistance they require to perform activities of daily 

living. Section 1115 waiver projects were awarded to 

the States of Arkansas, Florida, New Jersey, and New 

York. Benefi ciaries selected for the treatment group will 

receive cash allowances, which they can use to select and 

purchase the personal assistance services (PAS) that meet 

their needs. Fiscal and counseling intermediary services 

will be available to those members of the treatment group 

who wish to utilize them. Individuals assigned to the 

control group will receive PAS services from traditional 

Medicaid providers, with the State making all vendor 

payments. The study will assess differential outcomes 

with respect to cost, quality, and client satisfaction 

between traditional PAS services and alternative choice 

modalities. This collaborative effort includes the Robert 

Wood Johnson Foundation, the Offi ce of the Assistant 

Secretary for Planning and Evaluation, the National 

Program Offi ce at the University of Maryland’s Center 

on Aging, and the National Council on Aging.

Status: The Robert Wood Johnson Foundation and 

the Offi ce of the Assistant Secretary for Planning 

and Evaluation, Department of Health and Human 

Services, have terminated their funding of this 

proposed New York project. ■

MEDICAID AND SCHIP PAYMENT ACCURACY 

MEASUREMENT (PAM) PROJECT

This is one of a series of projects designed to meet 

a Government Performance and Results Act goal of 

CMS. The purpose of the PAM project is to explore the 

feasibility of conducting payment accuracy studies in 

all States using a single methodology that can produce 

both State-specifi c and national level payment accuracy 

estimates for the title XIX Medicaid program.

Status: This project is in the start-up phase. ■
Active Projects Report—2004 Edition 67

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Alabama

Project No: 95-P-92265/04-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $134,720

Principal 

Investigator: Arica White

Award: Grant

Awardee: Alabama Department of Public 

Health Children’s Health Insurance 

Program

PO Box 303017, Suite 250

Montgomery, AL 36130-3017

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Arizona

Project No: 95-P-92274/09-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $647,154

Principal 

Investigator: Sharon Miller

Award: Grant

Awardee: Arizona Health Care Cost 

Containment System

801 East Jefferson

Phoenix, AZ 85034

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Arkansas

Project No: 95-P-92273/06-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $195,442

Principal 

Investigator: Teresa Hursey

Award: Grant

Awardee: Arkansas Department of Human 

Services

329 Donaghey Plaza South

PO Box 1437

Little Rock, AR 72203

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Delaware

Project No: 95-P-92264/03-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $188,577

Principal 

Investigator: Mary Marinari

Award: Grant

Awardee: Delaware Health and Social 

Services 

1901 North DuPont Highway

New Castle, DE 19720

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Idaho

Project No: 95-P-92268/00-01

Project Offi cer: Wayne Slaughter

Period: July, 2003 to September, 2004

Funding: $261,000

Principal 

Investigator: DeeAnn Moore

Award: Grant

Awardee: Idaho Department of Health and 

Welfare

PO Box 83720

Boise, ID 83720-0036

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Iowa

Project No: 95-P-92258/07-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $300,000

Principal 

Investigator: Patricia Ernst-Becker

Award: Grant

Awardee: Iowa Department of Human 

Services

Hoover Building, 5th Floor, East 

13th and Walnut Streets

Des Moines, IA 50319-0114
68 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Louisiana

Project No: 95-P-91684/06-03

Project Offi cer: Wayne Slaughter

Period: August, 2003 to August, 2004

Funding: $571,500

Principal 

Investigator: Don Gregory

Award: Grant

Awardee: Louisiana Department of Health 

and Hospitals

PO Box 2870, Bin 30

Baton Rouge, LA 70821-2870

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Massachusetts

Project No: 95-P-92269/01-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $500,000

Principal 

Investigator: Mary Fontaine

Award: Grant

Awardee: Massachusetts Division of Medical 

Assistance

600 Washington Street

Boston, MA 20111

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—New Mexico

Project No: 95-P-92275/06-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to August, 2004

Funding: $222,400

Principal 

Investigator: Leon Fogelfeld

Award: Grant

Awardee: New Mexico Department of 

Human Services

PO Box 2348

Santa Fe, NM 87504

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—North Carolina

Project No: 95-P-91680/04-03

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $672,567

Principal 

Investigator: Robert Nowell

Award: Grant

Awardee: North Carolina Department of 

Health and Human Services

2001 Mail Service Center

Raleigh, NC 27699-2515

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—North Dakota

Project No: 95-P-91686/08-03

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $88,968

Principal 

Investigator: Maggie Anderson

Award: Grant

Awardee: North Dakota Department of 

Human Services (Bismarck)

600 East Boulevard Avenue 

Department 325

Bismarck, ND 58505-0250

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Oklahoma

Project No: 95-P-91808/06-02

Project Offi cer: Christine Saxonis

Period: September, 2003 to 

September, 2004

Funding: $331,433

Principal 

Investigator: Kelly Shropshire

Award: Grant

Awardee: Oklahoma Health Care Authority

4545 North Lincoln Boulevard

Oklahoma City, OK 73105
Active Projects Report—2004 Edition 69

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—South Dakota

Project No: 95-P-92270/08-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to September, 

2004

Funding: $100,000

Principal 

Investigator: Damian L. Prunty

Award: Grant

Awardee: South Dakota Department of Social 

Services, Offi ce of Medical Services

700 Governor’s Drive

Knelp Building

Pierre, SD 57501-2291

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Texas

Project No: 95-P-91683/06-03

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $399,722

Principal 

Investigator: Aurora LeBrun

Award: Grant

Awardee: Texas Health and Human Services 

Commission

PO Box 13247

Austin, TX 78711-3247

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Utah

Project No: 95-P-92261/08-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $77,755

Principal 

Investigator: Steven Gatzemeier

Award: Grant

Awardee: Utah Department of Health/HCF

Box 143103

Salt Lake City, UT 84114-3103

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Washington

Project No: 95-P-91681/00-03

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $361,161

Principal 

Investigator: Charles P. Cummings

Award: Grant

Awardee: Washington Department of Social 

and Health Services

PO Box 45600

Olympia, WA 98503-5503

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—West Virginia

Project No: 95-P-92266/03-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $104,090

Principal 

Investigator: Terry A. Harless

Award: Grant

Awardee: West Virginia Children’s Health 

Insurance Program

1900 Kanawha Boulevard, East 

Building 3, Room 554

Charleston, WV 25305

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Wyoming

Project No: 95-P-91679/08-03

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $159,806

Principal 

Investigator: Teri L. Green

Award: Grant

Awardee: Wyoming Department of Health

6101 North Yellowstone Road

Room 259B

Cheyenne, WY 82002
70 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

MEDICAID PAYMENT ACCURACY 

MEASUREMENT (PAM) PROJECT

In FY 2000, CMS adopted a Government Performance 

and Results Act (GPRA) goal to develop and pilot test 

a methodology that can be used by all States to produce 

both State-specifi c and national level payment error 

estimates for Medicaid and SCHIP. In response to 

the requirements of this performance goal, the Center 

for Medicaid and State Operations (CMSO) initiated 

the Payment Accuracy Measurement (PAM) Project. 

PAM Project pilot tests of the methodology have been 

conducted in FY 2002, FY 2003, and FY 2004. 

Medicaid Payment Accuracy Measurement (PAM) 

Project—California

Project No: 95-P-92267/09-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $300,534

Principal 

Investigator: Doug Smith

Award: Grant

Awardee: California Department of Health 

Services

591 North 7th Street, 1st Floor

PO Box 942732

Sacramento, CA 94237-7320

Status: This project is in the start-up phase. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—Colorado

Project No: 95-P-92260/08-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $221,395

Principal 

Investigator: Margaret Mohan

Award: Grant

Awardee: Colorado Department of Health 

Care Policy and Financing

1570 Sherman Street

Denver, CO 80203-1714

Status: This project is in the start-up phase. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—District of Columbia

Project No: 95-P-92263/03-01

Project Offi cer: Wayne Slaughter

Period: August, 2003 to September, 2004

Funding: $295,328

Principal 

Investigator: Bernardo Gonzales

Award: Grant

Awardee: District of Columbia Department 

of Health, Medical Assistance 

Administration

825 North Capital Street, NW

Washington, DC 20002

Status: This project is in the start-up phase. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—Florida

Project No: 95-P-91806/04-02

Project Offi cer: Wayne Slaughter

Period: August, 2003 to September, 2003

Funding: $588,389

Principal 

Investigator: Nancy Ross

Award: Grant

Awardee: Florida Agency for Health Care 

Administration

2727 Mahan Drive

Tallahassee, FL 32308

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—Indiana

Project No: 95-P-91804/05-01

Project Offi cer: Wayne Slaughter

Period: September, 2002 to 

September, 2003

Funding: $129,688

Principal 

Investigator: Mathew DeLillo

Award: Grant

Awardee: Indiana Offi ce of Medicaid Policy 

and Planning (OMPP)

402 West Washington Street

Room W382-MS07

Indianapolis, IN 46204

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■ 
Active Projects Report—2004 Edition 71

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Medicaid Payment Accuracy Measurement (PAM) 

Project—Kentucky

Project No: 95-P-92259/04-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $173,700

Principal 

Investigator: Jerri Heltzel Robinson

Award: Grant

Awardee: Kentucky Department for Medicaid 

Services

275 East Main Street, 6 E B

Frankfort, KY 40601

Status: This project is in the start-up phase. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—Louisiana

Project No: 95-P-91684/06-02

Project Offi cer: Wayne Slaughter

Period: September, 2002 to 

September, 2003

Funding: $190,500

Principal 

Investigator: Don Gregory

Award: Grant

Awardee: Louisiana Department of Health 

and Hospitals

PO Box 2870, Bin 30

Baton Rouge, LA 70821-2870

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—Minnesota

Project No: 95-P-91685/05-02

Project Offi cer: Wayne Slaughter

Period: August, 2001 to September, 2003

Funding: $437,891

Principal 

Investigator: Gina Kiser

Award: Grant

Awardee: Minnesota Department of Human 

Services

Human Services Building

444 Lafayette Road

St. Paul, MN 55155-3849

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—Mississippi

Project No: 95-P-91682/04-02

Project Offi cer: Wayne Slaughter

Period: September, 2002 to 

September, 2003

Funding: $271,976

Principal 

Investigator: Carlis Faler

Award: Grant

Awardee: Mississippi Offi ce of Governor, 

Division of Medicaid

Robert E. Lee Building

239 North Lamar Street, Suite 801

Hinds County

Jackson, MS 39201

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—Nebraska

Project No: 95-P-91807/07-01

Project Offi cer: Wayne Slaughter

Period: September, 2002 to 

September, 2003

Funding: $186,875

Principal 

Investigator: Margaret (Booth) Froeschle

Award: Grant

Awardee: Nebraska Department of Health 

and Human Services, Finance and 

Support

PO Box 95026

Lincoln, NE 68509-5026

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—New York

Project No: 95-P-91687/02-02

Project Offi cer: Wayne Slaughter

Period: September, 2002 to 

September, 2003

Funding: $225,000

Principal 

Investigator: Judith Battison

Award: Grant

Awardee: New York Department of Health

The Riverview Center, 4th Floor, 

150 Broadway

Albany, NY 12204-2719
72 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—North Carolina

Project No: 95-P-91680/04-02

Project Offi cer: Wayne Slaughter

Period: September, 2002 to 

September, 2003

Funding: $218,788

Principal 

Investigator: Robert Nowell

Award: Grant

Awardee: North Carolina Department of 

Health and Human Services

2511 Mail Service Center

Raleigh, NC 27699-2515

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—North Dakota

Project No: 95-P-91686/08-02

Project Offi cer: Wayne Slaughter

Period: September, 2002 to 

September, 2003

Funding: $46,433

Principal 

Investigators: Maggie Anderson and Sheldon Wolf

Award: Grant

Awardee: North Dakota

600 East Boulevard Avenue, 

Department 325

Bismarck, ND 58505-0250

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—Oklahoma

Project No: 95-P-91808/06-01

Project Offi cer: Wayne Slaughter

Period: September, 2002 to 

September, 2003

Funding: $154,497

Principal 

Investigators: Kelly Shropshire and Cindy Roberts

Award: Grant

Awardee: Oklahoma Health Care Authority

4545 North Lincoln Boulevard

Oklahoma City, OK 73105

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—South Carolina

Project No: 95-P-92262/04-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $146,000

Principal 

Investigator: Kathleen Snider

Award: Grant

Awardee: South Carolina Department of 

Health and Human Services

PO Box 8206

Columbia, SC 29202-8206

Status: This project is in the start-up phase. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—Texas

Project No: 95-P-91683/06-02

Project Offi cer: Wayne Slaughter

Period: September, 2002 to 

September, 2003

Funding: $153,872

Principal 

Investigators: Aurora LeBrun and Cindy Wiley

Award: Grant

Awardee: Texas Health and Human Services 

Commission

PO Box 13247

Austin, TX 78711-3247

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■
Active Projects Report—2004 Edition 73

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Medicaid Payment Accuracy Measurement (PAM) 

Project—Virginia

Project No: 95-P-92271/03-01

Project Offi cer: Wayne Slaughter

Period: September, 2003 to 

September, 2004

Funding: $289,331

Principal 

Investigator: Stanley Fields

Award: Grant

Awardee: Virginia Department of Medical 

Assistance Services

600 East Broad Street, Suite 1300

Richmond, VA 23219

Status: This project is in the start-up phase. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—Washington

Project No: 95-P-91681/00-02

Project Offi cer: Wayne Slaughter

Period: September, 2002 to 

September, 2003

Funding: $115,268

Principal 

Investigators: Cathy Ott and Ron Armstrong

Award: Grant

Awardee: Washington Department of Social 

and Health Services

PO Box 455354

Olympia, WA 98504-5858

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■

Medicaid Payment Accuracy Measurement (PAM) 

Project—Wyoming

Project No: 95-P-91679/08-02

Project Offi cer: Wayne Slaughter

Period: September, 2002 to 

September, 2003

Funding: $50,289

Principal 

Investigator: Teri L. Green

Award: Grant

Awardee: Wyoming Department of Health

6101 North Yellowstone Road

Room 259B

Cheyenne, WY 82002

Status: The PAM Project grant recipient completed their 

grant requirements and submitted their fi nal report to 

CMS as required. ■

Medicaid Payment Accuracy Measurement 

Project

Project No: 500-00-0051/01

Project Offi cer: Wayne Slaughter

Period: September, 2001 to 

September, 2003

Funding: $856,645

Principal 

Investigator: Paul Hogan

Award: Task Order

Awardee: Lewin Group

3130 Fairview Park Drive, Suite 800

Falls Church, VA 22042

Description: The Medicaid Payment Accuracy 

Measurement (PAM) Project will develop and pilot test 

several methodologies that CMS will use to (1) identify 

State-specifi c payment accuracy rates; (2) compare 

payment accuracy between States; (3) estimate payment 

accuracy nationally; and (4) assist with the creation of 

statistical sampling designs that produce statistically 

valid results on both macro and micro problem 

identifi cation. The Payment Accuracy Rate is essential 

for accurately determining the extent of improper 

payment and in helping to determine where to invest 

resources to improve the payment system. Creation of 

statistically valid common methodologies that can be 

used by all States is particularly challenging. 

Determining whether common methodologies are 

feasible is a high priority for CMS and is a Government 

Performance and Results Act goal. In addition to 

researching the feasibility of common methodologies, the 

development of measurement tools that can be tailored to 

individual State programs will help reduce inaccurate 

payments, recover overpayments, and target reviews on 

the specifi c providers or services that are most 

problematic. This project identifi es methodologies that 

are effective for States and are valid for State-to-State 

comparisons, and determines the feasibility of a national 

estimate. It begins with a pilot test with 9 States and is 

expected to expand to 15 States.

Status: The Lewin Group contract as technical 

consultant to the PAM Project was successfully 

completed for the period of 9/2001 through 9/2003; 

we subsequently extended this contract through 9/2004; 

we are currently planning to extend it again through 

FY 2005. ■
74 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Expanding Capacity for the Medical Care for 

Children Partnership

Project No: 18-P-91859/03-01

Project Offi cer: Monica Harris

Period: September, 2003 to 

September, 2004

Funding: $129,155

Principal 

Investigator: Sandra Stiner Lowe

Award: Grant

Awardee: Medical Care for Children

12000 Government Center 

Parkway

Fairfax, VA 22035

Description: This project is designed to expand the 

capacity of coverage for children through the Medical 

Care for Children Partnership (MCCP) and evaluate a 

new model of providing care. The standard model of 

service delivery through this program has been a widely 

dispersed network of physicians who see a small number 

of children for reduced fees. This model will incorporate 

one pediatric nurse practitioner (PNP) in a private 

medical group, with a bilingual medical offi ce assistant 

and case manager to provide care to 500 children.

Status: MCCP is at the beginning stages of 

implementing the grant. Upon receipt of the award letter 

from the CMS, they began to solicit primary care medical 

practices through the Requests for Proposal process. The 

large group private pediatric medical practice that MCCP 

originally worked with to develop the project applied 

along with four other applicants. Each applicant was 

required to submit a technical and business proposal. 

A Selection Advisory Committee (SAC) reviewed all 

proposals. The SAC ranked and rated all the proposals. 

Orals were conducted with the top two offerors. Final 

negotiations are under way with the top offeror, a 

pediatric medical practice located in Springfi eld, Virginia. 

As described in the proposal, the medical practice has 

committed to providing a PNP, a medical offi ce assistant, 

and physicians in the practice as back-up. The practice is 

prepared to begin seeing patients on February 1, 2004. 

The case manager from MCCP has identifi ed a pool of 

264 children located in the Springfi eld region eligible for 

participation with the practice and a larger pool of over 

600 children in the Alexandria area. MCCP has also 

developed the data collection tool to be implemented in 

the medical practice for tracking evaluation measures 

required in the grant. No funds have been drawn down 

to date. ■

Improving Health Care, Child Care, Nutrition, 

and Income for Massachusetts

Project No: 18-P-91849/01-01

Project Offi cer: Monica Harris

Period: September, 2003 to 

September, 2004

Funding: $93,446

Principal 

Investigator: Janet Weigel

Award: Grant

Awardee: Community Catalyst, Inc.

30 Winter Street

Boston, MA 02108

Description: This project will continue development 

and fully implement the RealBenefi ts program statewide. 

RealBenefi ts is an Internet-based eligibility screening 

tool for many public benefi t programs. This phase of 

the 3-year effort will focus on recruitment of community 

partners, follow-up training, and support.

Status: Key tasks and milestones are on or ahead of 

schedule:

• RealBenefi ts was rolled out to Lighthouse Health 

Access Alliance (LHAA) in October. LHAA 

is making the application available to all health 

and human service agencies on Cape Cod and 

the Islands. Community Catalyst conducted 

public demonstrations to educate potential users 

on the Cape and followed up with a series of 

training sessions, involving 44 user organizations. 

Systematic followup with users has begun to 

determine if and how they are using the application.

• The Boston Public Health Commission is using 

RealBenefi ts on the Mayor’s Health Line and will 

be training users from their Healthy Baby/Healthy 

Child initiative and making licenses available to 

the community health centers and other health and 

human service providers in Boston. 

• In Springfi eld, a consortium of 15 health care 

agencies and community health centers will begin to 

use RealBenefi ts to screen for eligibility and produce 

medical program applications for patients in the fi rst 

quarter of 2004. 

• Followup interviews with users from each 

organization are planned.

• A pilot project has been established to determine 

what enhancements need to be added to RealBenefi ts 

to make it more useful to hospitals. A limited 

number of staff members from Bay State Health 

Center in Springfi eld, Cambridge Health Alliance, 

and Boston Medical Center will be using the tool 

as of February 1. Group feedback sessions will be 

conducted over a 6-month period. 
Active Projects Report—2004 Edition 75

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

• Demonstrations of RealBenefi ts are ongoing 

throughout Massachusetts. Milestone fi gures for 

numbers of user organizations have been surpassed. 

Followup work is focused on learning from users 

and increasing acceptance and usage within 

organizations.

• Efforts to engage the State of Massachusetts in 

supporting electronic application have proceeded 

more rapidly than expected. The Executive Offi ce of 

Health and Human Services (EOHHS) has produced 

a multiphase plan to enable online applications and 

has promoted RealBenefi ts as a tool from which 

electronic applications will be accepted. June 2004 

is the EOHHS goal for opening a gateway to accept 

applications produced using RealBenefi ts. ■

Institute for End-of-Life Care

Project No: 18-P-91855/08-01

Project Offi cer: Melissa Harris

Period: September, 2003 to 

September, 2004

Funding: $496,750

Principal 

Investigator: Bev Sloan

Award: Grant

Awardee: Hospice of Metro Denver

425 South Cherry Street, Suite 700

Denver, CO 80246-1234

Description: Hospice of Metro Denver will be 

designing and implementing an Institute for End-of-Life 

Care, a center for palliative and end-of-life care and 

education. This center will conduct training to health 

care professionals and develop palliative care models to 

effect more positive end-of-life outcomes.

Status: Grant activity is proceeding. CMS is providing 

technical assistance to the grantee as issues arise. ■

National Pediatric Care Education Initiative

Project No: 18-P-91848/05-01

Project Offi cer: Melissa Harris

Period: September, 2003 to 

September, 2004

Funding: $347,725

Principal 

Investigator: Jody Chrastek

Award: Grant

Awardee: Children Health Care, Inc.

2425 Chicago Avenue South

Mail Stop 40-300

Minneapolis, MN 55404

Description: This grant will enable Children’s Hospitals 

and Clinics to collaborate with the National Hospice 

and Palliative Care Organization in providing pediatric 

education services to clinicians and other providers 

and to serve as a model for nationwide education 

and consultation for providers caring for seriously ill 

children.

Status: Grant activities continue on schedule. CMS is 

providing technical assistance on grant issues as they 

arise. ■

Program for All-Inclusive Care for Children and 

Their Families

Project No: 95-P-91718/03-02

Project Offi cer: Melissa Harris

Period: April, 2003 to March, 2004

Funding: $1,360,984

Principal 

Investigator: Ann Armstrong-Dailey

Award: Grant

Awardee: Children’s Hospice International

901 North Pitt Street, #230

Alexandria, VA 22314

Description: This grant is being utilized by Children’s 

Hospice International to continue efforts begun in prior 

years to promote the Program of All-Inclusive Care for 

Children and Their Families. Funds will be awarded to a 

seventh State to develop a mechanism for administering 

this model, and additional funds will be used for 

technical assistance conferences and educational and 

evaluative materials.

Status: Grant activity continues on schedule. CMS is 

providing technical assistance as issues arise. ■

Program of All-Inclusive Care for Children—

Florida

Project No: 11-P-91167/04

Project Offi cer: Melissa Harris

Period: September, 2000 to June, 2003

Funding: $198,330

Principal 

Investigator: Bob Maryanski

Award: Grant

Awardee: Florida Agency for Health Care 

Administration

2728 Fort Knox Boulevard

Building 3

Tallahassee, FL 32308

Description: This project is part of a CMS grant to the 

State for research and evaluation activities culminating in 

the development of a demonstration program specifi cally 

designed for improving the services available to children 

with life-threatening conditions and their families. The 

Program of All-Inclusive Care for Children (PACC) is a 

model of care that will be established in the State through 

that demonstration. PACC integrates all health care, 
76 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

social services, and support services needed by families 

to care for children diagnosed with life-threatening and 

potentially life-limiting conditions. PACC provides these 

services at the point of diagnosis of a terminal illness 

and continues through the provision of bereavement 

counseling after the end of life. 

The primary goal of the Florida program is to maintain 

these children in their home, which would be less costly 

and more likely to achieve patient and family/caregiver 

satisfaction. Initially, the State will pilot this project in 

limited geographic areas, and may limit participation 

in the project to children with specifi c life-threatening 

diagnoses, until Florida is able to expand the program to 

include all diagnoses.

Status: This project is completed. ■

MAINTAIN INDEPENDENCE 

AND EMPLOYMENT PROGRAM—

INFRASTRUCTURE GRANTS

The Medicaid Infrastructure Grant Program is authorized 

under Section 204 of the Ticket-to-Work and Work 

Incentives Improvement Act. The 11-year competitive 

grant program provides funding to States for Medicaid 

infrastructure development that will build supports for 

people with disabilities who would like to be employed. 

States are encouraged to use grant funding to implement 

and develop the optional working disabled eligibility 

group (Medicaid buy-in), increase the availability of 

statewide personal assistance services, form linkages with 

other State and local agencies that provide employment 

related supports, and create a seamless infrastructure that 

will maximize the employment potential of all people 

with disabilities.

For additional information concerning the Medicaid 

Infrastructure Grant Program, please visit our Web site at 

www.cms.hhs.gov/twwiia.

Status: This award is made to allow the State to develop 

the infrastructure that will support the development of 

demonstration(s). ■

Maintain Independence and Employment 

Program—Infrastructure Grant—Alaska

Project No: 11-P-91230/00

Project Offi cer: Jeannine Eberly

Period: October, 2000 to December, 2004

Funding: $1,625,000

Principal 

Investigator: Millie Ryan

Award: Grant

Awardee: Alaska Governor’s Council on 

Disabilities and Special Education

PO Box 240249

Anchorage, AK 99524-0249

Maintain Independence and Employment 

Program—Infrastructure Grant—Alabama

Project No: 11-P-91224/04

Project Offi cer: Jeannine Eberly

Period: October, 2000 to December, 2005

Funding: $1,625,000

Principal 

Investigator: Patricia Harris

Award: Grant

Awardee: Alabama Medicaid Agency

Long-Term Care Division

501 Dexter Avenue

Montgomery, AL 36103-5624

Maintain Independence and Employment 

Program—Infrastructure Grant—California

Project No: 11-P-91494/09

Project Offi cer: Jeremy Silanskis

Period: January, 2002 to December, 2005

Funding: $1,500,000

Principal 

Investigator: Stan Rosenstein

Award: Grant

Awardee: California Department of Health 

Services

714/744 P Street

Sacramento, CA 95814

Maintain Independence and Employment 

Program—Infrastructure Grant—Connecticut

Project No: 11-P-91231/01

Project Offi cer: Jeremy Silanskis

Period: October, 2000 to December, 2004

Funding: $1,625,000

Principal 

Investigator: Amy Porter

Award: Grant

Awardee: Connecticut Department of Social 

Services

25 Sigourney Street

Hartford, CT 06106-5033
Active Projects Report—2004 Edition 77

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Maintain Independence and Employment 

Program—Infrastructure Grant—Delaware

Project No: 11-P-91482/03

Project Offi cer: Jeremy Silanskis

Period: January, 2002 to December, 2004

Funding: $1,000,000

Principal 

Investigator: Joyce Pinkett

Award: Grant

Awardee: Delaware Health Care Commission

900 North Dupont Highway, Lewis 

Building

New Castle, DE 19720

Maintain Independence and Employment 

Program—Infrastructure Grant—District of 

Columbia

Project No: 11-P-91241/03

Project Offi cer: Jeremy Silanskis

Period: October, 2000 to December, 2005

Funding: $1,500,000

Principal 

Investigator: Gail Smith

Award: Grant

Awardee: District of Columbia Department 

of Health, Medical Assistance 

Administration

825 North Capital Street, NW

Washington, DC 20002

Maintain Independence and Employment 

Program—Infrastructure Grant—Georgia

Project No: 11-P-91240/04

Project Offi cer: Jeremy Silanskis

Period: October, 2000 to December, 2004

Funding: $625,000

Principal 

Investigator: Fran Ellington

Award: Grant

Awardee: Georgia Department of 

Community Health

2 Peachtree Street, NW, 40th Floor

Atlanta, GA 30303-3159

Maintain Independence and Employment 

Program—Infrastructure Grant—Idaho

Project No: 11-P-91235/00

Project Offi cer: Jeremy Silanskis

Period: October, 2000 to December, 2002

Funding: $1,125,000

Principal 

Investigator: Diane Yarrington

Award: Grant

Awardee: Idaho Department of Health and 

Welfare

3380 American Terrace, Suite 230

Boise, ID 83720-0036

Maintain Independence and Employment 

Program—Infrastructure Grant—Iowa

Project No: 11-P-91491/07

Project Offi cer: John Young

Period: January, 2002 to December, 2004

Funding: $2,867,750

Principal 

Investigator: Eileen Creager

Award: Grant

Awardee: Iowa Department of Human 

Services

Hoover Building, 5th Floor

East 13th and Walnut Streets

Des Moines, IA 50319-0114

Maintain Independence and Employment 

Program—Infrastructure Grant—Illinois

Project No: 11-P-91238/05

Project Offi cer: John Young

Period: October, 2000 to December, 2004

Funding: $2,125,000

Principal 

Investigator: Pat Curtis

Award: Grant

Awardee: Illinois Department of Public Aid

201 South Grand Avenue East

Springfi eld, IL 62763-0001
78 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Maintain Independence and Employment 

Program—Infrastructure Grant—Illinois

Project No: 11-P-91484/05

Project Offi cer: Joseph Razes

Period: January, 2002 to December, 2004

Funding: $500,000

Principal 

Investigator: Pat Curtis

Award: Grant

Awardee: Illinois Department of Public Aid

201 South Grand Avenue East

Springfi eld, IL 62763-0001

Maintain Independence and Employment 

Program—Infrastructure Grant—Kansas

Project No: 11-P-91226/07

Project Offi cer: Jeremy Silanskis

Period: October, 2000 to December, 2004

Funding: $2,029,117

Principal 

Investigator: Sharon Johnson

Award: Grant

Awardee: Kansas Department of Social and 

Rehabilitation Services

Docking State Offi ce Building

915 SW Harrison Street

Topeka, KS 66612-1570

Maintain Independence and Employment 

Program—Infrastructure Grant—Louisiana

Project No: 11-P-91487/06

Project Offi cer: Jeremy Silanskis

Period: January, 2002 to December, 2005

Funding: $1,500,000

Principal 

Investigator: Ruth Kennedy

Award: Grant

Awardee: Louisiana Department of Health 

and Hospitals

PO Box 91030

Baton Rough, LA 70821

Maintain Independence and Employment 

Program—Infrastructure Grant—Maine

Project No: 11-P-91223/01

Project Offi cer: John Young

Period: October, 2000 to December, 2004

Funding: $2,082,963

Principal 

Investigator: Christine Gianopoulos

Award: Grant

Awardee: Maine Department of Human 

Services

11 State House Station

Augusta, ME 04333

Maintain Independence and Employment 

Program—Infrastructure Grant—Minnesota

Project No: 11-P-91228/05

Project Offi cer: Jeremy Silanskis

Period: October, 2000 to December, 2004

Funding: $4,816,293

Principal 

Investigator: MaryAlice Mowry

Award: Grant

Awardee: Minnesota Department of Human 

Services

Human Services Building

444 Lafayette Road

St. Paul, MN 55155-3849

Maintain Independence and Employment 

Program—Infrastructure Grant—Mississippi

Project No: 11-P-91782

Project Offi cer: John Young

Period: January, 2003 to December, 2003

Funding: $500,000

Principal 

Investigator: Kenny Howard

Award: Grant

Awardee: Mississippi Offi ce of the Governor 

Division of Medicaid

Robert E. Lee Building

239 North Lamar Street

Suite 801, Hinds County

Jackson, MS 39201
Active Projects Report—2004 Edition 79

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Maintain Independence and Employment 

Program—Infrastructure Grant—Missouri

Project No: 11-P-91489/07

Project Offi cer: John Young

Period: January, 2002 to December, 2004

Funding: $1,950

Principal 

Investigator: Sheri Taylor

Award: Grant

Awardee: Missouri Department of Social 

Services

615 Howerton Court

PO Box 6500

Jefferson City, MO 65102-6500

Maintain Independence and Employment 

Program—Infrastructure Grant—Nebraska

Project No: 11-P-91220/07

Project Offi cer: Carey Appold

Period: October, 2000 to December, 2004

Funding: $2,215,000

Principal 

Investigator: Mary Jo Iwan

Award: Grant

Awardee: Nebraska Department of Health 

and Human Services

301 Centennial Mall South

5th Floor

PO Box 95044

Lincoln, NE 68509-5026

Maintain Independence and Employment 

Program—Infrastructure Grant—Nebraska

Project No: 11-P-91480/07

Project Offi cer: Joseph Razes

Period: January, 2002 to December, 2004

Funding: $500,000

Principal 

Investigator: Mary Jo Iwan

Award: Grant

Awardee: Nebraska Department of Health 

and Human Services

301 Centennial Mall South

5th Floor

PO Box 95044

Lincoln, NE 68509-5026

Maintain Independence and Employment 

Program—Infrastructure Grant—Nevada

Project No: 11-P-91233/09

Project Offi cer: Carey Appold

Period: October, 2000 to December, 2004

Funding: $2,125,000

Principal 

Investigator: Mary Wherry

Award: Grant

Awardee: Nevada Department of Human 

Resources

100 East William Street, Suite 116

Carson, NV 89701

Maintain Independence and Employment 

Program—Infrastructure Grant—New 

Hampshire

Project No: 11-P-91216/01

Project Offi cer: Jeremy Silanskis

Period: October, 2000 to December, 2004

Funding: $3,010,041

Principal 

Investigator: Denise Bouldouc-Musumeci

Award: Grant

Awardee: New Hampshire Department of 

Health and Human Services

105 Pleasant Street

Concord, NH 03301

Maintain Independence and Employment 

Program—Infrastructure Grant—New Jersey

Project No: 11-P-91218/02

Project Offi cer: Carey Appold

Period: October, 2000 to December, 2004

Funding: $1,625,000

Principal 

Investigator: William Ditto

Award: Grant

Awardee: New Jersey Department of Human 

Services

222 South Warren Street

PO Box 700

Trenton, NJ 08625-0700
80 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Maintain Independence and Employment 

Program—Infrastructure Grant—New Mexico

Project No: 11-P-91221/06

Project Offi cer: Jeremy Silanskis

Period: October, 2000 to December, 2004

Funding: $2,124,575

Principal 

Investigator: Gail Stefl 

Award: Grant

Awardee: New Mexico Department of 

Human Services

Medical Assistance Division

2025 South Pacheco, Ark Plaza

PO Box 2348

Santa Fe, NM 87504-2348

Maintain Independence and Employment 

Program—Infrastructure Grant—New York

Project No: 11-P-91490/02

Project Offi cer: John Young

Period: January, 2002 to December, 2004

Funding: $1,500,000

Principal 

Investigator: Linda LeClair

Award: Grant

Awardee: New York, Department of Health

The Riverview Center, 4th Floor

150 Broadway

Albany, NY 12204-2719

Maintain Independence and Employment 

Program—Infrastructure Grant—North Dakota

Project No: 11-P-91493/08

Project Offi cer: Carey Appold

Period: January, 2002 to December, 2004

Funding: $500,000

Principal 

Investigator: Mary Mercer

Award: Grant

Awardee: Minot State University

500 University Avenue, West

Minot, ND 58707

Maintain Independence and Employment 

Program—Infrastructure Grant—Oklahoma

Project No: 11-P-91477/06

Project Offi cer: Jeremy Silanskis

Period: January, 2002 to December, 2005

Funding: $1,124,283

Principal 

Investigator: Kelly Shropshire

Award: Grant

Awardee: Oklahoma Health Care Authority

4545 North Lincoln Boulevard

Oklahoma City, OK 73105

Maintain Independence and Employment 

Program—Infrastructure Grant—Oregon

Project No: 11-P-91219/00

Project Offi cer: Jeannine Eberly

Period: October, 2000 to December, 2004

Funding: $2,120,000

Principal 

Investigator: Doug Stone

Award: Grant

Awardee: Oregon Department of Human 

Services

2575 Bittern Street, NE

Salem, OR 97309-0740

Maintain Independence and Employment 

Program—Infrastructure Grant—Pennsylvania

Project No: 11-P-91483/03

Project Offi cer: Carey Appold

Period: January, 2002 to December, 2005

Funding: $1,500,000

Principal 

Investigator: Charles Tyrell

Award: Grant

Awardee: Pennsylvania Department of Public 

Welfare

PO Box 2675

Harrisburg, PA 17105-2675
Active Projects Report—2004 Edition 81

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Maintain Independence and Employment 

Program—Infrastructure Grant—Rhode Island

Project No: 11-P-91229/01

Project Offi cer: Carey Appold

Period: October, 2000 to December, 2004

Funding: $1,625,000

Principal 

Investigator: Elaina Goldstein

Award: Grant

Awardee: Rhode Island Department of 

Human Services, HCQFP, Center 

for Adult Health

600 New London Avenue

Cranston, RI 02920

Maintain Independence and Employment 

Program—Infrastructure Grant—South Dakota

Project No: 11-P-91485/08

Project Offi cer: Carey Appold

Period: January, 2002 to December, 2005

Funding: $1,500,000

Principal 

Investigator: Grady Kickul

Award: Grant

Awardee: South Dakota Department of 

Human Services

East Highway 34

Hillsview Properties Plaza

c/o 500 East Capitol

Pierre, SD 57501-5070

Maintain Independence and Employment 

Program—Infrastructure Grant—Texas

Project No: 11-P-91488/07

Project Offi cer: Jeannine Eberly

Period: January, 2002 to December, 2005

Funding: $1,000,000

Principal 

Investigator: Nora Taylor

Award: Grant

Awardee: Texas Health and Human Services 

Commission

PO Box 13247

Austin, TX 78711-3247

Maintain Independence and Employment 

Program—Infrastructure Grant—Utah

Project No: 11-P-91217/08

Project Offi cer: John Young

Period: October, 2000 to December, 2004

Funding: $2,215,000

Principal 

Investigator: Catherine Chambless

Award: Grant

Awardee: Utah Department of Health

288 North 1460 West

3rd Floor

PO Box 143108

Salt Lake City, UT 84114-3108

Maintain Independence and Employment 

Program—Infrastructure Grant—Virginia

Project No: 11-P-91478/03

Project Offi cer: Carey Appold

Period: January, 2002 to December, 2004

Funding: $500,000

Principal 

Investigator: Kathryn Kotula

Award: Grant

Awardee: Virginia Department of Medical 

Assistance Services

600 East Broad Street, Suite 1300

Richmond, VA 23219

Maintain Independence and Employment 

Program—Infrastructure Grant—Vermont

Project No: 11-P-91237/01

Project Offi cer: Jeremy Silanskis

Period: October, 2000 to December, 2004

Funding: $1,125,000

Principal 

Investigator: Peter Baird

Award: Grant

Awardee: Department of Aging and 

Disabilities

103 South Main Street

Waterbury, VT 05671
82 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Maintain Independence and Employment 

Program—Infrastructure Grant—Washington

Project No: 11-P-91232/00

Project Offi cer: John Young

Period: October, 2000 to December, 2004

Funding: $2,215,000

Principal 

Investigator: Stephen Kozak

Award: Grant

Awardee: Washington Department of Social 

and Health Services

PO Box 455354

Olympia, WA 98504-5858

Maintain Independence and Employment 

Program—Infrastructure Grant—West Virginia

Project No: 11-P-91215/03

Project Offi cer: Jeannine Eberly

Period: October, 2000 to December, 2004

Funding: $2,124,994

Principal 

Investigator: Janice Holland

Award: Grant

Awardee: West Virginia Division of 

Rehabilitation Services

F. Ray Power Building

PO Box 1004

Institute, WV 25112

Maintain Independence and Employment 

Program—Infrastructure Grant—Wisconsin

Project No: 11-P-91227/05

Project Offi cer: Jeremy Silanskis

Period: October, 2000 to December, 2004

Funding: $2,663,935

Principal 

Investigator: John Reiser

Award: Grant

Awardee: Wisconsin Department of Health 

and Family Services

1 South Pinckney Street, Suite 340 

PO Box 340

Madison, WI 53701

Maintain Independence and Employment 

Program—Infrastructure Grant—Wyoming

Project No: 11-P-91492/08

Project Offi cer: John Young

Period: January, 2002 to December, 2004

Funding: $500,000

Principal 

Investigator: Dave Schaad

Award: Grant

Awardee: Wyoming Institute for Disabilities 

University of Wyoming

PO Box 3314

Laramie, WY 82071

Maintain Independence and Employment 

Demonstration—District of Columbia

Project No: 11-P-91421/03

Project Offi cer: Joseph Razes

Period: January, 2002 to January, 2007

Funding: $3,980,308

Principal 

Investigator: Steven Luzky

Award: Grant

Awardee: District of Columbia Department 

of Health, Medical Assistance 

Administration

825 North Capital Street, NW

Washington, DC 20002

Description: The Medicaid Infrastructure Grants 

Program enables States to build needed systems to 

help people with disabilities purchase health coverage 

through Medicaid. Grant funds assist employers 

to access this underused pool of workers, conduct 

outreach to people with disabilities, train staff in new 

employment possibilities, and improve transportation 

and other supports for people with disabilities. The 

goal of this grant is to support people with disabilities 

in securing and sustaining competitive employment 

in an integrated setting. The Infrastructure Grants 

program provides fi nancial assistance to States through 

a Medicaid buy-in mechanism under the State Medicaid 

Plan; the ability to purchase Medicaid coverage for 

people with a severe impairment who do not yet meet the 

Supplemental Security Income disability test; signifi cant 

improvements to Medicaid services that support people 

with disabilities in their competitive employment efforts; 

and/or serving as a regional State-to-State Medicaid 

Infrastructure Center.

Status: Grantee continues to populate the demonstration 

with enrollees and will continue to expand the number of 

persons in the demonstration throughout 2004. ■
Active Projects Report—2004 Edition 83

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Maintain Independence and Employment 

Demonstration—Mississippi

Project No: 11-P-91175/04

Project Offi cer: Joseph Razes

Period: October, 2000 to December, 2004

Funding: $500,000

Principal 

Investigator: Bo Bowen

Award: Grant

Awardee: Mississippi Offi ce of the Governor 

Division of Medicaid

Robert E. Lee Building

239 North Lamar Street, Suite 801 

Hinds County

Jackson, MS 39201

Description: This project allows States to assist working 

individuals by providing necessary benefi ts and services 

required for people to manage the progression of their 

conditions and remain employed. It is a grant program 

established by the Ticket-to-Work and Work Incentives 

Improvement Act of 1999. The goal is to explore if 

providing health care to people earlier than traditional 

Medicaid rules allow will lengthen the person’s work 

life and improve their quality of life. Outcomes to be 

measured include reliance on cash benefi ts, employment 

status, changes in health status, and quality of life. 

The Mississippi Project uses the grant award, in 

conjunction with State funds, to cover persons with 

HIV/AIDS who work or are willing to return to 

work. Full Medicaid benefi ts and services, as well 

as case management is provided to the demonstration 

participants to ensure that they have access and coverage 

for medical, mental, and social support services 

necessary to maintain employment and their quality of 

life. The demonstration site is in nine counties in the 

Mississippi Delta where there is a relatively high rate of 

HIV/AIDS and limited health care resources for people 

with HIV/AIDS.

Status: The project is under way. ■

Maintain Independence and Employment 

Demonstration—Rhode Island

Project No: 11-P-91174/01

Project Offi cer: Joseph Razes

Period: October, 2000 to December, 2004

Funding: $500,000

Principal 

Investigator: Dianne Kayala

Award: Grant

Awardee: Rhode Island Department of 

Human Services, HCQFP, Center 

for Adult Health

600 New London Avenue

Cranston, RI 02920

Description: This project allows States to assist working 

individuals by providing necessary benefi ts and services 

required for people to manage the progression of their 

conditions and remain employed. It is a grant program 

established by the Ticket-to-Work and Work Incentives 

Improvement Act of 1999. The goal is to explore if 

providing health care to people earlier than traditional 

Medicaid rules allow will lengthen the person’s work 

life and improve their quality of life. Outcomes to be 

measured include reliance on cash benefi ts, employment 

status, changes in health status, and quality of life. 

The Rhode Island Project uses grant funding, in 

conjunction with State funds, to provide the full 

Medicaid benefi t package, plus extra services such as 

targeted case management, personal assistance services, 

pharmaceutical co-payments, and other employment 

supports to individuals.

Status: The Rhode Island legislature failed to provide 

funding for this project last year. The Rhode Island 

legislature will meet in the spring (2002) to vote on 

appropriating the State match for the project. The earliest 

the project can begin is the fall 2002, assuming that funds 

are allocated for the project. ■

Maintain Independence and Employment 

Demonstration—Texas

Project No: 11-P-91420/06

Project Offi cer: Joseph Razes

Period: January, 2002 to January, 2007

Funding: $284,253

Principal 

Investigator: Dena Stoner

Award: Grant

Awardee: Texas Health and Human Services 

Commission

PO Box 13247

Austin, TX 78711-3247
84 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Description: The Medicaid Infrastructure Grants 

Program enables States to build needed systems to 

help people with disabilities purchase health coverage 

through Medicaid. Grant funds assist employers to 

access this underused pool of workers, conduct outreach 

to people with disabilities, train staff in new employment 

possibilities, and improve transportation and other 

supports for people with disabilities. The goal of this 

grant is to support people with disabilities in securing 

and sustaining competitive employment in an integrated 

setting. The Infrastructure Grants Program provides 

fi nancial assistance to States through a Medicaid buy-in 

mechanism under the State Medicaid Plan; the ability 

to purchase Medicaid coverage for people with a severe 

impairment who do not yet meet the Supplemental 

Security Income disability test; signifi cant improvements 

to Medicaid services that support people with disabilities 

in their competitive employment efforts; and/or serving 

as a regional State-to-State Medicaid Infrastructure 

Center.

Status: Demonstration is not currently active. ■

Evaluation of the Demonstration to Maintain 

Independence and Employment (DMIE) and 

Other Related Disease-Specifi c 1115 Waiver 

Programs

Project No: 500-00-0046/02

Project Offi cer: Arthur Meltzer

Period: September, 2001 to 

September, 2006

Funding: $2,211,678

Principal 

Investigator: Susan Haber

Award: Task Order

Awardee: Research Triangle Institute

411 Waverly Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: This project evaluates several 

demonstrations providing supplemental Medicaid 

benefi ts to persons with HIV/AIDS who, in the absence 

of such benefi ts, may undergo a decline in functional 

status or be unable to gain employment or remain 

employed as a result of inadequate medical and ancillary 

care for their illness. The evaluations will assess the 

association between enhanced Medicaid eligibility 

and health care costs; changes in employment status, 

health status, quality of life; and other factors. The 

demonstrations allow States to assist working individuals 

by providing the necessary benefi ts and services required 

for people to manage the progression of their conditions 

and remain employed and allow the Centers for Medicare 

& Medicaid Services to assess the impact of the 

provision of Medicaid benefi ts on extended productivity 

and increased quality of life. The demonstrations provide 

States the opportunity to evaluate whether providing such 

workers with early access to Medicaid services delays the 

progression to actual disability.

Status: Current enrollment in the District of Columbia 

(DC) Ticket-to-Work demonstration is approximately 

200 persons. The contractor is designing an evaluation 

involving analysis of claims data and focus groups to 

address the issues described in the above paragraph. 

Enrollment in the DC 1115 program has not yet 

begun. Enrollment in the Mississippi Ticket-to-Work 

demonstration is below targeted levels and the evaluation 

has been scaled back. ■

Medicaid Buy-In Outcomes Work Incentives 

Systems—TWWIIA

Project No: 500-00-0047/03

Project Offi cer: Joseph Razes

Period: September, 2002 to 

September, 2004

Funding: $180,736

Principal 

Investigator: Craig Thornton

Award: Task Order

Awardee: Mathematica Policy Research (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Description: This task order is to conduct an analysis of 

State outcomes where working individuals with disabling 

conditions have enrolled in a Medicaid buy-in under 

the Balanced Budget Act or Ticket-to-Work and Work 

Incentives Improvement Act. Information to be analyzed 

includes core data elements using administrative and 

population-based data sets. Specifi c study questions 

addressed are: (1) what are the outcomes for workers 

with disabling conditions in States that offer Medicaid 

coverage via a Medicaid buy-in; (2) what general 

observations from the data can be drawn, and what 

lessons have we learned from States offering Medicaid 

buy-ins; and (3) what additional information is needed 

to better assess the effectiveness of Medicaid buy-ins, 

and what are some of the policy implications that need 

further study.

Status: Contractor continues to conduct data analysis. ■
Active Projects Report—2004 Edition 85

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Moving Toward Elimination of Lead Poisoning in 

High-Risk Children

Project No: 500-96-0012/02

Project Offi cer: Cheryl Austein-Casnoff

Period: September, 2000 to 

September, 2002

Funding: $749,952

Principal 

Investigator: Penny Schafer

Award: Task Order

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Description: Despite a CMS (through the Medicaid 

program) issued guidance requiring that every child 

enrolled in Medicaid receive age appropriate screenings 

and followup, children continue to be exposed to lead 

and are not adequately tested. The purpose of this project 

is to develop a strategy to eliminate exposure to lead 

hazards among high-risk children by: (1) developing 

risk appropriate screening criteria for all children, with 

special emphasis on improved targeted screening of lowincome children; and (2) developing an implementation 

plan for the elimination of lead hazards facing children, 

bringing together the expertise and authorities of Federal 

Government and appropriate State and local agencies. 

Status: The project workplan has been developed. 

The staff are reviewing literature, searching 

relevant databases, and looking at potential 

model communities. ■

Community Health Advocate Program

Project No: 18-C-91140/01

Project Offi cer: Barbara Marmion

Period: August, 2000 to July, 2003

Funding: $500,000

Principal 

Investigator: Frank Robinson

Award: Cooperative Agreement

Awardee: Partners for a Healthier 

Community

280 Chestnut Street

PO Box 4895

Springfi eld, MA 01199

Description: This evaluation project examines the 

existing Community Health Advocate Program. The 

objective of the program is to promote innovative 

strategies to use lay health workers in the role of 

Community Health Advocates to reach vulnerable 

populations. The evaluation studies the effects 

of community-based collaborations involving 

neighborhood-based nonprofi t organizations, State 

and local public health agencies, and a neighborhoodbased health center on linking families and children 

to a medical home for routine primary health care. It 

identifi es groups with unusual rates of disease, studies 

the association between suspected risk factors, and 

studies this association in populations with specifi c 

characteristics. The project also uses data from the 

State Immunization Registry and has the potential to 

increase knowledge about risk factors particular to the 

ethnic groups living in this community and best practices 

for reaching similar populations who live in other 

communities.

Status: The project is awaiting a fi nal report. ■

Health Loop Information Project

Project No: 18-C-91171/04

Project Offi cer: Nancy Olsen

Period: September, 2000 to 

September, 2004

Funding: $896,000

Principal 

Investigator: Robert Stolarick

Award: Cooperative Agreement

Awardee: Shelby County Health Care 

Corporation

d/b/a Regional Medical Center at 

Memphis

877 Jefferson Avenue

Memphis, TN 38103

Description: This project merges a patient database with 

a public health department’s patient tracking system. The 

project includes staff training, software/hardware, and 

licensing agreements required to operate the information 

in the Shelby County Health Care Network, The Health 

Loop. The goal is to enable the Health Loop providers to 

provide more effective and effi cient services by making 

primary care and public health patient information 

available through one information system.

Status: The original grant was awarded in September 

2000 and reports were submitted quarterly. The 

continuation grant, Health Loop II, was awarded in 

July 2001 and a fi nal report will be submitted upon 

completion of the total project. A carryover of $225,000 

was granted because Shelby County was moving into a 

different information technology environment and the old 

system would soon be obsolete. ■
86 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Innovative Management of Dental Decay for 

Young Children Enrolled in Medicaid and/or 

the State Children’s Health Insurance Program 

(SCHIP)

Project No: 11-P-91256/09-02

Project Offi cer: Teresa Brocato

Period: September, 2001 to 

September, 2003

Funding: $420,000

Principal 

Investigator: Jerry Stanger

Award: Grant

Awardee: California Department of Health 

Services

1501 Capitol Avenue

Suite 71.6086, MS 4000

PO Box 942732

Sacramento, CA 94234-7320

Description: This demonstration is a joint project of 

the California Medicaid program (MediCal) and the 

University of California San Francisco (UCSF) School 

of Dentistry designed to improve dental access for young 

children, reduce caries rates, and the high costs of dental 

care. In the target population of Alameda County, the 

State will conduct an outreach enrollment campaign; 

orient families to expectations and responsibilities; 

recruit, train, and certify medical and dental providers 

in innovative preventive and therapeutic services; and 

enhance Medicaid reimbursement to certifi ed providers. 

Comparisons of utilization rates and expenditures will be 

made between the intervention population and a control 

group of children who are eligible for, but not enrolled in, 

the program.

Status: The California project was delayed; however, 

the operational phase began April 2002. ■

Development and Evaluation of Medical 

Intervention for Early Childhood Caries

Project No: 11-P-91251/04-03

Project Offi cer: Teresa Brocato

Period: September, 2000 to 

September, 2003

Funding: $440,000

Principal 

Investigator: Betty King-Sutton

Award: Grant

Awardee: North Carolina Department of 

Health and Human Services

2511 Mail Service Center

Raleigh, NC 27699-2515

Description: This project is aimed at training physicians 

and physician extenders (i.e., physician assistants, nurse 

practitioners) in furnishing a package of preventive 

dental services to both children and their caregivers in 

order to reduce the incidence and transmission of dental 

decay in children. This innovative project effectively 

will expand two original, small demonstrations to the 

rest of the State. Three methods of training primary care 

providers will be tested, using a prospective, randomized 

study design, on the 84 largest-volume medical practices 

in North Carolina. These practices provide services to 

over 100,000 young children enrolled in Medicaid. This 

project will develop educational materials and track the 

short- and long-term effects of the education on physician 

knowledge and resulting dental services. Medical claims 

will be analyzed to compute the rates and intensity 

of services provided. By documenting the outcomes 

of these training methods in terms of their ability to 

deliver low-cost preventive dental services for children 

in the primary care setting, this project has potential to 

accelerate the rate of adoption, and set new standards for 

delivery.

Status: In addition to completing initial organizational 

activities, the project has provided training to more than 

117 medical practices and 64 local health departments, 

and 3,326 children have received at least the initial 

preventive oral health service. ■

Environmental Factors That Increase the Risk of 

Asthma in Medicaid Recipients

Project No: CMS-IA-01-128

Project Offi cer: David Greenberg

Period: September, 2001 to 

December, 2004

Funding: $270,000

Principal 

Investigator: Elissa Levine

Award: Interagency Agreement

Awardee: National Aeronautics and Space 

Administration

Goddard Space Flight Center

NASA GSFC

Greenbelt, MD 20771

Description: This project involves the analysis of 

Maryland Medicaid data for children with asthma. It 

will investigate how environmental factors can help 

predict trends in medical service utilization by Medicaideligible children with asthma. Data on asthma-related 

inpatient medical care, outpatient medical services, and 

prescription medication use for children in Baltimore 

City will be used. Seasonal and geographic patterns 

in utilization will be identifi ed. It will try to identify 

signifi cant trigger variables and interpret relationships 

between environmental conditions and Medicaid 

utilization patterns.

Status: The project is under way. ■
Active Projects Report—2004 Edition 87

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Asthma Champion Initiative

Project No: 18-C-91370/05-02

Project Offi cer: David Greenberg

Period: June, 2001 to December, 2004

Funding: $600,000

Principal 

Investigator: Terrence Conway

Award: Cooperative Agreement

Awardee: Cook County Illinois Bureau of 

Health Services

Ambulatory Community Health 

Network

627 South Wood Street

Chicago, IL 60612

Description: This project seeks to reduce morbidity and 

mortality from asthma in high prevalence areas within 

Cook County, Illinois. Its objectives include creation 

of centers of clinical learning in model asthma care, 

training a cadre of 50 practicing providers who practice 

at community-based clinical centers in areas where 

asthma is highly prevalent; training asthma patients in 

self-managment and appropriate drug therapies, and 

dissemination of language- and culturally appropriate 

educational materials to local health centers.

Status: No new funding has been made available for this 

project. CMS has approved a no-cost extension to enable 

the grantee to expend remaining funds. ■

Access Health: A Three-Share Model—l 

Community Health and Coverage Project

Project No: 95-C-91721/05

Project Offi cer: Al Deal

Period: August, 2002 to August, 2003

Funding: $500,000

Principal 

Investigator: Vondie Woodbury

Award: Cooperative Agreement

Awardee: Muskegon Community Health 

Project

565 West Western Avenue

Muskegon, MI 49440

Description: This project is a community-owned health 

coverage plan sold to eligible businesses in Muskegon 

County for the purpose of providing health care coverage 

to the working uninsured and their dependents. The 

awardee is a nonprofi t entity (incorporated as a 501 

[c] 3 organization) managed by a community board 

that oversees the enrollment and health care service 

delivery structure. The program is priced to appeal to 

small businesses that do not currently participate in the 

commercial health insurance market. The pricing and 

payment structure is designed to appeal to these targeted 

businesses and to broader health provider participation 

than conventional clinic or entitlement program models. 

The type of business targeted is very small (often with 

fewer than four full-time employees) and pays relatively 

low wage rates (frequently $6–$12 per hour.) The 

Access Health program in 1999 had the stated purpose 

of providing an affordable health coverage product to a 

niche of small businesses and their employees who are 

able to assist in the payment of coverage but unable to 

participate at commercial levels. The funding comes 

from three sources: employer contributions (30%), 

employee contributions (30%), and community (40%), 

of which much is the locally available Disproportionate 

Share Hospital monies with some contributions. The 

current employee share is $42 per member per month. 

The arrangement gives a member access to every health 

service available in Muskegon County. However, 

procedures not conducted in Muskegon County are not 

covered. The package includes the two local hospital 

systems, 200 primary care and specialty physicians, 12 

community pharmacies and ancillary providers such as 

behavioral and mental health counseling, and hospice. 

The awardee claims that 97 percent of Muskegon’s 

medical community participate in the program. They 

pointedly say that this is not health insurance but rather 

call it health coverage. The project has targeted 500 

businesses and hopes to have 3,000 individuals covered. 

Crowd-out (an adverse incentive to a business to drop 

existing insurance coverage) is prevented by insisting 

that the business not have provided commercial coverage 

for the previous 12 months. This is enforced by taking 

only businesses with 150 employees or less that have 

a median wage of $10 per hour or less. Individual 

members are encouraged to enroll their children in 

Michigan’s State Children’s Health Insurance Program 

(MICHILD) because of the richness of the benefi t 

package. The problem that precipitated this grant request 

is that in their early stages of growth the pool of members 

is not large enough to generate a reserve from collections 

suffi cient to meet unexpectedly costly cases. Thus, they 

sought this award, 75 percent of which will go into an 

interest-bearing risk pool. The remaining 25 percent will 

be used to followup on earlier surveys of the uninsured 

working persons in the county to assess the market 

penetration and current demand.

Status: The majority of this award goes into an interestbearing account to serve as a risk pool. Some repeat 

of past data gathering will be funded with the balance 

with the objective of assuring the target market of small 

businesses is in fact being met. ■
88 Active Projects Report—2004 Edition

Theme 2: Strengthening Medicaid, State Children’s 

Health Insurance Program (SCHIP), and State Programs

Theme 2

Cost-Effectiveness of Early Preventive Care for 

Children in Medicaid

Project No: ORDI-IM-084

Project Offi cer: Paul Boben

Period: June, 2000 to December, 2005

Funding: $0

Principal 

Investigator: 

Award: Intramural

Awardee: 

Description: This project will feature a cost-benefi t 

analysis of primary and preventive care for children up 

to age 2. Medicaid claims data from the State Medicaid 

Research Files database will be used to compare costs of 

care for children receiving the recommended battery of 

well-child visits versus those who do not. The benchmark 

for standard care will be the American Academy of 

Pediatrics’ (AAP) recommended series of well-baby 

visits and immunizations. This study follows work by 

Hakim and Bye (Pediatrics, forthcoming) that showed an 

association between compliance with the AAP schedule 

and reduced risk of avoidable hospitalization.

Status: The project is under way. ■

SacAdvantage Health Insurance Subsidy Program

Project No: 18-P-91851/09-01

Project Offi cer: Carl Taylor

Period: September, 2003 to 

September, 2004

Funding: $695,450

Principal 

Investigator: Amerish Bera

Award: Grant

Awardee: County of Sacramento Department 

of Health and Human Resources

7001A East Parkway, Suite 500

Sacramento, CA 95823

Description: The County of Sacramento proposes a 

health insurance premium subsidy program for lowincome employees and dependents. It has established a 

pilot demonstration program to address the health access 

needs of these individuals through a health insurance 

premium subsidy program called SacAdvantage. 

SacAdvantage utilizes the services of an existing 

statewide small employer health insurance purchasing 

pool, PacAdvantage, to provide choice of health plan 

simplicity of administration, and bargaining leverage in 

the health care market. Funds in the project will be used 

for direct payment of premium subsidies for qualifying 

low-income employees of small employers.

Status: Grant has been awarded for the period 

September 30, 2003 through September 29, 2004. ■
Active Projects Report—2004 Edition 89

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

Sub-Zero Premium (BIPA 606) M+C Plan 

Evaluation

Project No: 500-95-0057/06c

Project Offi cer: Victor McVicker

Period: January, 2002 to September, 2003

Funding: $249,307

Principal

Investigator: Mary Laschober

Award: Contract

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: The contractor conducted a limited 

evaluation of the new “Sub-Zero Premium” plans being 

offered to Medicare benefi ciaries by M+C organizations 

in CY2003. Section 606 of BIPA amended the Social 

Security Act to permit M+C organizations to offer a 

reduction of the Medicare standard Part B premium as an 

additional benefi t. This provision took effect January 1, 

2003. In CY2003, 6 M+C organizations were offering in 

2 States (NY and FL) 10 plans with this benefi t. 

The purpose of this limited evaluation was to learn from 

benefi ciaries why they enrolled in these new M+C plans 

and what their initial experience was. In addition, we 

learned from the plans their reasons for offering these 

plans, their expectations, and their experiences. The 

contractor had telephone discussions with key individuals 

at the sub-zero premium plans, reviewed and provided 

a description of the marketing materials used with this 

product, and conducted 10 focus group meetings at the 

two areas. 

Status: BearingPoint submitted a draft fi nal report for CMS 

review. The key fi ndings from this report are the following:

• Compared with other M+C plans offered in the 

counties under study, the sub-zero premium product 

require higher co-payments and offer less generous 

supplemental benefi ts, including no or limited 

prescription drug coverage.

• Some Florida-based benefi ciaries and low-income 

benefi ciaries cited the premium reduction as a reason 

for choosing their sub-zero premium plan. For most 

benefi ciaries either currently or previously enrolled in 

a sub-zero premium plan, though, the overwhelming 

driver of their health plan choice was the participation 

of their personal physician(s) in the plan.

• Enrollees in Florida seemed to view the sub-zero 

premium plans as “interim” plans for healthy aged 

people until they develop more serious health 

concerns. For such people, the almost $60 per month 

in savings is a valuable plan benefi t. 

• In New York, where the reduction was $20 to $30 per 

month, enrollees considered the reduction insignifi cant 

and had not given it much consideration. ■

Medicare Choices Demonstration: Verifi cation of 

Encounter Data

Project No: 500-95-0050/02

Project Offi cer: Victor McVicker

Period: September, 1997 to March, 2003

Funding: $2,640,401

Principal 

Investigator: Marjorie Hatzman

Award: Task Order

Awardee: Medstat Group (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Description: This project ensures that accurate and 

comprehensive encounter data are reported in the 

Medicare Choices Demonstration. It assesses the health 

plan information systems’ capabilities, the overall 

Theme 3: Expanding Benefi ciaries’ Choices and 

Availability of Managed Care Options

Summary: The 1990s were marked by dramatic changes in the health insurance marketplace. More recently, as 

a result of consumers’ demand for more fl exibility and choice, there has been a shift in managed care enrollment 

toward less restrictive managed care delivery systems such as Preferred Provider Organizations (PPOs) and 

Point of Service (POS) plans. CMS is working to develop a variety of fl exible health plan demonstrations to 

refl ect changes in the health care market, test new ideas for improved services, and develop new alternatives to 

traditional fee-for-service Medicare. 
90 Active Projects Report—2004 Edition

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

reasonableness of the encounter data against benchmarks, 

and the validity of the encounter data against medical record 

information. On a quarterly basis and for each of the 

plans participating in the demonstration, a sample of 

enrollees is selected and medical records are examined 

to determine whether the information in the encounters 

(pseudo-claims) refl ects what is in the medical record. 

Using the medical record, the project assesses the timeliness 

of the encounter data, the validity of the codes in the 

encounter data, and the completeness of the information.

Status: The data are being fi nalized to make the 

risk-adjusted payments. The Medicare Choices 

Demonstration plans have had considerable diffi culty 

supplying encounter data that are in the correct format 

and that contain all the required information to the FIs 

and carriers. As a result, most of Medstat’s efforts have 

been directed at providing technical assistance to the 

plans rather than performing the medical record reviews 

as originally planned. ■

Community Nursing Organization 

Demonstrations: Final Report to Congress

Project No: 500-95-0062/10

Project Offi cer: Victor McVicker

Period: November, 1999 to June, 2003

Funding: $343,602

Principal 

Investigator: Austin Frakt, Ph.D.

Award: Contract

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Description: This report to Congress was required under 

Section 632 of the Medicare, Medicaid, and SCHIP 

Benefi ts Improvement and Protection Act (BIPA) of 2000 

to evaluate the Community Nursing Organization (CNO) 

demonstration. An earlier evaluation was conducted 

of the CNO demonstration that covered the operation 

of the demonstration from January 1, 1994, to June 30, 

1997 (Phase I). The demonstration assessed the impact 

of providing a specifi ed package of community-based 

services, in conjunction with case management, under a 

capitated payment methodology. This earlier evaluation 

found that, overall, the treatment and control groups 

did not differ signifi cantly in health status. However, 

when total expenditures for the two groups were 

compared, the CNO groups proved to be signifi cantly 

more costly—from $25 per member per month to $75 

per member per month more than the control group. To 

investigate whether the results might change in the long 

run, BIPA mandated a preliminary report to evaluate the 

demonstration for the period beginning July 1, 1997, and 

ending December 31, 1999 (Phase II). The key fi nding of 

this evaluation was that the results have not changed: the 

provision of services by the CNO groups on a capitated 

basis continue to be more expensive than providing the 

same Medicare-covered services to the control groups 

on a fee-for-service (FFS) basis. This fi nal report 

to Congress adds 7 more months to the preliminary 

evaluation concluding in July 2000.

Status: This fi nal report to Congress was submitted to 

the U.S. Congress on May 12, 2003. The key fi nding of 

the fi nal evaluation is that the provision of services by 

the CNO groups on a capitated basis proved to be more 

expensive than providing the same Medicare-covered 

services on an FFS basis. Thus, the results did not 

change by adding the 7 months of experience in 2000. ■

Evaluation of the M+C Alternative Payment 

Demonstration

Project No: 500-95-0057/06b

Project Offi cer: Victor McVicker

Period: January, 2002 to September, 2004

Funding: $683,363

Principal 

Investigator: Jim Moser

Award: Contract

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: The Medicare+Choice (M+C) alternative 

payment demonstration was designed to address the 

declining number of M+C organizations (M+COs) 

serving Medicare benefi ciaries, specifi cally in areas 

where only one M+CO is serving the area. The 

demonstration tests the feasibility of using alternative 

payment approaches such as risk-sharing or reinsurance 

models in the M+C program. This evaluation is 

examining the experience of the six M+COs that began 

participating in the demonstration on January 1, 2002, 

and one M+CO that began on June 1, 2002. One of 

these organizations is using a reinsurance model while 

the other six organizations are using risk sharing around 

a targeted medical expense. The evaluation is exploring 

whether these payment arrangements increased plan 

revenues and the impacts on the profi le of benefi ciaries 

enrolled in the plans and the benefi ts available to them.

Status: The draft interim report, which covers the fi rst 

year of the demonstration (2002), will be submitted to 

CMS in January. ■
Active Projects Report—2004 Edition 91

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

Evaluation of the Medicare Preferred Provider 

Organization (PPO) Demonstration

Project No: 500-00-0024/05

Project Offi cer: Victor McVicker

Period: September, 2002 to 

September, 2007

Funding: $2,545,139

Principal 

Investigators: Leslie Greenwald and

Gregory Pope

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: The purpose of this project is to evaluate 

the Medicare Preferred Provider Organization (PPO) 

demonstration. This comprehensive evaluation includes 

a case study component to examine issues pertaining 

to the implementation and operational experiences of 

the PPOs as well as statistical analyses of secondary 

data, including individual-level data, to examine issues 

of biased selection and impacts on the use and cost of 

services. Primary data are being collected through site 

visits to participating plans and benefi ciary surveys.

Status: The site visits have been completed, and each 

organization has reviewed its respective case study 

report. The contractor has submitted a draft report of 

case studies of 16 organizations representing 31 different 

demonstration contracts. This case study report focuses 

on the following areas: reasons for participating in the 

PPO demonstration, design and characteristics of the 

PPO product, marketing of the PPO product to Medicare 

benefi ciaries, provider issues, and MCO perceptions and 

comments regarding the PPO demonstration. ■

MEDICARE PREFERRED PROVIDER 

ORGANIZATION (PPO) DEMONSTRATION 

(PHASE II)

Although the Balanced Budget Act of 1997 (BBA) 

introduced new health plan options for benefi ciaries 

under the Medicare+Choice (M+C) program, 

unfortunately, the number and range of options available 

have not increased over time. Through independent 

contractors, CMS researched specifi c health care models 

in the non-Medicare market, in an attempt to ascertain 

whether these models might be effective in the Medicare 

program. This research indicated that the success of the 

PPO concept was not being replicated in the Medicare 

program. Based on the results of this research, CMS 

decided to design a demonstration initiative to expand 

options and choices by increasing incentives for M+C 

organizations to enter the market and offer PPO products. 

This demonstration program is modeled after the PPO 

coverage available in the commercial market. Although 

all plans were required to offer out-of-network benefi ts, 

few other specifi c requirements were applied to the 

benefi t design. Differential cost-sharing requirements in 

and out of network were intended to encourage enrollees 

to use services in a cost-effective manner while not 

providing a disincentive toward seeking appropriate 

care. A key feature of this demonstration is a risksharing component. Risk-sharing arrangements under 

this demonstration, where applicable, are specifi c to 

each plan offering a PPO product and are symmetrical, 

meaning that the risk assumed by CMS is the same for 

both losses and savings. All but four of the participating 

organizations currently have a risk-sharing arrangement 

with CMS.

There are currently 35 PPO demonstration plans in 22 

States for the 2004 contract year. Total enrollment in the 

demonstration products is 94,739 as of April 1, 2004.

Status: Currently operational; demonstration will 

terminate December 2005. ■

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00118/09

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Health Net Life Insurance Company

2800 North 44th Street, Suite 900

Phoenix, AZ 85008-1553

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00126/09

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Pacifi care of Arizona, Inc.

4601 East Hilton Avenue

Phoenix, AZ 85034
92 Active Projects Report—2004 Edition

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00119/09

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Health Net Life Insurance Company

21281 Burbank Boulevard

Building B

Woodland Hills, CA 91367

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00110/01

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Aetna Health Inc.

Mailstop RT11

1000 Farmington Avenue

Hartford, CT 06156

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00125/05

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: OSF Health Plans, Inc.

7915 North Hale Avenue, Suite D

Peoria, IL 61615

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00109/05

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Advantage Health Solutions, Inc.

9490 Priority Way, West Drive

Indianapolis, IN 46240

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00111/05

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Anthem Health Plans of KY, Inc., 

Community Insurance Company

220 Virginia Avenue

Indianapolis, IN 46204

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00123/04

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Humana Insurance Company

500 West Main Street

Louisville, KY 40202
Active Projects Report—2004 Edition 93

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00128/06

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Tenet Choices, Inc.

200 West Esplanade Avenue

Suite 600

Kenner, LA 70065

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00129/05

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: United Healthcare Insurance 

Company

9900 Bren Road East

Mail Route MN008-T500

Minnetonka, MN 55343

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00113/07

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Coventry Health and Life Insurance 

Company

111 Corporate Offi ce Drive

Suite 400

Earth City, MO 63045

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00114/07

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Coventry Health and Life Insurance 

Company

8320 Ward Parkway

Kansas City, MO 64114

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00122/02

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Horizon Healthcare of New Jersey, Inc.

3 Penn Plaza East

Newark, NJ 07105-2200

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00127/09

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Pacifi care of Nevada, Inc.

700 East Warm Springs Road

Las Vegas, NV 98119

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00117/02

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Group Health Inc.

441 Ninth Avenue

New York, NY 10001
94 Active Projects Report—2004 Edition

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00120/02

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: HealthNow New York, Inc.

1901 Main Street

Buffalo, NY 14208

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00124/02

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Managed Health Inc.

25 Broadway, 9th Floor

New York, NY 10004

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: W-95-00116/03

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Health Assurance Pennsylvania, Inc.

3721 TecPort Drive

PO Box 67103

Harrisburg, PA 17106-7103

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00112/04

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Cariten Insurance Company

1420 Centerpoint Boulevard

Knoxville, TN 37932

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00121/04

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Health Spring Inc.

44 Vantage Way, Suite 300

Nashville, TN 37228

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00130/03

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: University of Washington School of 

Nursing

SC-72

Seattle, WA 98195

Medicare Preferred Provider Organization (PPO) 

Demonstration (Phase II)

Project No: 95-W-00115/03

Project Offi cer: Deborah VanHoven

Period: January, 2003 to December, 2005

Funding: $100,000

Principal 

Investigator:

Award: Grant

Awardee: Coventry Health and Life Insurance 

Company

500 Virginia Street East

PO Box 1711

Charleston, WV 25326

MEDICARE+CHOICE ALTERNATIVE PAYMENT 

(PHASE I) DEMONSTRATION

With enactment of the Balanced Budget Act of 1997 

(BBA) came the expectation that the Medicare+Choice 

(M+C) program would continue to grow and offer 

additional choices to benefi ciaries. Unfortunately, the 

number of plans and percentage of benefi ciaries enrolled 

steadily declined from a high of 18 percent in 1999. This 

trend of plans exiting the market continued for 2002. The 

M+C Alternative Payment Demonstration was designed 
Active Projects Report—2004 Edition 95

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

to take immediate action to test whether alternatives to 

the current M+C payment systems, in particular various 

risk-sharing and reinsurance arrangements, could be used 

to encourage M+COs to remain in the M+C program. 

The demonstration was initially scheduled to last for 2 

years (2002 and 2003) but was extended an additional 

year for 2004.

Six new M+C plans were effective under this 

demonstration on January 1, 2002. They included one 

PPO (Independence Blue Cross), one private fee-forservice plan (Humana in DuPage County, Illinois), and 

one employer group only program incorporating two 

health plans and three contracts sponsored by WheelingPittsburgh Steel Corporation. In June 2002, a seventh plan 

sponsored by United Healthcare of Wisconsin was added 

to the demonstration. M-Care, which offered a plan in 

2002 in Livingston and Washtenaw counties in Michigan, 

dropped out of the demonstration and terminated its M+C 

plan effective January 1, 2003. At the request of several 

plans, a decision was made in late 2003 to allow the 

remaining plans the option of extending the demonstration 

for an additional year in 2004. Humana, Pacifi care, 

Independence Blue Cross, and the Wheeling-Pittsburgh 

plans will be extended. Anthem and United Healthcare 

of Wisconsin will terminate their demonstration plans 

but continue to offer a regular M+C plan in these counties. 

As of March 1, 2004, the remaining active plans had just 

fewer than 40,000 members.

Status: Currently active; demonstration will terminate 

12/31/2004. ■

Medicare+Choice Alternative Payment (Phase I) 

Demonstration

Project No: 95-W-00104/09

Project Offi cer: Jody Blatt

Period: January, 2002 to December, 2004

Funding: $0

Principal 

Investigator:

Award: Waiver-Only Project

Awardee: Pacifi care Health Systems, Inc.

3120 Lake Center Drive

Santa Ana, CA 92704

Medicare+Choice Alternative Payment (Phase I) 

Demonstration

Project No: 95-W-00105/04

Project Offi cer: Jody Blatt

Period: January, 2002 to December, 2004

Funding: $0

Principal 

Investigator: Douglas R. Carlisle

Award: Waiver-Only Project

Awardee: Employers Health Insurance 

Company

500 West Main Street, 7th Floor

Louisville, KY 40201

Medicare+Choice Alternative Payment (Phase I) 

Demonstration

Project No: 95-W-00107/03

Project Offi cer: Jody Blatt

Period: January, 2002 to December, 2004

Funding: $0

Principal 

Investigator: Mary Xlinos

Award: Waiver-Only Project

Awardee: Coventry Health Care, Inc.

6705 Rockledge Drive

Bethesda, MD 20817

Actuarial Assessment of PACE Enrollment 

Characteristics in Developing Capitated 

Payments

Project No: 500-95-0061/09

Project Offi cer: Frederick Thomas

Period: September, 2000 to May, 2004

Funding: $120,460

Principal 

Investigator: James Robinson

Award: Task Order

Awardee: University of Wisconsin, Madison

750 University Avenue

Madison, WI 53706

Description: The BBA (1997) requires the PACE 

program to be paid using the risk-adjustment method 

developed for Medicare+Choice programs, but adjusted 

for factors specifi c to the PACE program. PACE is 

expected to differ from M+C plans in a number of 

attributes: enrollment size, group bias, dual Medicaid 

capitation, and mortality rates. An actuarial assessment 

is needed to explore the risk characteristics related 

with these factors and to formulate options that use this 

information in a capitated payment system.

Status: A fi nal report is being reviewed. ■
96 Active Projects Report—2004 Edition

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

Evaluation of the Program of All-Inclusive Care 

for the Elderly (PACE) as a Permanent Program 

and of a For-Profi t Demonstration

Project No: 500-00-0033/01

Project Offi cer: Frederick Thomas

Period: September, 2001 to 

September, 2006

Funding: $819,772

Principal 

Investigator: Valerie Cheh

Award: Task Order

Awardee: Mathematica Policy Research 

(Princeton)

600 Alexander Park

PO Box 2393

Princeton, NJ 08543-2393

Description: This is an evaluation of the Program for 

All-Inclusive Care for the Elderly (PACE) as a permanent 

Medicare program and as a State option under Medicaid. 

This project evaluates PACE in terms of site attributes, 

patient characteristics, and utilization data statistically 

analyzed across sample sites and compared to the prior 

demonstration data and other comparable populations. 

This project expands on the foundations laid in the 

previous evaluations of PACE by predicting costs beyond 

the fi rst year of enrollment and assessing the impact of 

higher end-of-life costs and long-term nursing home care.

Status: The evaluation is ongoing. Fieldwork is 

expected to begin in fall 2004. ■

Program of All-Inclusive Care for the Elderly 

(PACE) Quality Assurance

Project No: 500-96-0004/02

Project Offi cer: Mary Wheeler

Period: September, 1990 to 

September, 2002

Funding: $3,203,917

Principal 

Investigator: Peter Shaughnessy

Award: Task Order

Awardee: Center for Health Services 

Research, University of Colorado

1355 South Colorado Boulevard 

Suite 706

Denver, CO 80222

Description: The purpose of this project is to develop a 

core data set that is the foundation for an outcome-based 

quality improvement (OBQI) system for the Program of 

All-Inclusive Care for the Elderly (PACE) program. The 

OBQI system consists of two phases during which the 

PACE sites complete the data instrument that contains 

items for outcome measurement and risk adjustment 

at specifi c time intervals. Using the data collected 

in the fi rst phase, site-level reports can be produced 

summarizing the outcome measures. By comparing sitelevel case-mix adjusted outcome reports to other PACE 

site outcome reports and to the site’s previous outcome 

reports from earlier time periods, the site, CMS, and the 

State Medicaid agencies are able to identify areas that 

require further examination due to inferior (or perhaps 

superior) outcomes. In the second phase, the sites take 

a closer look at why and how the specifi c outcomes are 

achieved and make recommendations for improvements 

in the case of poor (or perhaps superior) outcomes.

Status: Signifi cant progress has been made in the 

development of outcome indicators for PACE. The 

OBQI contract was modifi ed in October 1999, which 

expanded the period of performance and increased the 

level of effort to support the development of a Core 

Comprehensive Assessment (COCOA) instrument for 

PACE providers. Although this change in the timeline 

will delay the OBQI component, the burden of data 

collection on the PACE sites will be decreased. ■

Promoting State Interest in Identifying PACE 

Markets

Project No: 500-03-0048

Project Offi cer: Frederick Thomas

Period: September, 2003 to 

September, 2004

Funding: $199,970

Principal 

Investigator: Peter Fitzgerald

Award: Contract

Awardee: National Pace Association

801 North Fairfax

Alexandria, VA 22314

Description: Since the Balanced Budget Act of 1997 

made the Program of All-Inclusive Care for the Elderly 

(PACE) a permanent Medicare Program, there has been 

little program expansion, and the number of PACE sites 

is still at the 1999 level. Since PACE is a joint Medicaid 

program, expansion requires support by State Medicaid 

programs. With State budgets strained, the basic work to 

assess the feasibility of implementing PACE programs 

has been overlooked by some States. This contract will 

fund up to four State-specifi c studies to determine PACE 

feasibility, as well as potential impediments to PACE 

expansion. The goal is to promote new state interest and 

identify potential providers interested in PACE program 

development.

Status: Work is progressing, with the process started 

to identify participating States and the feasibility study 

protocol being developed. ■
Active Projects Report—2004 Edition 97

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

Pilot Test and Analysis of the Medicare Health 

Survey for Program for All-Inclusive Care for the 

Elderly (PACE) and EverCare (MHSPE)

Project No: 500-00-0030/03

Project Offi cer: Ronald Lambert

Period: September, 2001 to 

September, 2004

Funding: $1,033,894

Principal 

Investigator: Edith Walsh

Award: Task Order

Awardee: Research Triangle Institute

411 Waverley Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: The purpose of this project is to test and 

implement a variant of the Health Outcome Survey 

(HOS) for organizations that serve special populations. 

In Phase I, the feasibility of implementing this survey for 

the Program of All-Inclusive Care for the Elderly (PACE) 

was demonstrated. In Phase II, the PACE Health Survey 

was implemented for the PACE Program. The survey 

fi ndings will support the implementation of frailty-adjusted 

Medicare capitation payments to PACE organizations.

Status: During 2003, the PACE Health Survey was 

administered to enrollees of 26 PACE organizations. The 

overall response rate was 77 percent, with plan response 

rates ranging from 62 percent to 92 percent. These response 

rates are signifi cantly better than the previous HOS response 

rates for PACE. The functional impairment information 

collected by the PACE Health Survey was used to determine 

the frailty adjuster for each PACE organization for the 

purposes of Medicare payment in 2004. ■

Second-Generation Social Health Maintenance 

Organization Demonstration: Nevada

Project No: 95-W-90503/09

Project Offi cer: Thomas Theis

Period: November, 1996 to December, 

2004

Funding: $0

Principal 

Investigator: Bonnie Hillegass

Award: Waiver-Only Project

Awardee: Health Plan of Nevada, Inc.

PO Box 15645

Las Vegas, NV 89114-5645

Description: The purpose of this second-generation 

social health maintenance organization (S/HMO-II) 

demonstration is to refi ne the targeting and fi nancing 

methodologies and the benefi t design of the current S/

HMO model. The S/HMO integrates health and social 

services under the direct fi nancial management of the 

provider of services. All acute and long-term care 

services are provided by or through the S/HMO at a 

fi xed, annual, prepaid capitation sum. The S/HMO-II 

model provides an opportunity to test models of care 

focusing on geriatrics. The Health Plan of Nevada 

(HPN) is one of six organizations originally selected to 

participate in the project.

Status: The Balanced Budget Act of 1997 extended 

the demonstration period through December 31, 

2000. The Balanced Budget Refi nement Act of 1999 

extended the demonstration until 18 months after 

the Secretary submits the S/HMO Transition Report 

to Congress. The Medicare, Medicaid, and SCHIP 

Benefi ts Improvement Protection Act of 2000 extended 

the demonstration until 30 months after the S/HMO 

Transition Report to Congress is submitted. This report 

addresses transitioning S/HMOs and similar plans to 

the Medicare+Choice program and appropriate payment 

levels for these organizations. The report was sent to 

Congress in February 2001 making the end date July 

2003. CMS, using discretionary authority, extended the 

demonstration through December 31, 2004. Payment for 

the S/HMO demonstration in 2004 will be determined 

by the CMS-Hierarchical Condition Category risk 

adjustment model with a frailty adjustor employing a 

90/10 percent blend. The blend will be 90 percent of the 

payment based on the methodology in prior use during 

the demonstration and 10 percent based on the new risk 

adjustment system with the additional frailty adjustment. 

HPN is the only S/HMO II model operational site in the 

demonstration. HPN began enrolling benefi ciaries in the 

demonstration in November 1996. HPN enrollment at the 

end of 2004 was over 48,000 members.

The project’s fi nal Report to Congress was released to 

Congress by the Secretary of Health and Human Services 

in February 2003. The purpose of this report is to present 

an analysis of the S/HMO II model. ■

Social Health Maintenance Organization Project 

for Long-Term Care: Elderplan, Inc. (Formerly, 

Social Health Maintenance Organization Project 

for Long-Term Care)

Project No: 95-P-09101/02

Project Offi cer: Thomas Theis

Period: August, 1984 to December, 2004

Funding: $0

Principal 

Investigator: Eli Feldman

Award: Waiver-Only Project

Awardee: Elderplan, Inc.

6323 Seventh Avenue

Brooklyn, NY 11220

Description: This project was developed to 

implement the concept of a social health maintenance 

organization (S/HMO) for acute and long-term care. 

An S/HMO integrates health and social services under 
98 Active Projects Report—2004 Edition

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

the direct fi nancial management of the provider of 

services. All services are provided by or through the 

S/HMO at a fi xed, annual, prepaid capitation sum. 

Four demonstration sites originally were selected to 

participate; of the four, two were health maintenance 

organizations that have added long-term care services 

to their existing service packages, and two were longterm care providers that have added acute-care service 

packages. Elderplan is one of the long-term care 

provider sites that developed and added an acute-care 

service component.

Status: Elderplan implemented its service delivery 

network in March 1985. Elderplan uses both Medicare 

and Medicaid waivers. The Balanced Budget Act 

of 1997 extended the demonstration period through 

December 31, 2000. The Medicare, Medicaid, and 

SCHIP Balanced Budget Refi nement Act of 1999 

extended the demonstration until 18 months after 

the Secretary submits the S/HMO Transition Report 

to Congress. The Medicare, Medicaid, and SCHIP 

Benefi ts Improvement and Protection Act of 2000 further 

extended the demonstration until 30 months after the 

S/HMO Transition Report to Congress is submitted. 

This report addresses transitioning S/HMOs and similar 

plans to the Medicare+Choice program and appropriate 

payment levels for these organizations. The report was 

sent to Congress in February 2001, making the end date 

July 2003. 

CMS, using discretionary authority, extended the 

demonstration through December 31, 2004. Payment for 

the S/HMO demonstration in 2004 will be determined by 

the CMS-Hierarchical Condition Category risk-adjustment 

model with a frailty adjustor employing a 90/10 percent 

blend. The blend will be 90 percent of the payment based 

on the methodology in prior use during the demonstration 

and 10 percent based on the new risk-adjustment system 

with the additional frailty adjustment. ■

Social Health Maintenance Organization Project 

for Long-Term Care: Kaiser Permanente Center 

for Health Research 

Project No: 95-P-09103/00

Project Offi cer: Thomas Theis

Period: August, 1984 to December, 2004

Funding: $0

Principal 

Investigator: Lucy Nonnenkamp

Award: Waiver-Only Project

Awardee: Kaiser Permanente Center for 

Health Research

2701 NW Vaughn Street, Suite 160

Portland, OR 97210

Description: This project was developed to implement 

the concept of a social health maintenance organization 

(S/HMO) for acute and long-term care. An S/HMO 

integrates health and social services under the direct 

fi nancial management of the provider of services. All 

services were provided by or through the S/HMO 

at a fi xed, annual, prepaid capitation sum. Four 

demonstration sites originally were selected to 

participate—two were health maintenance organizations 

(HMOs) that have added long-term care services to their 

existing service packages, and two were long-term care 

providers that have added acute-care service packages. 

Kaiser Permanente Center for Health Research (doing 

business as Senior Advantage II) is one of the HMO sites 

that developed and added a long-term care component to 

its service package.

Status: Senior Advantage II (formerly Medicare Plus II) 

implemented its service delivery network in March 1985. 

Senior Advantage II used Medicare waivers only. The 

Balanced Budget Act of 1997 extended the demonstration 

period through December 31, 2000. The Balanced Budget 

Refi nement Act of 1999 extended the demonstration 

until 18 months after the Secretary submits the S/HMO 

Transition Report to Congress. The Medicare, Medicaid, 

and SCHIP Benefi ts Improvement and Protection Act 

of 2000 further extended the demonstration until 30 

months after the S/HMO Transition Report to Congress is 

submitted. This report addresses transitioning S/HMOs 

and similar plans to the Medicare+Choice program and 

appropriate payment levels for these organizations. The 

report was sent to Congress in February 2001, making the 

end date July 2003. 

CMS, using discretionary authority, extended the 

demonstration through December 31, 2004. Payment for 

the S/HMO demonstration in 2004 will be determined by 

the CMS-Hierarchical Condition Category risk adjustment 

model, with a frailty adjustor employing a 90/10 percent 

blend. The blend will be 90 percent of the payment based 

on the methodology in prior use during the demonstration 

and 10 percent based on the new risk-adjustment system 

with the additional frailty adjustment. ■

Social Health Maintenance Organization Project 

for Long-Term Care: SCAN Health Plan

Project No: 95-P-09104/09

Project Offi cer: Thomas Theis

Period: August, 1984 to December, 2004

Funding: $0

Principal 

Investigator: Timothy C. Schwab

Award: Waiver-Only Project

Awardee: SCAN Health Plan

3800 Kilroy Airport Way, Suite 100 

PO Box 22616

Long Beach, CA 90801-5616

Description: This project was developed to implement 

the concept of a social health maintenance organization 

(S/HMO) for acute and long-term care. An S/HMO 
Active Projects Report—2004 Edition 99

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

integrates health and social services under the direct 

fi nancial management of the provider of services. All 

services are provided by or through the S/HMO at 

a fi xed, annual, prepaid capitation sum. Four sites 

originally were selected to participate; of the four, two 

were health maintenance organizations that have added 

long-term care services to their existing service packages 

and two were long-term care providers that have added 

acute-care service packages. SCAN Health Plan is one 

of the long-term care provider sites that developed and 

added an acute-care service component.

Status: SCAN Health Plan implemented its service 

delivery network in March 1985. SCAN uses both 

Medicare and Medicaid waivers. The Balanced Budget 

Act of 1997 extended the demonstration period through 

December 31, 2000. The Balanced Budget Refi nement 

Act of 1999 extended the demonstration until 18 months 

after the Secretary submits the S/HMO Transition Report 

to Congress. The Medicare, Medicaid, and SCHIP 

Benefi ts Improvement and Protection Act of 2000 further 

extended the demonstration until 30 months after the 

S/HMO Transition Report to Congress is submitted. 

This report addresses transitioning S/HMOs and similar 

plans to the Medicare+Choice program and appropriate 

payment levels for these organizations. The report was sent 

to Congress in February 2001 making the end date July 

2003. CMS, using discretionary authority, extended the 

demonstration through December 31, 2004. Payment for 

the S/HMO demonstration in 2004 will be determined 

by the CMS-Hierarchical Condition Category risk 

adjustment model with a frailty adjustor employing a 

90/10 percent blend. The blend will be 90 percent of the 

payment based on the methodology in prior use during 

the demonstration and 10 percent based on the new risk 

adjustment system with the additional frailty adjustment. ■

End Stage Renal Disease (ESRD) Managed Care 

Demonstration: Health Options

Project No: 95-C-90692/04

Project Offi cer: Sid Mazumdar

Period: September, 1996 to 

December, 2005

Funding: $0

Principal 

Investigator: Jeremy Ginder

Award: Cooperative Agreement

Awardee: Advanced Renal Options

8400 NW 33rd Street, 4th Floor

Miami, FL 33122

Description: The original demonstration program, 

Advanced Renal Options, tested whether open enrollment 

of End Stage Renal Disease (ESRD) patients in managed 

care was feasible with a capitation rate adjusted for age, 

treatment status, and cause of renal failure, and additional 

payment made for extra benefi ts.

Status: As of April 2004, there were 269 benefi ciaries 

enrolled. Data collection for evaluation purposes 

ended May 31, 2001, at the conclusion of the mandated 

3-year period. Waivers were renewed for the period 

June 1, 2001, through December 31, 2002, for residual 

demonstration enrollees to continue to receive the extra 

benefi ts, with CMS paying an unadjusted capitation 

rate based on the demonstration rate. Waivers were 

renewed again for the period January 1, 2003–

December 31, 2005. ■

Data Collection for Second Generation S/HMO

Project No: 500-96-0005/02

Project Offi cers: Pauline Karikari-Martin and 

Thomas Theis

Period: November, 1996 to 

December, 2004

Funding: $8,978,005

Principal 

Investigator: Lisa Maria Alecxih

Award: Task Order

Awardee: Lewin Group

3130 Fairview Park Drive, Suite 800

Falls Church, VA 22042

Description: This project consolidated the data 

collection needs of the Second Generation Social Health 

Maintenance Organization (S/HMO-II) Demonstration. 

The work was done by Mathematica Policy Research 

under a subcontract. The project conducted initial and 

annual follow-up surveys for each benefi ciary enrolled 

in the S/HMO-II demonstration. The information 

gathered served three primary functions: baseline and 

follow-up data for the analyses, clinical information to 

the participating S/HMO-II sites for care planning, and 

data for risk-adjustment and payment. In addition, this 

project supports two congressionally mandated reports 

to Congress, an S/HMO Transition Report to Congress 

and a Final Report to Congress on the S/HMO II project. 

While multiple sites were originally planned for this 

demonstration, only one, the Health Plan of Nevada, 

actually implemented an S/HMO II plan. The evaluation 

was designed to assess the impact of the S/HMO II by 

comparing it with regular Medicare+Choice sites using 

measures of utilization, quality of care, and changes in 

participant health status over time. 

Status: The reports to Congress have been prepared. 

The S/HMO Transition Report was released to Congress 

in February 2001. The second report to Congress, a 

Final Report to Congress on the S/HMO II Project, was 

released in February 2003. ■
100 Active Projects Report—2004 Edition

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

Refi nement of Risk Adjustment for Special 

Populations

Project No: 500-99-0038

Project Offi cer: Ronald Lambert

Period: August, 2002 to July, 2004

Funding: $399,740

Principal 

Investigator: Gregory Pope

Award: Contract

Awardee: Research Triangle Institute

411 Waverley Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: This project will review and evaluate 

potential risk adjusters and develop a preliminary 

payment approach for frail populations. One of the 

purposes of this contract modifi cation is to refi ne and 

further develop frailty adjustment. In 2000, CMS 

implemented a risk adjustment methodology that uses 

hospital inpatient diagnoses and pays Medicare+Choice 

(M+C) organizations a blend of 10 percent of the risk 

adjustment amount and 90 percent of the previous 

demographic payment amount. The payment approaches 

under consideration involve the application of a frailty 

adjuster in conjunction with the inpatient and ambulatory 

model that will be used for M+C organizations in 2004.

Status: CMS is considering implementing frailty 

adjustment for demonstrations and PACE in 2004. Prior 

to implementation, CMS will be sharing information 

with the demonstrations, PACE, and other interested 

parties and pursuing clearance through the Offi ce 

of Management and Budget and the Department of 

Health and Human Services. Refi nements and further 

development will be necessary to refl ect more recent 

research or changes in policy direction. This is a 

modifi cation to existing contract with Health Economics 

Research (HER, # 500-99-0038). ■

Refi nements to Medicare Diagnostic Cost Group 

(DCG) Risk-Adjustment Models

Project No: 500-00-0030/04

Project Offi cer: Melvin Ingber

Period: September, 2002 to 

September, 2004

Funding: $568,038

Principal 

Investigator: Gregory Pope

Award: Task Order

Awardee: Research Triangle Institute

411 Waverly Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: A set of models to provide risk adjuster 

measures for the purpose of determining payments to 

capitated managed care organizations was developed 

under contract with CMS (#500-92-0020 Task Order 

6) and were then further improved (#500-95-0048 Task 

Order 3). This task order will test the model for use in 

special populations to develop satisfactory payment 

for plans that enroll benefi ciaries selectively based on 

their medical, functional, or institutional condition. The 

DCG-based models are designed to use demographic 

and diagnostic information to project expenditures and 

to provide factors that could be used to multiply the 

ratebook amounts instead of the demographic factors 

currently used.

Further work is to be done on a concurrent model and on 

an institutional model using a larger sample. The ICD-9 

tables will be updated to refl ect coding changes to keep 

the model responsive to new codes.

Status: The early work has been completed and the 

latter projects are in process. ■

Evaluation of the Medical Savings Account 

Demonstration

Project No: 500-95-0057/06

Project Offi cer: Victor McVicker

Period: September, 1998 to 

September, 2004

Funding: $404,640

Principal 

Investigator: Kenneth Cahill

Award: Task Order

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: This project evaluates the Medical Savings 

Account (MSA) Demonstration. It compares the experience 

of MSA enrollees with other Medicare benefi ciaries.

Status: No insurers have elected to participate in the 

MSA demonstration. A report to Congress is being 

reviewed within CMS. ■

Modeling M+C Standardized Benefi t Packages in 

Local Markets

Project No: 500-95-0057/06a

Project Offi cer: Victor McVicker

Period: January, 2002 to September, 2003

Funding: $184,688

Principal 

Investigator: Mary Laschober

Award: Contract

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: The purpose of this project is to explore 

the feasibility of developing M+C standardized core 

benefi t package and standardized add-on benefi t options 
Active Projects Report—2004 Edition 101

Theme 3: Expanding Benefi ciaries’ Choices and

Availability of Managed Care Options

Theme 3

that plans can choose when designing benefit packages 

to offer in their service area. The design of the proposed 

packages is based on the current range of plan offerings 

in local Medicare markets and on the experiences of 

other Federal, State, and private organizations with 

developing defi ned benefi t packages. Information on 

the M+C benefi t package was supplemented by key 

informant interviews and a focused literature review. The 

proposed packages could be used in a competitive model 

for Medicare (similar to FEHBP) that increases choices 

available to benefi ciaries.

Status: BearingPoint has submitted a draft fi nal report 

for CMS review. This report proposes for Medicare 

three model core benefi t packages and four riders (with 

two options each) resulting in 240 combinations of core 

and riders that health plans could make available to 

benefi ciaries. For each of the core benefi t packages, this 

report provides the estimated annual cost for plan benefi ts 

and the amount paid by the benefi ciary as out-of-pocket 

expenditures, as well as the total paid by the plan and the 

benefi ciary. The report also discusses the advantages and 

disadvantages of standardization and the alternatives to 

full standardization. ■

Active Projects Report—2004 Edition 103

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

Direct and Indirect Effects of the Changes in 

Home Health Policy and an Analysis of the Skill 

Mix of Medicare Home Health Services Before 

and After the Balanced Budget Act of 1997

Project No: HCFA-00-0108

Project Offi cer: Ann Meadow

Period: March, 2000 to December, 2003

Funding: $24,298

Principal 

Investigator: Nelda McCall

Award: Simplifi ed Acquisition

Awardee: Laguna Research Associates

455 Market Street, Suite 1190

San Francisco, CA 94105

Description: This project provides partial support for 

a project primarily funded by the Robert Wood Johnson 

Foundation (RWJ). As part of this larger project, CMS 

supplies needed data and receives the results of a special 

study. The RWJ project examines three areas where 

impacts of the Balanced Budget Act of 1997 (BBA) 

might fall: the Medicare benefi ciary, home health care 

agencies, and the overall medical and long-term care 

system. The special study for CMS looks at benefi ciary 

access, as measured by patterns of Medicare home health 

use before and soon after the implementation of the BBA. 

The focus is on assessing whether changes occurred in 

the skill mix of types of visits received by home health 

users. The analysis also seeks information on possible 

differential effects for different categories of home health 

users and in different geographic areas.

Status: This project has been completed. A partial list of 

reports and publications follows: 

• N. McCall et al., “Medicare Home Health Before and 

After the BBA,” Health Affairs (May/June 2001): 

189–198. 

• H. Komisar, “Rolling Back Medicare Home Health,” 

Health Care Financing Review (Winter 2002): 

33–56.

• N. McCall et al., “Constraining Medicare Home 

Health Reimbursement: What Are the Outcomes?” 

Health Care Financing Review (Winter 2002): 

57–76.

• N. McCall et al., “Utilization of Home Health 

Services Before and After the Balanced Budget Act 

of 1997: What Were the Initial Effects?” Health 

Services Research (February 2003): 85–106.

• N. McCall et al., “Decreased Home Health Use: 

Does It Decrease Satisfaction?” Medical Care 

Research and Review (forthcoming).

• N. McCall et al., “Reforming Medicare Payment: 

Early Effects of the 1997 Balanced Budget Act on 

Postacute Care,” MilbankQuarterly 81, no. 2 (2003): 

277–303.

• V. Cheh and W. Black, “Striking a Balance in Home 

Health Payment Reforms,” Mathematica Policy 

Research, Inc. (June 2003).

• C. Murtaugh et al., “Trends in Medicare Home 

Health Care Use: 1997–2001,” Health Affairs 22, 

no. 5 (Sept./Oct. 2003): 146-156.

• S. Rogers and H. Komisar, “Effects of the Balanced 

Budget Act on Medicare Home Health Agencies, 

Services and Clients: Findings from Interviews with 

Home Care Associations and Agencies” Final Report 

to the Robert Wood Johnson Foundation and the 

Centers for Medicare & Medicaid Services. Institute 

for Health Care Research and Policy, Georgetown 

University. Washington, DC, June 2002. ■

Theme 4: Developing FFS Payment and Service 

Delivery Systems

Summary: All the new prospective payment systems (PPSs), e.g., skilled nursing facilities (SNFs), home health, 

inpatient rehabilitation, and outpatient and long-term care hospitals, are being evaluated as they proceed 

through the successive stages of implementation. Refi nement efforts to existing PPS systems are also under 

way. We are also working to implement demonstrations that align hospital and physician incentives, including 

all-inclusive payments for hospital and physician services for specifi c inpatient episodes of care. In addition, we 

are working to implement numerous payment and service delivery demonstrations mandated by the Medicare 

Modernization Act.
104 Active Projects Report—2004 Edition

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

Studies in Home Health Case Mix

Project No: 500-00-0032/03

Project Offi cer: Ann Meadow

Period: September, 2001 to 

December, 2005

Funding: $739,713

Principal 

Investigator: Marian Wrobel, Ph.D.

Award: Task Order

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Description: The main purpose of this project is to 

further develop the case mix model used for the home 

health prospective payment system (PPS) implemented 

in October 2000 and to explore new approaches to case 

mix adjuster development. Some of the results may have 

near- or medium-term application to CMS rulemaking 

for Medicare home health payment because they are 

essentially extensions of the current model. Other results 

are not necessarily extensions of the current model and 

therefore might fi nd application in the long-term future. 

Additional tasks in this project involve maintenance of 

the home health PPS grouper and other types of technical 

assistance. All work will be conducted using existing 

administrative databases.

Status: Analyses have been conducted on a 20-percent 

sample of claims from the fi rst six quarters of PPS, 

sometimes making use of simulated episodes from earlier 

periods for comparison. Analyses have been directed at 

such issues as performance of the existing adjuster for 

long-stay patients, feasibility of an adjuster for supplies 

costs, prediction of therapy costs and other approaches 

addressing the therapy visit threshold, performance of 

additional diagnosis groups, miscellaneous refi nements 

of existing diagnosis groups, and time trends in Outcome 

and Assessment Information Set item coding. Further 

work will include retesting interim results on more 

recent data. ■

Medicare Post-Acute Care: Evaluation of BBA 

Payment Policies and Related Changes

Project No: 500-96-0006/04

Project Offi cer: Philip Cotterill

Period: September, 2000 to 

September, 2004

Funding: $636,557

Principal 

Investigator: Brian Burwell

Award: Task Order

Awardee: Medstat Group (DC)

600 Maryland Avenue, SW, 

Suite 550

Washington, DC 20024-2512

Description: The purpose of this project is to study the 

impact of BBA and other policy changes on Medicare 

utilization and delivery patterns of post-acute care. Postacute care is generally defi ned to include the Medicare 

covered services provided by skilled nursing facilities 

(SNFs), home health agencies, rehabilitation hospitals 

and distinct part units, long-term care hospitals, and 

outpatient rehabilitation providers. The changes in 

post-acute care payment policy enacted in the late 

1990s (mostly in the 1997 Balanced Budget Act (BBA) 

with some subsequent modifi cations) were made oneby-one to most types of post-acute care. However, a 

benefi ciary’s post-acute care needs can often be met 

in alternative provider settings. Therefore, policy 

changes for one post-acute care modality may have 

ramifi cations for other post-acute and acute care services. 

Understanding the interrelationships among post-acute 

care delivery systems is critical to the development of 

policies that encourage appropriate and cost-effective use 

of the entire range of care settings. The results of this 

work may be useful in refi ning policies for individual 

types of post-acute care, as well as in developing a more 

coordinated approach across all settings. This initial 

project will compare changes between the pre-BBA 

period of the 1990s and the post-BBA year, 1999. The 

study will include a variety of benefi ciary, provider, 

and market area analyses. Since the impacts of policy 

changes not yet implemented will continue to be of 

interest for many years, the analyses developed under this 

contract are expected to use and refi ne methods that can 

be applied in future evaluation research.

Status: A fi nal report containing descriptive and 

multivariate analyses of post-acute episodes of 

care during the period 1996–2002 is expected by 

September 2004. ■
Active Projects Report—2004 Edition 105

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

Assessment, Refi nement, and Analysis of the 

Existing Prospective Payment System for Skilled 

Nursing Facilities

Project No: 500-00-0025/02

Project Offi cer: Jeanette Kranacs

Period: July, 2001 to July, 2005

Funding: $6,383,566

Principal 

Investigator: Korbin Liu

Award: Task Order

Awardee: Urban Institute

2100 M Street, NW

Washington, DC 20037

Description: This project supports CMS in (1) the 

assessment of the feasibility of refi ning the current 

Medicare payment system for skilled nursing facilities, 

and if feasible, produce analyses that support these 

refi nements, and (2) our exploration of different 

systems for categorizing patients and their resource 

allocation. It will analyze data and prepare a report 

containing recommendations for possible revisions to the 

classifi cation of patients in a manner that accounts for the 

relative resource use of different patient types.

Status: Phase I focused on the design and creation of a 

database. Phase II analyses support annual refi nements 

to the payment system and analysis, testing, simulations, 

and making recommendations regarding potential options 

for modifying, restructuring, or reconfi guring the existing 

patient classifi cation and payment system for skilled 

nursing facilities. ■

Evaluation of Issues Related to Prospective 

Payment System under Consolidated Bidding 

for Skilled Nursing Facilities and Home 

Health Agencies

Project No: 500-96-0026/14

Project Offi cer: Cindy Murphy

Period: August, 1999 to June, 2003

Funding: $938,370

Principal 

Investigators: Sam McNeill, George Kowalczyk, 

and Frank Spruill

Award: Task Order

Awardee: Jing Xing Technologies

1312 Vincent Place

P.O. Box 6655 

McLean, VA 22106-6655

Description: This project provides analytical support 

for CMS on operating issues (claims processing, medical 

review (MR), and data processing) for providers and 

contractors (intermediaries, carriers, and durable medical 

equipment regional carriers) related to implementation 

of the skilled nursing facility (SNF) Part A prospective 

payment system, consolidated billing under Parts A 

and B, and implementation of the new SNF Part B fee 

schedule. Operating issues include.

• Intermediary medical review processes

• Avoiding duplicate payments

• Implementing the SNF Part B fee schedule

• Editing criteria and processing rules for SNF claims 

• Training materials

• Consolidating billing for home health issues

Status: A report submitted with recommendations is 

available. The remaining activities include:

• Complete development of automation for fi scal 

intermediary MR

• Complete development of enhanced coverage edits 

for FY 2001 resource utilization groups

• Complete development of specifi cations for focused 

MR for FY 2001 resource utilization groups

• Complete development of query fi le for SNFs to 

ascertain Part A and Part B 

• Status of specifi c CMS Common Procedure Coding 

System codes

• Complete development of paid claims data analysis 

related to potential duplicate payment of SNF claims

• Miscellaneous other data analysis reports. ■

Mercy Medical Skilled Nursing Home Payment 

Demonstration

Project No: 95-W-00083/04

Project Offi cer: J. Donald Sherwood

Period: January, 2002 to December, 2004

Funding: $0

Principal 

Investigator: Kathryn Parks

Award: Waiver-Only Project

Awardee: Mercy Medical

101 Villa Drive

P.O. Box 1090

Daphne, AL 36526-1090

Description: This pilot study is viewed as a period 

of evaluation for the purpose of working toward 

crafting an alternative approach to fi nancing post-acute 

care that features greater integration of services and 

episodic payment. During the demonstration period, 

Mercy Medical is being paid according to the payment 

methodology that was used during the 2-year period 

authorized by the Balanced Budget Refi nement Act 

of 1999 (BBRA), i.e., a per diem payment based on 

historical cost.
106 Active Projects Report—2004 Edition

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

Status: Mercy Medical is developing a proposal for 

a 5-year demonstration to test an alternative approach 

to fi nancing post-acute care that features increased 

integration of services and a bundled payment for 

select diagnoses. The post-acute services include 

inpatient rehabilitation hospital, SNF, and home health. 

For qualifying Medicare patients in the diagnostic 

categories of cerebrovascular accident (CVA)/stroke, 

cardiopulmonary, and orthopedic, Mercy Medical would 

be paid a single bundled payment for a defi ned 100-day 

episode of care. For Medicare patients not in the select 

diagnosis groups, Mercy Medical will continue to receive 

the inpatient rehab prospective payment system (PPS), 

home health agency PPS, and the waivered SNF payment 

as defi ned in BBRA. ■

Design, Development, Implementation, 

Monitoring, and Refi nement of a Prospective 

Payment System for Inpatient Rehabilitation

Project No: 500-95-0056/08

Project Offi cer: Jeanette Kranacs

Period: July, 1999 to September, 2004

Funding: $5,908,651

Principal 

Investigators: Grace Carter and 

Melinda Beeuwkes Buntin

Award: Task Order

Awardee: RAND Corporation

1700 Main Street

P.O. Box 2138

Santa Monica, CA 90407-2138

Description: The purpose of this project is to support 

the design, development, implementation, monitoring, 

and refi nement of a case-based prospective payment 

system (PPS) for rehabilitation facilities providing 

services to Medicare benefi ciaries. Phase I of this 

project has been completed. This research has supported 

the development of a PPS for inpatient rehabilitation. 

This included the assessment and development of 

a classifi cation system based upon both UDSmr 

and MEDIRISK data and focused on the Medicare 

population. The project will assess the feasibility of 

including or considering additional MDS PAC variables 

and assess the potential impact of the FIM-FRG 

classifi cation system and subsequent payment system. 

Phase II of this contract will be creating a national 

database merging the Inpatient Rehabilitation Facility 

Patient Assessment Instrument with CMS administrative 

data to analyze the case mix groups and the facility 

adjustments for refi nements to the payment systems, 

as well as analysis of special cases, i.e., day and cost 

outliers, short stays, deaths, transfers, and interrupted 

stays. Phase II will advise and assist CMS in developing 

a monitoring system to assess the impact of the inpatient 

PPS and analyze the results of the staff time measurement 

study to assess compression. Additional tasks that will 

be addressed in the second phase of this contract include 

the impact of specifi c departments within the facilities 

or exempt units, assessing the impact of technological 

innovations on functional groups of the payment system, 

analysis of the activities of daily living (ADLs) to predict 

disability status and payment, and continued analysis 

of the impact of motor and cognitive variables on 

predicting disability status and payment. This phase will 

continue to analyze the impact of impairment groups, 

with and without comorbidities, and analyze the impact 

of comorbidities and their relationship to RICs and 

complexities.

Status: A work plan and interim report on “Inpatient 

Rehabilitation Facility Prospective Payment System” for 

Phase I is available. Additional reports and the work plan 

for Phase II are also available. ■

Psychiatric Inpatient Routine Cost Analysis

Project No: 500-95-0058/13

Project Offi cer: Frederick Thomas

Period: September, 2000 to 

December, 2004

Funding: $2,432,014

Principal 

Investigator: Jerry Cromwell

Award: Task Order

Awardee: Research Triangle Institute

411 Waverley Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: The Balanced Budget Refi nement Act of 

1999 (BBRA) (1999) requires the Secretary to report 

on a per diem-based PPS with an adequate patient 

classifi cation system for psychiatric hospitals and distinct 

part units by October 1, 2001. Previous research on 

inpatient psychiatric cost variation focused on explaining 

per-case cost differences, primarily using diagnosisrelated groups (DRGs). However, little, if any, research 

has been done on psychiatric per diem cost variation. 

Three inpatient cost components are recorded in the 

Medicare cost report: ancillary, overhead, and general 

routine care (adults and pediatrics). The largest of these 

components, general routine care, represents about twothirds of the total cost of delivering inpatient services in 

exempted psychiatric facilities. Unfortunately the cost 

report does not detail the services that are provided in this 

cost category. In order to understand the dynamics of 

psychiatric per diem cost variation, and in particular, the 

variation in per diem routine costs, basic data collection 

and analytical work will be conducted under this project. 

In order to understand the dynamics of psychiatric per 

diem cost variation, and in particular, the variation in per 

diem routine costs, basic data collection and analytical 

work will be conducted under this project. These data 

will be used to construct a typology of routine inpatient 
Active Projects Report—2004 Edition 107

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

psychiatric services. The variations in these services 

will then be analyzed at the patient level to answer the 

following questions:

• Do routine services vary across facility types?

• Do routine services differ between homogeneous 

patient categories holding facility groups constant?

• How do different staffi ng models infl uence routine 

cost variation? 

• How do patient types infl uence resource usage?

• How does resource intensity vary within a patient 

stay?

• What patient level factors affect resource usage? 

Facility and patient level data will be gathered at over 40 

sites by the end of the contract period. Data are collected 

for a 1-week period during each of 3 shifts (24/7).

Status: The fi nal project report is being reviewed. ■

Practice Expense Methodology

Project No: 500-95-0059/06

Project Offi cer: Ken Marsalek

Period: May, 1999 to May, 2004

Funding: $655,710

Principal 

Investigator: Allen Dobson

Award: Task Order

Awardee: Lewin Group

3130 Fairview Park Drive, Suite 800

Falls Church, VA 22042

Description: This project provided technical assistance 

to evaluate various aspects of the practice expense 

methodology for the Medicare Physician Fee Schedule. 

Until January 1992, Medicare paid for physicians’ 

services based on a reasonable charge system. This 

system led to payment variations among types of 

services, physician specialties, and geographic areas. In 

1989 Congress established a fee schedule for the payment 

of physicians’ services. Under the formula set forth 

in the law, the payment amount for each service is the 

product of three factors: 

1. A nationally uniform relative value 

2. A geographic adjustment factor for each physician 

fee schedule area 

3. A nationally uniform conversion factor that converts 

the relative value units (RVUs) into payment 

amounts for services

The RVUs for each service refl ect the resources 

involved in furnishing the three components of a 

physician’s service: 

1. Physician work (i.e., a physician’s own time 

and effort)

2. Practice expenses net of malpractice expenses

3. Malpractice insurance expenses

The original practice expense RVUs were derived 

from 1991 historical allowed charges. A common 

criticism was that for many items these RVUs were not 

resource-based because they were not directly based on 

the physicians’ resource inputs. CMS was required to 

implement a system of resource-based practice expense 

relative value units (PERVUs) for all physicians’ services 

by 1998. The Balanced Budget Act of 1997 (BBA) 

made a number of changes to the system for determining 

PERVUs, including delay of initial implementation until 

1999 and provision for a 4-year transition. To obtain 

practice expense data at the procedure code level, CMS 

convened Clinical Practice Expert Panels (CPEPs). 

The CPEPs provided the direct inputs of physician 

services, i.e., the amount of clinical and administrative 

staff time associated with a specifi c procedure and 

medical equipment and medical supplies associated 

with a specifi c procedure. In June 1997, we published a 

proposed rule for implementing resource-based practice 

expense payments. The methodology incorporated 

elements of the CPEP process to develop the direct 

expense portion of the PERVU. The indirect expense 

portion of the PERVU was based on an allocation 

formula. In addition to delaying the implementation of 

resource-based practice expense payments until January 

1, 1999, the BBA phased in the new payments over a 

4-year transition period. In developing new practice 

expense RVUs, we were required to: 

• Utilize, to the maximum extent practicable, generally 

accepted cost accounting principles that recognize 

all staff, equipment, supplies, and expenses, not just 

those that can be linked to specifi c procedures

• Use actual data on equipment utilization and other 

key assumptions

• Consult with organizations representing physicians 

regarding methodology and data to be used

• Develop a refi nement process to be used during each 

of the 4 years of the transition period

In June 1998, we proposed a methodology for computing 

resource-based practice expense RVUs that uses the two 

signifi cant sources of actual practice expense data we 

have available: CPEP data and the American Medical 

Association’s (AMA) Socioeconomic Monitoring 

System (SMS) data. This methodology is based on an 

assumption that current aggregate specialty practice 

costs are a reasonable way to establish initial estimates 

of the relative resource costs of physicians’ services 

across specialties. It then allocates these aggregate 

specialty practice costs to specifi c procedures and, 
108 Active Projects Report—2004 Edition

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

thus, can be seen as a “top-down” approach. We used 

actual practice expense data by specialty to create six 

cost pools: administrative labor, clinical labor, medical 

supplies, medical equipment, offi ce supplies, and all 

other expenses. There were three steps in the creation of 

the cost pools:

1. We used the AMA’s SMS survey of actual cost data 

to determine practice expenses per hour by cost 

category.

2. We determined the total number of physician hours, 

by specialty, spent treating Medicare patients.

3. We then calculated the practice expense pools by 

specialty and by cost category by multiplying the 

practice expenses per hour for each category by the 

total physician hours. 

For each specialty, we separated the six practice expense 

pools into two groups and used a different allocation 

basis for each group. For group one, which includes 

clinical labor, medical supplies, and medical equipment, 

we used the CPEP data as the allocation basis. The 

CPEP data for clinical labor, medical supplies, and 

medical equipment were used to allocate the clinical 

labor, medical supplies, and medical equipment cost 

pools, respectively. For group two, which includes 

administrative labor, offi ce expenses, and all other 

expenses, a combination of the group one cost allocations 

and the physician fee schedule work RVUs were used 

to allocate the cost pools. For procedures performed 

by more than one specialty, the fi nal procedure code 

allocation was a weighted average of allocations for the 

specialties that perform the procedure, with the weights 

being the frequency with which each specialty performs 

the procedure on Medicare patients. The BBA also 

requires the Secretary to develop a refi nement process to 

be used during each of the 4 years of the period. In the 

1998 notice, we fi nalized the proposed methodology but 

stated that the PERVUs would be interim throughout the 

transition period. Additionally, we envisioned a two-part 

refi nement process.

Status: The project staff were concerned with the data 

involved in the project. They met with CMS and the 

AMA to discuss our future use of the AMA’s existing 

SMS survey and to discuss the design and structure of its 

new practice-level survey. The AMA plans to conduct 

its survey of practices in alternating years with the 

SMS survey. The project staff completed an evaluation 

of the 1998 SMS questionnaire and an initial review 

of the methodology of the practice expense per hour 

values derived from the SMS data. They developed 

recommendations regarding the practice survey design 

and methodology and considered how the practice-level 

survey could be used and how the information could be 

cross-walked to the SMS survey. In addition, they met 

with medical specialty organizations to review and make 

recommendations on data that might be of use and to hear 

concerns about the AMA SMS survey.

• The AMA has proposed the establishment of an RVU 

Practice Expense Advisory Committee to review 

detailed, Current Procedural Terminology code level 

input data.

• CMS will request contractual support for assistance 

on methodology issues. This project provides that 

contractual support. ■

5 Year Review of Malpractice Relative Value Units

Project No: 500-00-0017/01

Project Offi cer: Rick Ensor

Period: September, 2003 to March, 2005

Funding: $269,111

Principal 

Investigator: Jim Moser

Award: Task Order

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: The purpose of this procurement is to 

update the MPRVUs associated with Part B Medicare 

Physician Fee Schedule services. MPRVUs are one 

component of a fee schedule payment that by law must 

be updated no less than every 5 years. 

Over the past year there has been substantial media 

coverage associated with escalating malpractice 

premiums for physicians. Many physician specialties 

are experiencing inordinate increases as compared to 

other physician specialties. The development of revised 

MPRVUs will incorporate more current specialty specifi c 

malpractice premium data that will make the MPRVU 

component of the physician fee schedule payment 

amount for an individual service, a more accurate 

depiction of the resources cost associated with physicians 

purchasing malpractice insurance coverage.

The methodology that will be used to incorporate 

the malpractice premiums of the 20 largest Medicare 

specialties (as measured by total Medicare utilization 

provided by CMS) into the fi nal MPRVUs will be 

identical to the methodology that was utilized by KPMG, 

under contract to CMS, in the October 2000 Technical 

Addendum to the 4/7/99 Report on Resource-Based 

Malpractice RVUs (Task Order 0038). CMS will provide 

this Technical Addendum to the winner of the contract.

Status: BearingPoint is currently working on various 

technical issues that will need to be addressed in order to 

complete this contract. BearingPoint has been on time 

with all deliverables and the contract is on schedule. ■
Active Projects Report—2004 Edition 109

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

Environmental Scan for Selective Contracting 

Practices With Effi cient (Qualifi ed) Physicians 

and Physician Group Practices, Profi ling 

Techniques, Incentive Payments, and Barriers to 

Selective Contracting

Project No: 500-00-0030/01

Project Offi cer: Benson Dutton

Period: September, 2001 to March, 2003

Funding: $303,803

Principal 

Investigator: Gregory Pope

Award: Task Order

Awardee: Research Triangle Institute

411 Waverley Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: This project undertakes an environmental 

scan of physician service payers/employers to identify 

(1) recent fee-for-service payer and managed care plan 

selective contracting arrangements with effi cient/highquality physicians and physician-group practices; 

(2) best practice profi ling methodology/criteria used 

in selective contracting including fi nancial profi ling; 

(3) barriers to selective contracting such as “any-willingprovider” or “freedom-of-choice” laws; and (4) bonus 

arrangements being paid to high-quality physicians. 

Descriptive and qualitative analyses based on this 

environmental scan should lead to a recommendation of 

best practice profi ling criteria that identify effi cient and 

qualifi ed physicians and group practices. Quantitative 

analyses estimate current Medicare (Part B) physician 

expenditures and simulate possible program savings 

(losses) from alternative selective contracting 

policies based on best industry practice found in the 

environmental scan. The use of physician profi ling 

(quality and economic) by payers and employers 

in evaluating physicians for the purposes of staff 

appointment, reappointment, and/or selective contracting 

has been suggested as an accepted industry practice 

that would modernize Medicare payment practices. In 

addition, the use of bonus payments to effi cient and highquality physicians to keep Medicare program costs down 

and quality of service up is cited as another industry 

practice appropriate for modernization of Medicare.

Status: The contractor completed Phase I of the project, 

and a fi nal report was delivered December 31, 2003. ■

Implementation Support for the Medicare 

Participating Centers of Excellence 

Demonstration

Project No: 500-00-0037/02

Project Offi cer: Raymond Wedgeworth

Period: September, 2001 to March, 2005

Funding: $379,991

Principal 

Investigator: Kenneth Cahill

Award: Task Order

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: The purpose of this project is to assist 

CMS in the implementation of the Quality Partnerships 

Demonstration Project. Under this demonstration, 

CMS selects premier cardiovascular and orthopedic 

programs and gives a bundled Part A and Part B payment 

(global payment) for all inpatient facility and physician 

services related to specifi c diagnosis-related groups. 

Implementation support includes: (1) calculating the 

appropriate payment rates (both initial and annual 

updates); (2) developing the Offi ce of Management 

and Budget waiver cost estimate; (3) educating 

demonstration sites regarding payment calculations; 

(4) planning and implementing a predemonstration 

implementation conference; and (5) providing 

general technical support to CMS in carrying out the 

demonstration.

Status: The project is under way. ■

Quality Monitoring for the Medicare Participating 

Centers of Excellence Demonstration

Project No: 500-00-0032/01

Project Offi cer: Jody Blatt

Period: September, 2001 to 

December, 2005

Funding: $735,160

Principal 

Investigator: Oren Grad

Award: Task Order

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Description: The purpose of the quality monitoring 

project is to develop a quality monitoring process that 

meets the general goals of various global payment 

demonstrations, including the Medicare Partnerships 

for Quality Cardiovascular Services and Medicare 

Partnerships for Quality Total Joint Replacement 

Services (referred to as Quality Partnerships for short 

and formerly referred to as the Medicare Participating 

Centers of Excellence Demonstration) and, subsequently, 

to coordinate and implement that process. The process 
110 Active Projects Report—2004 Edition

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

incorporates the identifi cation and technical defi nition of 

appropriate performance measures, collection of data in 

a centralized database, the development and distribution 

of reports to provide meaningful information back to 

demonstration participants and CMS, and coordination 

of the quality consortia meetings and conferences. The 

Quality Partnerships Demonstration involves bundled 

Part A and Part B payments to premier cardiovascular 

and orthopedic facilities for selected procedures. The 

selected cardiovascular and orthopedic procedures 

include coronary artery bypass surgery, cardiac valve 

procedures, angioplasty, and knee and hip replacements. 

We expect that the use of global payments will align 

the incentives for effi ciency between the hospitals 

and the physicians, thereby enhancing not only the 

effi ciency but the clinical quality of services. All of the 

selected demonstration sites are invited to participate 

in a specialty-specifi c quality consortia that develops 

quality criteria and quantitative measures for monitoring 

performance during the demonstration.

Status: Implementation activities for the Medicare 

Quality Partnerships Demonstration (originally 

referred to as the Medicare Participating Centers of 

Excellence Demonstration) were suspended in late 

2002. No sites were operational as of that date. No 

further implementation activity on this demonstration is 

currently planned. However, the contract did complete 

the required literature reviews on the status of quality 

measures for cardiovascular surgery, total hip and knee 

replacements, and general inpatient services. 

Further work under this contract will be used to support 

other global payment demonstration quality initiatives. ■

Evaluation of the New Jersey Hospital Association 

Demonstration of Performance Based Incentives: 

Part 2.

Project No: 500-00-0024/15

Project Offi cer: Benson Dutton

Period: September, 2003 to 

September, 2005

Funding: $148,349

Principal 

Investigator: Jerry Cromwell

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

P.O. Box 12194

Research Triangle Park, NC 

27709-2194

Description: The goal of the demonstration is to test the 

feasibility and cost-effectiveness of incentive payments 

to physicians for inpatient procedure episodes. The 

demonstration hospitals will be permitted to set savings 

goals and make incentive payments to physicians 

when the goals are achieved. The evaluation of the 

demonstration will assess the overall performance of 

these hospitals over the course of the demonstration 

period. The evaluation of the demonstration is intended 

to explore the overall potential of this alternative 

payment approach as a means to provide health care 

at reduced prices by providing the opportunity for 

a lower cost but more coordinated service delivery 

through more fl exible use of resources and streamlining 

administrative procedures without compromising quality 

or sacrifi cing patient satisfaction. This demonstration 

and its evaluation should provide additional operational 

information about this payment method for both the 

public and private sector.

The demonstration has currently been extended to a 

second state, Virginia, where it will examine heart 

surgery under the rubric Virginia Cardiac Surgery 

Initiative. The evaluator will be the same as for the New 

Jersey demonstration. Proposed funding for the Virginia 

part of the evaluation is $313,675 for 2 years.

Status: The Centers for Medicare & Medicaid Services 

(CMS) has begun to implement the demonstration both in 

New Jersey and in Virginia. ■

Integrated Payment Option Support Contract

Project No: 500-00-0024/06

Project Offi cer: Raymond Wedgeworth

Period: September, 2002 to 

September, 2006

Funding: $496,279

Principal 

Investigator: Gregory Pope

Award: Task Order

Awardee: Research Triangle Institute (DC)

1615 M Street, NW, Suite 740

Washington, DC 20036-3209

Description: This demonstration utilizes the capabilities 

of integrated delivery systems by offering them a 

fi nancial incentive to manage care and integrate services 

for benefi ciaries across an entire defi ned episode of 

care. One example of an episode of care is inpatient 

treatment and post-acute care for stroke where the patient 

would benefi t from improved coordination of the range 

of services required for this diagnosis. A single episode 

payment would cover Part A (all benefi ts available to the 

covered population) and Part B (physician and possibly 

other services covered under Part B). This demonstration 

will compare alternate methods for calculating payment 
Active Projects Report—2004 Edition 111

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

rates using different assumptions such as co-morbid 

conditions, stage of diagnosis, and mix of services.

Status: CMS plans to implement the Integrated Payment 

Option demonstration in January 2005. CMS will select 

premier integrated delivery systems and give a bundled 

Part A and Part B payment (global payment) for all 

inpatient facility, post-acute, and physician services 

related to three to fi ve specifi c diagnosis-related groups. 

Six to eight sites will be selected. ■

Evaluation of Competitive Bidding 

Demonstration for DME and POS

Project No: 500-95-0061/03

Project Offi cer: Ann Meadow

Period: September, 1998 to June, 2004

Funding: $2,315,249

Principal 

Investigators: Thomas J. Hoerger, Ph.D. and 

Sarita Karon, Ph.D.

Award: Task Order

Awardee: University of Wisconsin – Madison

750 University Avenue

Madison, WI 53706

Description: In 1999 the agency mounted a 

demonstration to test the feasibility and effectiveness 

of establishing Medicare fees for durable medical 

equipment (DME) and prosthetics, prosthetic devices, 

orthotics, and supplies (POS) through a competitive 

bidding process. The fundamental objective of 

competitive bidding is to use marketplace competition 

to establish market-based prices and to select DME 

suppliers. The Balanced Budget Act of 1997 (BBA) 

authorized competitive bidding demonstrations for 

Part B services (except physician services), and the 

project was conducted under that authority. The initial 

site of the demonstration was Polk County, Florida. A 

second site, San Antonio, Texas, was added in 2000. 

Competitively bid product categories in Polk were 

oxygen supplies and equipment, hospital beds, enteral 

nutrition, surgical dressings, and urological supplies. 

Product categories in Texas were oxygen supplies and 

equipment, hospital beds, manual wheelchairs, nebulizer 

drugs, and noncustomized orthotics. Medicare contracts 

with winning suppliers in Polk County commenced in 

October 1999, and San Antonio contracts were scheduled 

to commence in February 2001. 

Section 4319 of the BBA specifi cally mandated 

evaluation studies addressing competitive bidding 

impacts on expenditures, quality, access, and diversity of 

product selection. This task order studies these and other 

outcomes of the demonstration. The evaluation uses 

several types of research designs, such as multiple time 

series analysis and pre-test/post-test comparisons. The 

results of the evaluation will help the Agency decide how 

to conduct any future competitive bidding activities.

Status: The Second Annual Report to Congress was 

released in 2002. It provided the following interim 

fi ndings: after the second round of bidding in Florida 

and the single round of bidding in San Antonio, the 

evaluation team estimated savings of approximately 20 

percent in Medicare allowed charges for the goods and 

services involved. The before/after benefi ciary survey in 

Polk County revealed little impact of the demonstration 

unfavorable for access or quality. For example, 

respondents rated their suppliers equally well at both time 

points. However, one survey indicator suggested there 

was a decline in the use of portable oxygen, which could 

have quality-of-life implications. It is not clear whether 

this was due to cost-saving behavior among the suppliers. 

Results from the second round of bidding in Polk County 

and information from suppliers there suggested that the 

market remained reasonably competitive. 

In San Antonio, the bidding competition attracted 79 

fi rms. Despite the larger scale of operations in San 

Antonio, public education, supplier preparation, and 

bid evaluation proceeded smoothly in most respects. 

Anecdotal information on access and quality impacts in 

San Antonio was partly mixed, with some problems in 

wheelchair services reported early in the operations. 

The interim results suggested that Medicare’s policy 

objectives in terms of savings, access, quality, 

competition, and administrative feasibility may be 

adequately served under competitive bidding. These 

tentative fi ndings are supplemented with survey data 

from benefi ciaries and suppliers, as well as detailed 

claims analyses, in the third and fi nal Report to Congress, 

which is awaiting clearance and release. ■

Municipal Health Services Programs

This project supports the Municipal Health Services 

Program (MHSP), originally established through a 

collaborative effort of the U.S. Conference of Mayors, 

the American Medical Association, the Robert Wood 

Johnson Foundation (RWJF), and CMS. CMS provides 

Medicare waivers to test the effects of increased 

utilization of municipal health centers by eliminating 

coinsurance and deductibles, expanding the range of 

covered services, and paying the cities the full cost 

of delivering services at the clinics. The intent of the 

waivers is to shift fragmented utilization from costly 

hospital emergency rooms and outpatient departments 

toward lower cost MHSP clinics that would provide 

benefi ciaries with comprehensive primary and preventive 

health care. Waivers and grants were awarded to 

Baltimore, Cincinnati, Milwaukee, and San Jose in 

June 1978.
112 Active Projects Report—2004 Edition

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

Status: Congress has extended the demonstration 

several times. More recently, the Balanced Budget Act 

of 1997 extended the demonstration until December 

31, 2000; the Balanced Budget Reconciliation Act of 

1999 extended the demonstration until December 31, 

2002; and the Medicare, Medicaid, and SCHIP Benefi ts 

Improvement and Protection Act of 2000 extended 

it until December 2004. The Medicare Prescription 

Drug, Improvement, and Modernization Act of 2003 

extended the demonstration until December 21, 2006. 

The demonstration does not accept new participants 

and is restricted to those who were in the program as 

of 1997. An earlier evaluation of the cost effectiveness 

of the demonstration indicated that a large proportion 

of the increase in program costs was caused by the 

rise in the utilization of high-cost ancillary services, 

e.g., prescription drugs, dental care, and vision care. 

These were not offset by decreases in emergency and 

hospital usage. ■

Municipal Health Services Programs: Baltimore

Project No: 95-P-51000/03

Project Offi cer: Ronald Deacon

Period: June, 1978 to December, 2006

Funding: $0

Principal 

Investigator: Sherry Adeyemi

Award: Service Agreement

Awardee: City of Baltimore

111 North Calvert Street

Baltimore, MD 21020

Municipal Health Services Program: Cincinnati

Project No: 95-P-51000/05a

Project Offi cer: Ronald Deacon

Period: June, 1978 to December, 2006

Funding: $0

Principal 

Investigator: Daryl Cammerer

Award: Service Agreement

Awardee: City of Cincinnati

3101 Burnet Avenue

Cincinnati, OH 45229

Municipal Health Services Program: Milwaukee

Project No: 95-P-51000/05

Project Offi cer: Ronald Deacon

Period: June, 1978 to December, 2006

Funding: $0

Principal 

Investigator: Samuel Akpan

Award: Service Agreement

Awardee: City of Milwaukee

841 North Broadway

Milwaukee, WI 53202

Municipal Health Services Program: San Jose

Project No: 95-P-51000/09

Project Offi cer: Ronald Deacon

Period: June, 1978 to December, 2004

Funding: $0

Principal 

Investigator: Laura Talavera

Award: Service Agreement

Awardee: City of San Jose

151 West Mission Street

San Jose, CA 95110

NEW YORK GRADUATE MEDICAL 

EDUCATION (GME) DEMONSTRATIONS

This is a participant in a major demonstration that 

provided incentives for New York State teaching 

hospitals to reduce their graduate medical residencies 

by 20 to 25 percent over a 5-year period. Medicare’s 

annual GME spending reached $7 billion, of which 

nearly 20 percent was for New York teaching hospitals. 

The project was expected to reduce the number of 

residents and thus reduce the costs of the program. 

Concerns were that such a reduction would impact access 

and service delivery as well as having economic and 

workforce effects.
Active Projects Report—2004 Edition 113

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

New York Graduate Medical Education (GME) 

Demonstration: North Central Bronx Hospital 

Joint Project

Project No: 95-W-00030/02

Project Offi cer: Sid Mazumdar

Period: February, 1997 to June, 2003

Funding: $0

Principal 

Investigator:

Award: Waiver-Only Project

Awardee: North Central Bronx Hospital

1400 Pelham South

Suite 159 Jacobi

Bronx, NY 10461

Status: North Central Bronx Hospital has remained 

in the demonstration for the duration of the period of 

performance. ■

New York Graduate Medical Education (GME) 

Demonstration: Lincoln Medical and Mental 

Health Center

Project No: 95-W-00033/02

Project Offi cer: Sid Mazumdar

Period: February, 1997 to June, 2003

Funding: $0

Principal 

Investigator:

Award: Waiver-Only Project

Awardee: Lincoln Medical and Mental Health 

Center

234 East 149th Street

Bronx, NY 10451

Status: Lincoln Medical and Mental Health Center has 

remained in the demonstration for the duration of the 

period of performance. ■

New York Graduate Medical Education (GME) 

Demonstration: Metropolitan Hospital Center

Project No: 95-W-00036/02

Project Offi cer: Sid Mazumdar

Period: February, 1997 to June, 2003

Funding: $0

Principal 

Investigator:

Award: Waiver-Only Project

Awardee: Metropolitan Hospital Center

1901 First Street

New York City, NY 10029

Status: Metropolitan Hospital Center has remained 

in the demonstration for the duration of the period of 

performance. ■

New York Graduate Medical Education (GME) 

Demonstration: Brooklyn Hospital Center

Project No: 95-W-00042/02

Project Offi cer: Sid Mazumdar

Period: February, 1997 to June, 2003

Funding: $0

Principal 

Investigator:

Award: Waiver-Only Project

Awardee: Brooklyn Hospital Center

270 Flatbush Avenue Extension

Brooklyn, NY 11201

Status: The consortium members are Bellevue Hospital 

Center, Brooklyn Hospital Center, Hospital for Joint 

Diseases, Lenox Hill Hospital, New York University 

Downtown Hospital, and New York University 

Medical Center. The consortium has remained in 

the demonstration for the duration of the period of 

performance. ■

New York Graduate Medical Education 

Demonstration (GME): Interfaith Medical Center

Project No: 95-W-00035/02

Project Offi cer: Sid Mazumdar

Period: February, 1997 to June, 2003

Funding: $0

Principal 

Investigator:

Award: Waiver-Only Project

Awardee: Interfaith Medical Center

1545 Atlantic Avenue

Brooklyn, NY 11213

Status: Interfaith Medical Center has remained in 

the demonstration for the duration of the period of 

performance. ■

New York Graduate Medical Education 

Demonstration: Harlem Hospital Center

Project No: 95-W-00029/02

Project Offi cer: Sid Mazumdar

Period: February, 1997 to June, 2003

Funding: $0

Principal 

Investigator:

Award: Waiver-Only Project

Awardee: Harlem Hospital Center

506 Lenox Avenue

New York, NY 10037-1802

Status: Harlem Hospital Center remains in the 

demonstration ■
114 Active Projects Report—2004 Edition

Theme 4: Developing FFS Payment 

and Service Delivery Systems 

Theme 4

New York Graduate Medical Education 

Demonstration: Mount Sinai Consortium

Project No: 95-W-00038/02

Project Offi cer: Sid Mazumdar

Period: February, 1997 to June, 2003

Funding: $0

Principal 

Investigator:

Award: Waiver-Only Project

Awardee: Brooklyn Hospital Center

207 Flatbush Avenue Extension

Brooklyn, NY 11201

Status: The Consortium members are Cabrini Medical 

Center, Elmhurst Hospital Center, Mount Sinai Medical 

Center, and Queens Hospital Center. The consortium 

has remained in the demonstration for the duration of the 

period of performance. ■

Evaluation of the New York Medicare Graduate 

Medical Education Payment Demonstration and 

Related Provisions

Project No: 500-95-0058/10

Project Offi cer: William Buczko

Period: September, 1999 to 

September, 2004

Funding: $1,692,751

Principal 

Investigator: Jerry Cromwell

Award: Task Order

Awardee: Research Triangle Institute

411 Waverly Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: This is a coordinated evaluation of a major 

demonstration that provided incentives for New York 

State teaching hospitals to reduce their residencies by 20 

to 25 percent over a 5-year period and several provisions 

of the Balanced Budget Act of 1997 (BBA), which 

were also aimed at reducing Medicare graduate medical 

education (GME) spending. Medicare annual GME 

spending reached $7 billion, of which nearly 20 percent 

was for New York teaching hospitals. The evaluation 

assesses the impacts of residency reduction on access and 

service delivery as well as effects on hospital fi scal status 

and physician workforce size and composition.

Status: “Recommended Design and Strategy for 

NY GME Demonstration and National BBA GME 

Provisions” is available from the National Technical 

Information Service, accession number PB99-175063. 

There are a series of reports available, including a 

summary report on the New York GME demonstration 

during the period from July 1, 1997, through 

December 31, 2003. ■

Rationalize Graduate Medical Education Funding

Project No: 18-C-91117/08

Project Offi cer: Sid Mazumdar

Period: February, 2000 to June, 2007

Funding: $839,875

Principal 

Investigator: Gar Elison

Award: Cooperative Ageement

Awardee: Medical Education Council

288 North 1460 West

P.O. Box 144101

Salt Lake City, UT 84114-4101

Description: Since 1997, CMS has been working with 

the State of Utah on a project that will pay Medicare 

direct and indirect graduate medical education funds 

ordinarily received by the State’s hospitals to the State 

of Utah Medical Education Council. GME funds will be 

distributed to training sites and programs according to the 

Council’s research on workforce needs.

Status: The Utah Medical Education Council is 

currently participating in the demonstration with CMS. ■
Active Projects Report—2004 Edition 115

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Theme 5

Development and Production of the Medicare 

Quality Monitoring System

Project No: 500-95-0058/16

Project Offi cer: Benedicta Abel-Steinberg

Period: September, 2000 to July, 2003

Funding: $1,173,065

Principal 

Investigator: Nancy McCall

Award: Task Order

Awardee: Research Triangle Institute

411 Waverley Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: The CMS Medicare Quality Monitoring 

System (MQMS) tracks various aspects of the health 

status and health care of the Medicare benefi ciaries using 

a combination of survey and administrative data. The 

primary goal of the MQMS is to collect, analyze, and 

interpret national and/or State-specifi c health data (both 

surveys and administrative data) on service utilization, 

health status, and outcomes on morbidity and mortality 

relevant to CMS’s Health Care Quality Improvement 

Project (HCQIP). The secondary goal is to disseminate 

the health and quality-of-care data/information to support 

quality-of-care improvement efforts and to promote 

HCQIP-related studies. Specifi cally, this effort produces 

two sets of data and information. One exhibits the trends, 

patterns, and variations of service utilization and health 

status of Medicare benefi ciaries, while the other exhibits 

the trends, patterns, and variations of specifi c health 

outcomes relevant to HCQIP. HCQIP initially focused 

on acute myocardial infarction (AMI), however, CMS 

expanded its national quality improvement activities and 

is focusing on six clinical priority areas: AMI, breast 

cancer, diabetes, heart failure, pneumonia, and stroke. 

The objective of the national quality improvement 

activity is to reduce health disparities within the 

Medicare population.

The MQMS will provide the information essential for 

CMS to account for the effectiveness of the HCQIP 

efforts in changing the patterns of service utilization 

and in improving the health, morbidity, and mortality of 

the Medicare benefi ciaries. The MQMS is designed to 

fully address issues of disease-specifi c health status and 

outcomes of care at the State level, and is relevant to 

program improvement and accountability of the HCQIP.

Status: The MQMS project team has presented the 

project to the Information Technology Project Review 

and Coordination Panel and an Integrated Project Team 

has been assigned by the panel to support the project 

throughout the system development life cycle. The 

MQMS project team has assembled an Internal Technical 

Workgroup to assist the development and production of 

the MQMS. Measures for service utilization, process, 

and outcomes of care are fi nalized, and data specifi cations 

for the measures are under development. The conceptual 

framework for health status is drafted. The contractor 

has obtained access to the HCFA mainframe and has 

initiated the task of extracting claims data (Parts A and B) 

and enrollment data (denominator fi les) of calendar years 

1992–1999 through the Decision Support Access Facility. 

An expert panel on the contents and presentations of the 

MQMS reports is assembled, and a meeting with the 

expert panel is scheduled. ■

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Summary: Quality is a key theme in future health systems change. In recent years, there has been a growing 

public awareness of medical errors and issues with quality of care. Studies have pointed out that, although our 

health system provides some of the most advanced, high-quality medical treatments, there are variations in 

quality of care and areas for improvement. Health care providers have played a major role in initiating quality 

improvement efforts. Over the years, some purchasers have collaborated with providers to promote quality 

improvement, especially by distributing information to providers and health plans regarding performance. 

CMS’s research program continues to pursue efforts to develop better information about health care quality 

for patients, caregivers, and providers; develop new measures of quality; and create incentives for providers to 

improve quality.
116 Active Projects Report—2004 Edition

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Theme 5

Design and Implementation of Medicare Home 

Health Quality Assurance Demonstration

Project No: 500-94-0054

Project Offi cer: Armen Thoumaian

Period: September, 1994 to 

December, 2003

Funding: $5,185,699

Principal 

Investigator: Peter Shaughnessy

Award: Contract

Awardee: Center for Health Services 

Research

University of Colorado

1355 South Colorado Boulevard 

Suite 706

Denver, CO 80222

Description: The Medicare Home Health Quality 

Assurance Demonstration has developed and tested 

an approach to develop outcome-oriented quality 

assurance techniques and promote continuous quality 

improvement in home health agencies (HHA). The goal 

of the demonstration was to determine the feasibility 

of a methodology for a national approach for outcomebased quality improvement (OBQI). Outcome measures 

were computed using the Outcomes and Assessment 

Information Set (OASIS). Under the demonstration, 

staff of 54 regionally dispersed HHAs completed the 

OASIS data collection instrument for each patient at the 

start of care and at 60-day intervals (up to and including 

discharge). The Center for Health Services Research 

then conducted three rounds of data analysis and outcome 

report generation, each based on 12 months of data. 

Risk-adjusted reports are produced for 41 specifi c patient 

quality outcomes for all adult patients. These reports 

are provided to the participating HHAs and are used to 

determine which outcomes need improvement, thereby 

providing a focus for agency staff to target problematic 

care. The demonstration resulted in signifi cant 

improvement in 80 percent of agency-specifi c outcome 

targets, with a yearly improvement in re-hospitalization 

rates across all agencies.

Status: Fifty-four agencies in twenty-six States were 

phased into the demonstration beginning in January 

1996. Beginning in January 1997, the demonstration 

agencies received their fi rst outcome reports and 

developed plans of action to improve care for two patient 

outcomes during 1997. Agencies received their second 

annual reports in May 1998, which contained baseline 

comparisons from 1997, and received their third and fi nal 

reports in May 1999. A fi nal report has been completed 

and is available. Funding was increased to a total of 

$5,185,000 and the project was extended 3 years to 

12/31/03. Following completion of the demonstration 

project, the contract was modifi ed to provide technical 

and data analysis and consultative support to CMS to 

implement nationwide OASIS through the Center for 

Medicaid and State Operations, to develop the OBQI 

system for subsequent national implementation through 

the Quality Improvement Organization program of 

the Offi ce of Clinical Standards and Quality, perform 

research on new risk adjustment methodologies, develop 

the OASIS/OBQI Change and Evolution Program, and 

provide OASIS/OBQI-related technical analysis and 

consultation support to CMS and its components. This 

contract ends December 31, 2003. Many of the activities 

begun under this contract will be continued under the 

OASIS Technical Analysis and Support Contract. ■

Development of Quality Indicators for Inpatient 

Rehabilitation Facilities

Project No: 500-00-0024/04

Project Offi cers: Pauline Karikari-Martin and

Rita Shapiro

Period: September, 2001 to 

September, 2004

Funding: $1,420,000

Principal 

Investigator: Shulamit Bernard

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: The purpose of this project is to support 

developing and defi ning measures to monitor the quality 

of care and services provided to Medicare benefi ciaries 

receiving care in inpatient rehabilitation facilities. It 

will identify the elements integral to assessing quality 

of care in rehabilitative services and developing a set of 

measures for use by States.

Status: This project is in its deliverable stages. A second 

technical evaluation panel occurred in November 2003. ■

Premier Hospital Quality Incentive 

Demonstration

Project No: 95-W-00103/04

Project Offi cer: Katharine Pirotte

Period: October, 2003 to October, 2006

Funding: $32,000,000

Principal 

Investigator: Gretta Hill

Award: Contract

Awardee: Premier Healthcare Informatics

2320 Cascade Pointe Boulevard 

Suite 100

Charlotte, NC 28266-8800

Description: The purpose of the demonstration is to 

determine the effectiveness of economic incentives 
Active Projects Report—2004 Edition 117

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Theme 5

targeted toward improving the quality of inpatient care 

for Medicare benefi ciaries by giving fi nancial incentives 

to hospitals for high quality and by reporting quality data 

on the CMS Web site.

Status: The demonstration began on 10/1/03. Premier, 

Inc., is a very large association of nonprofi t hospitals. It 

operates a quality measurement organization for about 

500 hospitals. The demonstration project includes about 

287 of the 500 Premier hospitals. ■

Evaluation of Group-Specifi c Volume 

Performance Standards Demonstration

Project No: 500-95-0048/04

Project Offi cer: John Pilotte

Period: September, 1996 to 

September, 2002

Funding: $2,220,440

Principal 

Investigator: Janet Mitchell

Award: Task Order

Awardee: Research Triangle Institute

411 Waverley Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: The purpose of this task order is to 

comprehensively evaluate the Group-Specifi c Volume 

Performance Standards Demonstration. Additionally, 

there is a group of tasks to provide technical support 

for setting sites’ targets and measuring their actual 

performance. The goal of the demonstration is to test 

the feasibility of this partial-risk-bearing payment 

arrangement between CMS and qualifying physicianbased organizations in the fee-for-service (FFS) market, 

whereby FFS rules apply within the context of a 

performance target, benefi ciaries are not enrolled, and 

physician-sponsored organizations develop structures 

and processes to manage the services and cost of care 

received by FFS patients.

Status: In developing the fi nal design parameters of the 

GVPS demonstration, simulations were conducted to 

analyze low and high expenditure outliers, eligibility mix 

changes, components of growth rates by type of service, 

and effects of case-mix adjustments. These analyses 

reveal sources of variability in growth rates and support 

development of options for setting targets and calculating 

updates and bonus payments. The evaluator is awaiting 

the initiation of the demonstration. ■

Evaluation of Physician Group Practice 

Demonstration

Project No: 500-00-0024/12

Project Offi cer: John Pilotte

Period: September, 2003 to May, 2004

Funding: $2,900,000

Principal 

Investigator: Gregory Pope

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road 

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: Physicians infl uence, either directly or 

indirectly, almost all areas of Medicare spending. For 

example, physicians deliver services, admit benefi ciaries 

to hospitals, and authorize home health visits. The 

Physician Group Practice (PGP) demonstration will 

enable us to test physician groups’ response to fi nancial 

incentives for improving care coordination, delivery 

processes, and patient outcomes, and the effect on access, 

cost, and quality of care to Medicare benefi ciaries.

The PGP Demonstration seeks to align incentives 

for physician groups to manage the overall care of 

its patients. The demonstration encourages health 

care groups to attract, retain, and coordinate care to 

benefi ciaries; gives physicians incentives to provide 

services effi ciently to their patients; provides a 

framework in which we can collaborate with providers 

to the advantage of Medicare benefi ciaries; and promotes 

active use of utilization and clinical data for the purpose 

of improving effi ciency and outcomes.

Status: This project is in the start-up phase. ■

Implementation of Quality Improvement 

Organization Sixth Scope of Work Pneumococcal 

Pneumonia and Infl uenza Immunization 

Remeasurement Survey

Project No: 500-95-0062/11

Project Offi cer: Susan Arday

Period: September, 2000 to 

September, 2003

Funding: $1,542,230

Principal 

Investigators: Pamela Giambo and Skip Camp

Award: Task Order

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138
118 Active Projects Report—2004 Edition

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Theme 5

Description: The goal of this project is to assess the 

utilization of infl uenza and pneumococcal vaccines 

among Medicare benefi ciaries and to evaluate the 

vaccine promotion work performed by Peer Review 

Organizations (PROs) under their Medicare Sixth Scope 

of Work. The PROs are charged to decrease morbidity 

and mortality in six national clinical priority areas, one 

of which is pneumonia and infl uenza. This project 

specifi cally implements the Pneumococcal Pneumonia 

and Infl uenza Immunization Remeasurement Survey. 

The survey is administered to a sample of Medicare 

benefi ciaries randomly selected from each of 50 States, 

plus the District of Columbia and Puerto Rico. It will 

also produce the attendant State-specifi c rates. Baseline 

rates for outpatient elderly Medicare benefi ciaries’ 

infl uenza and pneumococcal pneumonia immunizations 

have been obtained from the Centers for Disease Control 

and Prevention’s (CDC) 1999 administration of the 

Behavioral Risk Factor Surveillance System (BRFSS). 

However, the BRFSS cannot be used by the PROs for 

remeasurement because of mismatches between the 

PROs’ timetable for evaluation and that of subsequent 

BRFSS survey administrations and data release from 

those administrations.

Status: The project is completed. ■

Clinical and Economic Effectiveness of a 

Technology-Driven Heart Failure Monitoring 

System

Project No: 18-C-91172/03

Project Offi cer: John Pilotte

Period: September, 2000 to 

September, 2004

Funding: $3,000,000

Principal 

Investigator: Mariell Jessup, M.D.

Award: Cooperative Agreement

Awardee: University of Pennsylvania 

Heart Failure and Cardiac 

Transplant Program

6 Penn Tower

3400 Spruce Street

Philadelphia, PA 19104

Description: This demonstration project assesses the 

impact of the Alere DayLink Heart Failure Monitoring 

System on the clinical outcome and economic effect 

among Medicare benefi ciaries recently hospitalized for 

heart failure or acute exacerbation of previously existing 

heart failure. The project fi rst looks at the addition of 

the Alere DayLink Heart Failure Monitoring System 

to standard management of heart failure medical care 

impact on re-hospitalizations for heart failure over 6 

months. Second, the project will analyze the impact of 

the monitoring system on utilization of other Medicare 

services, Medicare costs, functional status, processes of 

care, physician adherence to recommended clinical care 

guidelines, patient adherence with prescribed therapy, 

social support, and patient acceptance and satisfaction. 

Patients initially randomized to this technology will 

be re-randomized to either an additional 6 months of 

monitoring or to standard heart failure medical care with 

discontinuation of the Alere telemonitoring to assess the 

persistence of the intervention’s effectiveness. Third, 

analysis will explore the impact of the extended 6 months 

of this monitoring system on re-hospitalization rates for 

heart failure, utilization of Medicare services, Medicare 

costs, patient adherence to the prescribed medical 

regimen, and functional status. Thus, the demonstration 

will assess the impact of this technology on a range of 

clinically and policy relevant heart failure outcomes. 

Four hundred-forty Medicare benefi ciaries recently 

hospitalized for management of new onset heart failure 

or for an acute exacerbation of previously existing 

heart failure will be enrolled at three geographical sites 

of different character: “rural”—Billings, Montana; 

“small Metropolitan Statistical Area”—Louisville, 

Kentucky; and “major Metropolitan Statistical Area”—

Philadelphia, Pennsylvania.

Status: The site began enrollment in 2001 and has 

enrolled more than 300 patients. ■

Develop, Conduct, and Analyze Surveys of 

Providers That Work With Quality Improvement 

Organizations (QIO)

Project No: 500-01-0020/01

Project Offi cer: Mei Wang

Period: September, 2002 to March, 2005

Funding: $782,194

Principal 

Investigator: William Taylor, M.D.

Award: Task Order

Awardee: Westat Corporation

1650 Research Boulevard

Rockville, MD 20850

Description: The purpose of this project is to collect 

information on the satisfaction of health care providers 

with the performance of the Quality Improvement 

Organizations (QIOs). The survey results will be 

combined with performance measures to evaluate the 

results of the QIOs in the seventh scope of work. To gain 

a broad view of the quality of the QIOs’ interactions, 

we sampled providers from nursing homes, home health 

agencies, hospitals, physician offi ces, and managed care 

organizations. The sample size is 20,000 providers, to 

ensure an adequate sample to make comparisons across 

provider settings and the States. The questionnaire 

was developed to measure satisfaction across several 

domains, and a composite measure was designed for the 

evaluation. The survey is a mailed questionnaire with an 

option of using the Web to enter responses. Telephone 
Active Projects Report—2004 Edition 119

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Theme 5

interviews will be conducted for those who do not 

respond. The fi nal report from these surveys will be 

completed by March 2005.

Status: The surveys are beginning and will require 

9 months of fi eld work to complete because of the 

staggered contract starting dates. The fi nal report will be 

completed by March 2005. ■

Developing and Evaluating the Use of a Quality 

Indicator Format in the End Stage Renal Disease 

Survey Process

Project No: 500-96-0005/04

Project Offi cer: Judith Kari

Period: September, 1999 to June, 2003

Funding: $466,231

Principal 

Investigator: Robert Rubin

Award: Task Order

Awardee: Lewin Group

3130 Fairview Park Drive, Suite 800

Falls Church, VA 22042

Description: The purpose of this project is to develop, 

test, and describe improved processes and formats for 

enhancing the survey process for End Stage Renal 

Disease (ESRD) facilities. An improved survey process 

would include effectively using quality indicators in the 

survey process, developing more consistent and accurate 

survey results, and developing more effi cient and 

objective ways to record survey results. The Balanced 

Budget Act of 1997 (BBA) directs the Secretary of 

Health and Human Services to develop and implement 

a method to measure and report quality of renal dialysis 

services provided under the Medicare program under 

Title XVIII of the Social Security Act. CMS has been 

assigned the responsibility for the development and 

implementation of this area of the BBA. 

As the ability to measure quality of care and patient 

outcomes in ESRD has improved, we are interested in 

translating this knowledge base into facility-specifi c 

indicators that inform and support the current survey 

and certifi cation process. One of the areas that we 

are interested in enhancing is the ability to use quality 

indicators in the survey process. We also are interested 

in developing more consistent and accurate survey results 

and enhancing the effi ciency and objectivity of recording 

data and information collected during the survey process. 

As a response to the BBA, CMS emphasized its support 

for a data-driven ESRD survey system. In an effort to 

provide a data-driven survey system, CMS felt that it 

was necessary to develop and utilize facility-specifi c 

data reports for the survey process. In 1998, we used a 

professional review organization (PRO) to facilitate the 

development of a facility-specifi c data report for State 

surveyors. As a part of this project, the PRO produced 

a format of a facility-specifi c data report for CMS at 

the end of 1999. The data report will be pilot tested 

with nine States during the fi rst quarter of 2000. After 

receiving feedback from the pilot test States, the report 

will be modifi ed with the most current year’s data. In 

September 2000, the PRO will provide training to State 

surveyors from all 50 States and release the report to 

the States. It is anticipated that the availability of the 

facility-specifi c data reports will change the ESRD 

survey process. The data reports will provide quality 

indicators for focusing the survey process and descriptive 

elements for informing the process. 

In addition to having these facility-specifi c reports 

available for the survey process, we would like to 

enhance the consistency and accuracy of the survey 

process. Specifi cally, we would like to fi nd more effi cient 

and objective ways to record and report survey results.

Status: The progress on this project has been suspended 

since February 2000. ■

Evaluating the Use of Quality Indicators in the 

Long-Term Care Survey Process

Project No: 500-96-0010/03

Project Offi cer: Karen Schoeneman

Period: September, 1998 to February, 2004

Funding: $3,934,228

Principal 

Investigator: Angela Greene

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road 

PO Box 12194 

Research Triangle Park, NC 

27709-2194

Description: This project will evaluate how to 

integrate quality indicators into the regulatory process. 

Quality indicators could be used for monitoring and 

assessing facility performance in numerous domains 

and supporting appropriate corrective and enforcement 

actions. This task order will develop and test various 

options for using a variety of quality indicators to 

improve the effectiveness and effi ciency of CMS’s 

monitoring of facility performance.

Status: Development and incorporation of successful 

beta testing of the completed system continued 

through 2003. ■
120 Active Projects Report—2004 Edition

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Evaluation of Independent Informal Dispute 

Resolution (IDR) Process

Project No: 500-97-0440/18

Project Offi cer: Elaine Lew

Period: September, 2000 to 

September, 2003

Funding: $973,052

Principal 

Investigator: Barbara Holt

Award: Task Order

Awardee: Kathpal Technologies

2230 Gallows Road, Suite 380

PO Box 705

Dunn Loring, VA 22027

Description: The project evaluates the effectiveness of 

the current and independent informal dispute resolution 

(IDR) process in order to ascertain whether revisions 

should be made to the nursing home certifi cation 

program. The current process gives a nursing home 

the opportunity to informally dispute survey fi ndings 

to the State Survey Agency following the receipt of 

the Statement of Defi ciencies. However, since the 

individuals who approve of the survey fi ndings are 

sometimes the same ones who review IDR cases, the 

process is often viewed as not objective. This project 

responds to a recommendation in a Congressional 

Appropriations Committee Report (FY 2000) for CMS 

to initiate a pilot study using an independent entity to 

conduct the nursing home IDR process.

Status: Two States (Iowa and Texas) have participated in 

CMS’s independent IDR pilot study. For the duration of 

the study, these States replaced their current IDR process 

with an IDR process conducted by an entity outside of 

the State Survey Agency. The contractor has collected 

information from the two pilot States to establish baseline 

data from which to compare and have met with staff from 

the State Survey Agencies, as well as the State provider 

organizations and advocates, to capture their perceptions 

of the current IDR process. ■

Improving Nursing Home Enforcement

Project No: 500-00-0035/02

Project Offi cer: Elaine Lew

Period: September, 2001 to 

September, 2004

Funding: $763,580

Principal 

Investigators: Linda Clark-Helms and 

Steven Garfi nkel

Award: Task Order

Awardee: C.N.A. Corporation

4401 Ford Avenue 

PO Box 16268

Alexandria, VA 22302-8268

Description: This purpose of this project is to assess 

the effectiveness of enforcement as the primary 

public policy for ensuring nursing home quality and 

protecting residents. This study will assess the overall 

effectiveness of the survey and certifi cation regulatory 

system and identify specifi c policy issues and options for 

improvement.

Status: Case studies are being conducted in two States 

to examine whether the delivery of care in nursing homes 

is affected by survey and enforcement actions. Also, 

through separate prospective case studies, this project 

is examining whether the informal dispute resolution 

process is meeting the intent of the 1995 survey and 

enforcement regulations. ■

Improving Nursing Home Enforcement—Phase 2

Project No: 500-00-0026/03

Project Offi cer: Marvin Feuerberg

Period: September, 2003 to 

September, 2005

Funding: $693,963

Principal 

Investigator: David West

Award: Task Order

Awardee: University of Colorado Health 

Sciences Center

1355 South Colorado Boulevard 

Suite 706

Denver, CO 80222

Description: The basic purpose of this contract is 

to assess the effectiveness of the current system of 

enforcement. Some aspects of this system of survey 

and certifi cation have been the subject of GAO and 

OIG investigations (e.g., CMS oversight of State 

Survey Agencies) or other related CMS projects. These 

areas will not be addressed in this contract, although 

the relevant fi ndings will be incorporated into a 

comprehensive fi nal report required of this project. There 

are, however, other specifi c enforcement processes that 

have not been the subject of investigation. In addition, 

there are fundamental assumptions of the enforcement 

system that have never been subject to empirical testing. 

Hence, the purpose of this contract is to do the following:

• Conduct a study on these previously unstudied 

aspects of enforcement 

• Evaluate the overall effectiveness of the system 

• Identify policy issues and options for improvement

This contract assesses the overall effectiveness of the 

current system quantitatively through a retrospective 

analysis of the impact of enforcement on resident 

outcomes. Overall effectiveness is also assessed 

qualitatively through prospective case studies on the 
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impact of enforcement on provider care processes. In 

addition, a number of issues related to survey agencies’ 

response to complaints are examined with the objective 

of generating a more standardized system across States. 

Finally, all of the diverse empirical fi ndings from this 

contract as well as other relevant investigations will be 

synthesized in order to identify policy issues and options 

for improvement.

Status: The contract was awarded in September 2003. 

As of January 2004, workplans and some study designs 

for various tasks have been generated. ■

Improving the Accuracy and Consistency of the 

Nursing Home Survey Project

Project No: 500-00-0032/07

Project Offi cer: Marvin Feuerberg

Period: September, 2003 to 

September, 2004

Funding: $244,298

Principal 

Investigator: David Kidder

Award: Task Order

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Description: The purpose of this project is to assess 

the problem of inaccuracy and inconsistency in the 

survey process and systematically link that assessment 

to specifi c policy and programmatic options for 

improvement. Specifi cally, the project will have four 

major components:

1. Empirical Assessment of Variability and Consistency 

of Survey Process 

This analysis will distinguish variability that is 

appropriate—due to real quality variations among 

nursing homes—from variability that is inappropriate 

or undesirable due to surveyor/survey agency 

inconsistency. Inherent in this analysis is the requirement 

to independently assess the real quality of care among a 

sample of nursing homes in order to identify inconsistent 

quality assessments by different survey teams/agencies. 

In other words, it is necessary to hold quality constant. 

Although the self-reported minimum data set data may 

have some role in this analysis, this task will require a 

major fi eld work effort to collect primary data. 

2. Identifi cation of Those Aspects of Inaccuracy and 

Inconsistency That Are Most Troublesome

Some degree of inconsistency is to be expected of any 

regulatory system. Furthermore, there are many different 

potential sources of inconsistency. Inconsistency may 

be found in failure to identify real quality problems, 

misidentifi cation of problems, identifi cation of trivial 

as opposed to root problems, the application of scope 

and severity designations to identifi ed problems, and 

the invoking of sanctions in response to scope and 

severity determinations. Furthermore, those aspects of 

inconsistency that are the most troublesome will refl ect 

the interest of key stakeholders, particularly consumer 

advocates, providers, and survey agencies.

This analysis will survey/interview key stakeholders to 

determine those aspects of inaccuracy/inconsistency that 

are perceived as most troublesome in order to ensure that 

they are addressed in the project.

3. Empirical Assessment of the Most Important Causes of 

Inaccuracy/Inconsistency

This analysis will probably be conducted in conjunction 

with the fi rst analysis listed above. Among potential 

causes to be examined include CMS defi nitions and 

unclear guidance; policies of individual CMS regional 

offi ces that are imposed on State survey agencies 

(SA); variations in SAs’ interpretation of CMS policy 

directives, guidance, and expectations; competency/

training and composition of SA teams; too many 

regulatory standards; political infl uence from State 

governors; the resources (e.g., cost per standard survey) 

directed to the survey, etc.

4. Policy and Programmatic Options for Improvement

This is at once the most diffi cult and most important 

component of the project. Not every potentially 

important cause can be feasibly addressed within the 

regulatory authority of CMS. For example, political 

infl uence from the industry through the State governor 

may be an important cause of inconsistency but not a 

factor within the purview of CMS. In contrast, survey 

defi nitions or the training of survey teams fall within 

CMS’s current authority.

Status: The contract to Abt Associates was awarded in 

September 2003. As of January 2004, workplans have 

been generated and work is under way. ■
122 Active Projects Report—2004 Edition

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Theme 5

Improving Protocols for Home Health Agency 

Assessment in the Survey Process

Project No: 500-00-0026/01

Project Offi cers: Mavis Connolly and

Tracey Mummert

Period: September, 2001 to June, 2005

Funding: $1,046,756

Principal 

Investigator: Kathryn Crisler 

Award: Task Order

Awardee: Center for Health Services 

Research 

University of Colorado

1355 South Colorado Boulevard

Suite 706

Denver, CO 80222

Description: The purpose of this project is to assess 

the existing home health agency (HHA) survey 

process and make recommendations for improvements. 

Improvements include patient-focused, outcome-oriented, 

data-driven approaches that are effective and effi cient in 

assessing, monitoring, and evaluating the quality of care 

delivered by an HHA. The project will also evaluate 

the effectiveness of current survey forms, develop new 

survey forms as applicable, and make recommendations 

for prioritizing onsite survey time. The assessment will 

focus on the Outcome and Assessment Information Set, 

designed for the purpose of enabling the rigorous and 

systematic measurement of patient home health care 

outcomes, with appropriate adjustment for patient risk 

factors affecting those outcomes; and the Online Survey 

Certifi cation and Reporting System. 

Status: The period of performance was extended to 

June 30, 2005. ■

Outcome and Assessment Information Set 

(OASIS) Technical Analysis and Support Contract

Project No: 500-00-0026/02

Project Offi cer: Pamela Cheetham

Period: September, 2002 to 

September, 2006

Funding: $1,099,982

Principal 

Investigator: Robert Schlenker

Award: Task Order

Awardee: Center for Health Services 

Research 

University of Colorado

1355 South Colorado Boulevard

Suite 306

Denver, CO 80222

Description: The purpose of this contract is to provide 

technical analysis and consultation to CMS and its 

components on home health related projects using the 

Outcome and Assessment Information Set (OASIS) 

and/or the Outcome Based Quality Improvement (OBQI) 

technique of quality improvement. The objective is to 

assist CMS to provide information that can be used to 

improve home health quality of care and also to design 

and implement a data analysis system to provide outcome 

data used for the public reporting of home health 

outcomes. Home health outcome information is derived 

from the analysis of data obtained from the collection and 

reporting by home health agencies of patient assessment 

information using OASIS.

Status: The public reporting data support system was 

completed in January 2003 to provide data for the Home 

Health Compare Web site. The contract was modifi ed to 

provide continued support for the CMS public reporting 

effort, to provide additional technical and consultative 

support for the maintenance of the OASIS national 

reporting system and data repository and training in the 

collection of OASIS data, and to develop a Web-based 

training program for OBQI. ■

Development and Validation of MDS 3.0

Project No: 500-00-0027/02

Project Offi cer: Robert Connolly

Period: April, 2003 to December, 2006

Funding: $2,919,000

Principal 

Investigator: Debra Saliba

Award: Task Order

Awardee: RAND Corporation

1700 Main Street 

PO Box 2138

Santa Monica, CA 90407-2138

Description: The purpose of this procurement is to 

refi ne and validate Version 3.0 of the MDS. The goal 

of the refi nement is to produce a valid instrument that 

reduces user burden, represents the best “fi t” for users 

(e.g., is more intuitive to the user); includes better use 

of standard assessment scales, use of common language 

from health information, and HIPAA standards; assesses 

resident quality of life; and where possible, is more 

resident centered.

Over the past year, CMS has convened a number of 

clinical meetings with industry experts to identify 

existing scales, indices, and measurement tools that are 

relevant to the nursing home setting. CMS has also 

identifi ed a set of areas of priority within the MDS tool 

for further refi nement. Information obtained by the 

clinical meetings will be shared with the offeror to help 

create a revised MDS tool.

Guidelines for each item must be developed that 

clarify the intent, defi nition, and process for collecting 
Active Projects Report—2004 Edition 123

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Theme 5

and coding for each data item. This material must be

suitable for software with wizards (or other online help 

features) and other intuitive data accumulation methods. 

Providers and stakeholders must be involved throughout 

the refi nement and validation process. Crosswalks 

shall be developed that walk data items from 3.0 to 2.0 

and from 2.0 to 3.0. In addition, for each data item 

considered for the MDS 3.0, the specifi c uses of the 

element must be identifi ed (RUG item, quality measure, 

quality indicator, resident assessment protocols [RAP], 

etc.) as well as specifying implications of any revised 

item to the RAPs, the Prospective Payment Systems 

(PPS), and State-specifi c case mix systems. Special 

attention should also be paid to how the instrument can 

be modifi ed to suit a quarterly assessment form and 

how the fi nal instrument fi ts with the Medicare Payment 

Assessment Form (MPAF).

Payment items considered for revision cannot be changed 

unless a direct crosswalk between the revised item and 

the old payment item is available and must be validated 

in the fi eld testing of the instrument. The offeror will 

take this information into consideration when redesigning 

the tool.

The offeror will also be responsible for developing 

a decision tree format within the instrument so that 

certain assessment items that do not apply to specifi c 

resident populations, for example, the pediatrics 

population, can be avoided while other items that are 

pertinent to that resident are retained for assessment. 

The goal is to create an instrument that is fl uid and can 

adapt to various resident populations without being 

redundant or burdensome to facilities specializing in 

specifi c populations.

The offeror has proposed to CMS a selection of 

technical experts (i.e., providers, stakeholders, 

developers) to provide consultation to help inform the 

revision process and help the offeror sort through the 

feedback, tools, measures, and information shared with 

CMS by various interest groups and stakeholders. This 

consultation must include MDS designers, MDS experts, 

MDS users, and trainers to assure that the instrument 

builds on past knowledge and also is practical and 

user friendly. The offeror has also recommended to 

CMS the best consultative model: individual input 

from consultants, panels of experts working together 

on sections of the instrument or one formal technical 

expert panel (TEP). The offeror will be responsible 

for recommending MDS experts and, after input from 

the CMS project offi cer, will recruit MDS 3.0 technical 

experts and convene the individual and group meetings 

to inform the revision process.

The offeror will be required to convene and attend 

town hall meetings at CMS to seek feedback from 

various stakeholders on the current strengths as well as 

limitations of the MDS instrument and where revisions 

are critical in designing the MDS 3.0. This town hall 

meeting will be open to all interested parties and the 

feedback received must be taken into consideration and 

presented to the TEP. 

Once a revised version has been created, the offeror 

will be responsible for conducting both an alpha and 

a natural fi eld test validation of the instrument in 

multiple States and nursing home facilities, taking into 

consideration the utility of the measures, burden on 

providers, validity of the information collected relative 

to the information collected using the old instrument, 

and time required to complete the instrument relative to 

time burden for the 2.0. 

CMS has established an agreement with the Department 

of Veterans Affairs (VA) to conduct the alpha test and 

natural fi eld test of the instrument in a sample of their 

long-term care facilities. Nursing homes outside the 

VA system will also be recruited to ensure identifi cation 

of a cross-sectional representation of providers. 

Representation from urban and rural, hospital-based and 

freestanding, chain and non-affi liated homes is expected. 

In addition, a subset of the homes specializing in the 

treatment of specifi c populations such as post-acute care, 

non-elderly adults (e.g., 18- to 65-year-olds), hospice 

patients, and Alzheimer’s units must be identifi ed in the 

validation sample. 

This task will include recruiting facilities, providing 

assistance in helping them learn how to use the new 

instrument, coordinating feedback, and incorporating this 

feedback into a fi nalized tool.

Finally, the offeror will be responsible for developing 

and delivering training material that can be used by 

CMS to allow a seamless transition from MDS 2.0 to 

MDS 3.0. This may include video, documents, written 

manual instructions, and answers to potential frequently 

asked questions.

 In designing the analytic plan and implementing the 

validation study, it is recommended that the contractor 

work with an organization knowledgeable about the 

MDS instrument, its history, and current uses. Further, 

it is recommended that the contractor work with an 

organization experienced in the provision of clinical 

consultation services, particularly in the long-term 

care setting. Under a previous study where a national 

validation study was required, the contractor worked 

with the State Quality Improvement Organizations 

to recruit nurses within each State to conduct the 

onsite validation and information collection. This 

approach was particularly effective in minimizing travel 

expenditures and expediting the onsite data collection. 

CMS recognizes that this is only one approach and is 

just discussed as one possible option in conducting the 

validation. Other options are also welcome but should be 

described in detail as part of the work plan.
124 Active Projects Report—2004 Edition

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Theme 5

Status: On April 23, 2003, a competitive RADSTO 

award was made to RAND under the leadership of 

Deb Saliba, M.D. (from RAND and UCLA) and Joan 

Buchanan (from Harvard University Medical School). In 

April 2004, a contract modifi cation was made to RAND 

to extend the period of performance through December 

31, 2006 to expand the number of States and size of the 

Natural MDS 3.0 Validation Sample. ■

Evaluation of the Use of Bedside Technology To 

Improve Quality of Care in Nursing Facilities

Project No: 500-00-0024/10

Project Offi cer: Renee Mentnech

Period: January, 2003 to January, 2005

Funding: $820,388

Principal 

Investigator: Leslie Greenwald

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: CMS has awarded a contract to Research 

Triangle Institute, the University of Missouri Sinclair 

School of Nursing, and OneTouch Technologies to 

evaluate the use of hand-held technology in nursing 

homes. This project will examine the use of bedside 

technology to collect daily measures of resident care and 

outcomes in nursing facilities (NFs). The application of 

this new technology could be useful for improving the 

effi ciency and effectiveness of care in these facilities.

The specifi c objectives of the project include evaluating 

whether—

1. The use of bedside data collection with portable 

computer devices, automated processes, and electronic 

medical records technology improves collection of daily 

measures of resident care in NFs 

2. The use of this technology improves outcomes of care 

in NFs

3. Patient outcomes are enhanced by coupling the use of 

bedside technology with on-site clinical consultation by 

expert nurses.

Status: Recruitment of nursing homes and data 

collection are ongoing. ■

Shared Integrated Management Information 

System

Project No: 18-P-91723/05-02

Project Offi cer: Kathy Headen

Period: August, 2003 to July, 2004

Funding: $347,725

Principal 

Investigator: Bruce Johnson

Award: Grant

Awardee: Illinois Primary Health Care 

Association

225 South College Street, Suite 200

Springfi eld, IL 62704-1815

Description: The Illinois Primary Health Care 

Association is designing and will maintain a single, 

shared integrated management information system for 

all community health centers in Illinois. The project 

will consist of three phases, which they anticipate will 

take approximately 5 years to complete. The system 

will store information on patient scheduling, billing, 

accounts receivable, and patient outcomes tracking. 

The CMS funding is an addition to a grant from the 

Health Resources and Services Administration and other 

private entities.

Status: The fi rst phase of the grant included software 

development and refi nement, as well as connectivity 

of seven health care entities, including six Section 330 

grantees and one provider of care to low-income women 

and children in Chicago. In phase II, a central server, a 

Wide Area Network infrastructure, and a mobile training 

center have been established. They have executed 

contracts with 14 community health centers. CMS FY 04 

budget funds have been earmarked to continue the project 

after July 2004. ■

Construction of Analytic Files for Study of the 

Cardiac Rehabilitation Benefi t Among Medicare 

Benefi ciaries

Project No: 500-02-0006/01

Project Offi cer: William Clark

Period: September, 2002 to March, 2003

Funding: $39,997

Principal 

Investigator: Celia H. Dahlman

Award: Task Order

Awardee: CHD Research Associates

5515 Twin Knolls Road #322

Columbia, MD 21045

Description: The purpose of this task order is to 

provide programming support for the development of 
Active Projects Report—2004 Edition 125

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Theme 5

analytic fi les that will be used to determine whether 

use of cardiac rehabilitation has a health benefi t on 

Medicare benefi ciaries as evidenced by a reduction in 

adverse outcomes, including hospitalizations, use of 

home health or long-term health services, or death. The 

study requires longitudinal fi les based on a cohort of 

Medicare benefi ciaries who were candidates for cardiac 

rehabilitation from January 1995 through December 

1996. All medical treatment received by this cohort 

will then be followed up for a period of up to 5 years 

subsequent to entry into the cohort.

Status: The project has been completed. ■

Improving Medication Safety in Outpatients 

Through Improved Packaging

Project No: 18-C-91678/05

Project Offi cer: Dennis Nugent

Period: September, 2001 to July, 2004

Funding: $691,000

Principal 

Investigator: Philip Schneider

Award: Cooperative Agreement

Awardee: Ohio State University Research 

Foundation

1960 Kenny Road

Columbus, OH 43210

Description: The purpose of this study is to determine 

if compliance packaging can increase adherence to a 

prescribed medication regimen and, concomitantly, 

improve treatment outcomes for elderly individuals who 

have a chronic disease. It was developed to reduce the 

frequency of drug errors by patients whose compliance 

with prescription instructions is critical. The project 

focuses on the impact of a packaging/distribution system 

and consumer education. Compliance packaging used 

in the study is a blister package with each dose of the 

medication identifi ed by day of the week. Information 

regarding proper use and dosage is printed on the 

package. In order to participate in the project, an 

individual must have a diagnosis of hypertension 

and have a new or existing prescription for lisinopril. 

Hypertension was selected because it is a condition 

in which drug therapy plays a signifi cant role in 

treatment outcome. Participants are randomly assigned 

to a study or comparison group. The study group’s 

medication is distributed in “unit of use” packaging 

with special instructions; the control group receives 

standard prescription containers with the usual labeling. 

Compliance, treatment outcomes, and medical utilization 

of the two groups are being compared. Compliance 

is measured by interview, pill counts, refi ll regularity, 

and blood pressure. Morbidity (angina, myocardial 

infarction, stroke, and renal impairment) and mortality 

rates are also quantifi ed. In addition, medical service 

utilization is assessed by tabulating emergency room 

visits and hospitalizations. Each participant is followed 

for a period of 12 months.

Status: Preliminary results indicate some emerging 

differences between the study and comparison groups. ■

Northern New England Vascular Surgery Quality 

Improvement Initiative

Project No: 18-C-91674/01-02

Project Offi cer: Jackie Kennedy-Sullivan

Period: September, 2001 to 

September, 2004

Funding: $650,000

Principal 

Investigator: Jack Cronenwett

Award: Cooperative Agreement

Awardee: Dartmouth University

HB 7850, 500 East Borwell 

Research Building Dartmouth 

Hitchcock Medical Center

Hanover, NH 03756

Description: The Vascular Study Group of Northern 

New England (VSG-NNE) is a voluntary, cooperative 

group of clinicians, hospital administrators, and research 

personnel organized to improve the care of patients 

with vascular disease. By collecting and exchanging 

information, the group strives to improve the quality, 

safety, effectiveness, and cost of caring for patients 

with vascular disease in Maine, New Hampshire, and 

Vermont.

Status: A cooperative clinical data registry was 

developed among the nine major hospitals in NNE that 

perform 80 percent of all vascular surgery in the region. 

Data including indications, comorbidities, operative 

details, and outcomes will be collected for carotid 

endarterectomy, abdominal aortic aneurysm repair, and 

lower extremity bypass surgery. 

The developed shared data registry prospectively collects 

data on vascular procedures. Data include indications, 

comorbidities, selected procedural details, and short-term 

outcomes and analyze patterns of care and outcomes of 

hospitals and surgeons. The variations in procedure rates 

and risk-adjusted outcomes will be added to account for 

the differences in case mix to improve outcomes and 

reduce geographic variation in procedure rates by using 

benchmarking and visits by clinical teams from each 
126 Active Projects Report—2004 Edition

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Theme 5

center for comparative process analysis and continuous 

quality improvement. ■

Survey of Renal Dialysis Centers

Project No: 500-00-0028/01

Project Offi cer: Mary Stojak

Period: September, 2002 to February, 2003

Funding: $145,844

Principal 

Investigator: Trina Pifer

Award: Task Order

Awardee: University Renal Research and 

Education Association

315 West Huron, Suite 260

Ann Arbor, MI 48103

Description: This is a sole source. The purpose of 

the task order is to measure the amount and quality of 

nutrition therapy that is currently being provided to 

benefi ciaries receiving dialysis.

Status: It has been completed. ■

The Impact of Alternative Low Vision 

Intervention on Quality

Project No: 18-P-91372/03

Project Offi cer: Joel Greer

Period: August, 2001 to August, 2004

Funding: $1,000,000

Principal 

Investigator: J. Vernon Odom

Award: Grant

Awardee: West Virginia Research 

Corporation

West Virginia University

PO Box 6845

Morgantown, WV 26506-6845

Description: The General Provisions of the FY 2001 

Appropriations legislation mandated an award “... to 

the West Virginia University School of Medicine’s Eye 

Center to test interventions and improve the quality of 

life for individuals with low vision, with a particular 

focus on the elderly.” The West Virginia University 

Research Corporation (WVURC) created and operates 

a regional center for vision rehabilitation services, the 

Appalachian Center for Visual Rehabilitation. The 

center serves the low vision needs of rural communities 

in West Virginia. WVURC collected data and 

performed an evaluation showing the effectiveness of 

its programs. It held a 2-day conference in the spring 

of 2003 to disseminate the lessons learned from the 

project to other rural areas across the country. No fi nal 

report is expected.

Status: The project ended 8/5/2003. ■

Assessment of State Database Capacity and 

Development of Prototype Performance 

Monitoring System

Project No: 18-C-91507/00

Project Offi cer: Joseph Razes

Period: September, 2001 to March, 2003

Funding: $296,037

Principal 

Investigator: Pamela Hanes

Award: Cooperative Agreement

Awardee: Oregon Health and Science 

University

3181 SW Sam Jackson Park Road 

DB669

Portland, OR 97201-3098

Description: This project collects, analyzes, and 

interprets data regarding States’ Medicaid health systems 

development activities for individuals with disabilities 

and will develop a performance monitoring tool. This 

tool would be used by States in evaluating the success 

of their buy-in programs. Recent legislation has offered 

States unprecedented opportunities to use Medicaid as 

a vehicle for supporting the competitive employment 

of people with disabilities. The Balanced Budget Act 

of 1997 and the Ticket to Work and Work Incentives 

Improvement Act of 1999 have permitted States to 

implement a Medicaid buy-in that extends Medicaid 

coverage to working people with disabilities (who, 

because of earnings, would not otherwise qualify for 

Medicaid coverage under other statutory provisions). 

The new Medicaid buy-in offers new incentives to people 

with disabilities to work and increase earnings without 

risking the potential loss of health care coverage. The 

goal of this project is to lay the groundwork for—

1. Development of a national database that will integrate 

relevant Medicaid buy-in administrative data sets for 

future analysis

2. Identifi cation and reporting of performance measures 

and benchmarks for use in evaluating the effectiveness of 

Medicaid buy-in programs

The rules and guidelines for implementing a State buy-in 

program are complex. While States have a tremendous 

amount of fl exibility in how they design a Medicaid 

buy-in program, they also spend much time examining 

issues of health care access and barriers to employment 

for people with disabilities. The data and design 
Active Projects Report—2004 Edition 127

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Theme 5

characteristics considered in their planning process 

ultimately infl uence the program that is developed and 

possible outcomes. The options available to States 

coupled with the array of rules to be followed can 

be confusing. Realizing the technical nature of the 

Medicaid buy-in programs and the fact that State staff 

often do not have the expertise, we have encouraged the 

development of two technical assistance partnerships. 

The primary purpose of these partnerships is to exchange 

information and ideas that will encourage States to 

take advantage of the Medicaid buy-in opportunities. 

As more States implement Medicaid buy-in programs 

nationally, increased technical assistance is needed. Part 

of this is help with data collection and development of 

analytical tools to assess the results and impact of the 

Medicaid buy-in.

Status: This project has ended. ■

QUALITY ASSURANCE AND QUALITY 

IMPROVEMENT IN HOME AND COMMUNITYBASED SERVICES

The Quality Assurance and Quality Improvement in 

Home and Community-Based Services Grants, part of 

the Real Choice Systems Change Grants for Community 

Living, will assist States to (1) fulfi ll their commitment 

to ensuring the health and welfare of individuals 

who participate in the States’ home and communitybased waivers under § 1915(c) of the Social Security 

Act, (2) develop effective and systematic methods 

to meet statutory and CMS requirements by the use 

of ongoing quality improvement strategies, and (3) 

develop improved methods that enlist the individual 

and community members in active roles in the quality 

assurance and quality improvement systems.

Status: This project is in its start-up phase. ■

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92009/09-01

Project Offi cer: Adrienne Delozier

Period: September, 2003 to 

September, 2006

Funding: $499,844

Principal 

Investigator: Julie Jackson

Award: Grant

Awardee: State of California Department 

of Development Services

1600 Ninth Street

Room 340 MS 3-24

Sacramento, CA 95814

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92092/08-01

Project Offi cer: Maria Reed

Period: September, 2003 to 

September, 2006

Funding: $499,851

Principal 

Investigator: Kerry O. Stern

Award: Grant

Awardee: Colorado Department of Human 

Services

Division for Developmental 

Disabilities 

3824 West Princeton Circle

Denver, CO 80236

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92080/01-01

Project Offi cer: Mark Reed

Period: September, 2003 to 

September, 2006

Funding: $499,000

Principal 

Investigator: Elizabeth McArthur

Award: Grant

Awardee: Connecticut Department of 

Mental Retardation

460 Capitol Avenue

Hartford, CT 06016
128 Active Projects Report—2004 Edition

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Theme 5

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92048/03-01

Project Offi cer: Maria Reed

Period: September, 2003 to 

September, 2006

Funding: $351,702

Principal 

Investigator: Joseph B. Keyes

Award: Grant

Awardee: Delaware Health and 

Social Services

Division Development Disabilities 

Services 

Jesse Cooper Building, Box 637

Dover, DE 19903

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92111/04-01

Project Offi cer: Mark Reed

Period: September, 2003 to 

September, 2006

Funding: $475,000

Principal 

Investigator: Patricia Clifford

Award: Grant

Awardee: Georgia Department of Human 

Resources

Division of MHDDAD 

Two Peachtree Street, NW, 22.224

Atlanta, GA 30303

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92095/05-01

Project Offi cer: Adrienne Delozier

Period: September, 2003 to 

September, 2006

Funding: $500,000

Principal 

Investigator: Ellen McClimans

Award: Grant

Awardee: Indiana Family and Social 

Services Administration

402 West Washington Street 

Room W-451

PO Box 7083

Indianapolis, IN 46207-7083

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92024/01-01

Project Offi cer: Anita Yuskauskas

Period: September, 2003 to 

September, 2006

Funding: $500,000

Principal 

Investigator: Jim Moser

Award: Grant

Awardee: Maine Department of Human 

Services

Bureau of Medical Services 

State House Station #11 

Kennebec County

Augusta, ME 04333-0011

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92083/05-01

Project Offi cer: Anita Yuskauskas

Period: September, 2003 to 

September, 2006

Funding: $499,880

Principal 

Investigator: Jolene Kohn

Award: Grant

Awardee: Minnesota Department of 

Human Services

Medicaid Offi ce 

444 Lafayette Road

St Paul, MN 55155

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92006/07-01

Project Offi cer: Mark Reed

Period: September, 2003 to 

September, 2006

Funding: $500,000

Principal 

Investigator: Vicki Keller

Award: Grant

Awardee: Missouri Department of Health and 

Senior Services/DSS&R

920 Wildwood Drive 

PO Box 570

Jefferson City, MI 65102
Active Projects Report—2004 Edition 129

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Theme 5

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92136/02-01

Project Offi cer: Adrienne Delozier

Period: September, 2003 to 

September, 2006

Funding: $495,811

Principal 

Investigator: Kathryn Kuhmerker

Award: Grant

Awardee: New York State Department 

of Health

One Commerce Tower, Room 724

Albany, NY 12260

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92078/04-01

Project Offi cer: Maria Reed

Period: September, 2003 to 

September, 2006

Funding: $475,100

Principal 

Investigator: Steven E. Hairston

Award: Grant

Awardee: North Carolina DHHS/Division 

of Mental Health DD/

Substance Abuse Services

2001 Mail Service Center

Raleigh, NC 27699-2001

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92057/05-01

Project Offi cer: Mark Reed

Period: September, 2003 to 

September, 2006

Funding: $499,740

Principal 

Investigator: Donald Bashaw

Award: Grant

Awardee: Ohio Department of Mental 

Retardation/Development Disability

35 East Chestnut Street, 5th Floor

Columbia, OH 43215-2541

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92122/00-01

Project Offi cer: Mark Reed

Period: September, 2003 to 

September, 2006

Funding: $455,113

Principal 

Investigator: DeAnna Hartwig

Award: Grant

Awardee: Oregon Department of Human 

Services—Seniors and 

People with Disabilities

500 Summer Street, NE, E-02

Salem, OR 97301-1073

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92120/03-01

Project Offi cer: Mark Reed

Period: September, 2003 to 

September, 2006

Funding: $498,650

Principal 

Investigator: Gregory Howe

Award: Grant

Awardee: Pennsylvania Department of 

Public Welfare

Commonwealth of Pennsylvania

Harrisburg, PA 17120

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92050/04-01

Project Offi cer: Mark Reed

Period: September, 2003 to 

September, 2006

Funding: $500,000

Principal 

Investigator: Kathi K. Lacy

Award: Grant

Awardee: South Carolina Department of 

Disabilities and Special Needs

3440 Harden Street Extension

Richland County, SC 29203
130 Active Projects Report—2004 Edition

Theme 5: Improving Quality of Care and 

Performance Under CMS Programs

Theme 5

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92036/4-01

Project Offi cer: Anita Yuskauskas

Period: September, 2003 to 

September, 2006

Funding: $452,636

Principal 

Investigator: Tami Wilson

Award: Grant

Awardee: Tennessee Department of Finance 

and Administration

DMR, 500 Deaderick Street 

Andrew Jackson Building

15th Floor

Nashville, TN 37243

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92027/06-01

Project Offi cer: Maria Reed

Period: September, 2003 to 

September, 2006

Funding: $500,000

Principal 

Investigator: Teresa Richard

Award: Grant

Awardee: Texas Department of Mental Health 

and Mental Retardation

909 West 45th Street 

PO Box 12668

Austin, TX 78751

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92114/03-01

Project Offi cer: Mark Reed

Period: September, 2003 to 

September, 2006

Funding: $499,995

Principal 

Investigator: Nancy Atkins

Award: Grant

Awardee: West Virginia DHHR/

Bureau of Medical Services/

Offi ce of the Secretary

Capitol Complex Building 3 

Room 206

Charleston, WV 25305

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P92114/03-01

Project Offi cer: Mark Reed

Period: September, 2003 to 

September, 2006

Funding: $499,995

Principal 

Investigator: Nancy Atkins

Award: Grant

Awardee: West Virginia DHHR/

Bureau of Medical Services/

Offi ce of the Secretary

Capitol Complex Building 3 

Room 206

Charleston, WV 25305

Quality Assurance and Quality Improvement in 

Home and Community-Based Services

Project No: 11-P-92085/005-01

Project Offi cer: Anita Yuskauskas

Period: September, 2003 to 

September, 2006

Funding: $500,000

Principal 

Investigator: Judith E. Frye

Award: Grant

Awardee: Wisconsin DHFS/Division of 

Disability and Elder Services

One West Wilson Street 

PO Box 7850

Madison, WI 53707-7850
Active Projects Report—2004 Edition 131

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Integrated Chronic Disease Quality Performance 

Measurement at the Physician Level

Project No: 500-00-0035/01

Project Offi cer: Pauline Karikari-Martin

Period: September, 2001 to March, 2005

Funding: $452,896

Principal 

Investigator: Linda Clarke-Helms

Award: Task Order

Awardee: C.N.A. Corporation

4401 Ford Avenue

PO Box 16268

Alexandria, VA 22302-8268

Description: This project is to assist CMS in 

exploration of the issues important to physicianlevel quality of care scoring in chronic disease and 

prevention. The project will help to defi ne quality of 

care for chronic disease and prevention using existing 

clinical performance measures and survey tools to 

abstract data that will be used to model these concepts. 

Performance measurement supports CMS program 

management and policy development purposes such 

as quality improvement in the Quality Improvement 

Organizations program, demonstration of accountability, 

and value-based purchasing. Several of our projects 

have attempted to integrate broader chronic diseasebased thinking into their measurement structure (i.e., 

the Diabetes Quality Improvement Project [DQIP], the 

Study of Clinically Relevant Indicators of Pharmacologic 

Therapy [SCRIPT], and the Ambulatory Care Quality 

Improvement Program [ACQIP]). The primary vehicle 

for this initial work is applying knowledge gained 

using the existing clinical performance measures and 

survey tools at the physician offi ce level to develop 

a framework for measuring quality of care in the 

ambulatory care setting.

Status: The project is under way. ■

Healthy Aging/Smoking Cessation

Project No: 500-98-0281

Project Offi cer: James Coan

Period: October, 1998 to September, 2004

Funding: $200,000

Principal 

Investigator: Laurence Rubenstein

Award: Contract

Awardee: RAND Corporation

1700 Main Street

PO Box 2138

Santa Monica, CA 90407-2138

Description: This demonstration is testing the effect 

of Medicare reimbursement for smoking cessation 

interventions among Medicare benefi ciaries who 

smoke in seven States. Based on an evidence report by 

RAND, the demonstration is evaluating the effectiveness 

and cost-effectiveness of reimbursement for three 

interventions for smoking cessation compared to “usual 

care.” The interventions are reimbursement for provider 

cessation counseling alone, reimbursement for provider 

cessation counseling plus the use of bupropion (Zyban) 

or nicotine patches, and demonstration supported 

telephone-based cessation counseling with and without 

nicotine patches. Usual care includes written material 

only. The demonstration sites include Alabama, Florida, 

Ohio, Missouri, Oklahoma, Nebraska, and Wyoming.

Status: RAND is currently evaluating the responses 

from 7,354 participants to a 6-month questionnaire 

against baseline information collected at the time of 

enrollment. Responses to a 12-month questionnaire 

are being collected and will be compared to previously 

collected data. Response rates appear to be high, and a 

fi nal report is expected in June 2005. ■

Theme 6: Improving the Health of Our

Benefi ciary Population

Summary: CMS’s programs provide health care fi nancing for some of the Nation’s most vulnerable populations. 

Six percent of Medicare benefi ciaries account for 50 percent of Medicare spending. Two groups of benefi ciaries 

with extensive health care needs—those over age 85 and those with end stage renal disease (ESRD)—are the two 

fastest growing segments of the Medicare population. As medical advances provide more effective treatments 

for devastating illnesses, many people will live longer, healthier lives, and will be at risk of acquiring other diseases 

or long-term chronic conditions. Health care purchasers and providers will be challenged to develop innovative 

ways to provide high-quality, cost-effective care for people with long-term chronic conditions.
132 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Healthy Aging: Senior Risk Reduction 

Demonstration

Project No: 500-00-0034/01

Project Offi cer: Pauline Lapin

Period: September, 2002 to 

September, 2004

Funding: $1,993,755

Principal 

Investigator: Ron Goetzel

Award: Task Order

Awardee: Medstat Group (DC)

4301 Connecticut Avenue, NW

Suite 330

Washington, DC 20008

Description: The Senior Risk Reduction Demonstration 

(SRRD) will test whether private sector approaches 

to health management and risk reduction, which have 

been shown to be effective for reducing risk factors 

and health care costs, can be translated to the Medicare 

program. The intervention to be tested in the SRRD 

consists of a health risk appraisal followed by tailored 

ongoing interventions delivered either by mail, telephone, 

or Internet.

Status: Medstat intends to complete the design of the 

demonstration by January 2004. ■

Mauli Ola (Spirit of Life) Project

Project No: 18-P-91142/09

Project Offi cer: Mary Kapp

Period: September, 2000 to 

September, 2005

Funding: $2,198,158

Principal 

Investigator: Charman Akina

Award: Grant

Awardee: Waimanalo Health Center

41-1347 Kalanianaole Highway

Waimanalo, HI 96795

Description: Mauli Ola (“spirit of life”) is an intensive 

and comprehensive community-wide outreach and 

preventive health program. It aims to increase positive 

motivators at both the individual and community levels 

through deliberate efforts to encourage individuals, 

families, and the community to reassess and, where 

appropriate, recreate culturally relevant health and 

healing paradigms. Mauli Ola strategies include: 

(1) culturally reinforced and medically sound outreach 

and health awareness; (2) health screening, early 

detection and referral; and (3) health education, family 

nutrition, and exercise programs. The target population 

is the entire Waimanalo ahupua’a (a traditional Hawaiian 

integrated, self-sustaining, geographically defi ned 

community), consisting largely of Native Hawaiians and 

other American Asian/Pacifi c Islanders, located in a rural 

agricultural area of southeast Oahu, Hawaii.

Status: During the fi rst 3 years of this 5-year project, 

2,383 people have been screened for diabetes, 

cholesterol, and other risk factors for cardiovascular 

disease, including 297 who have received followup 

screening. Screenings have identifi ed 126 participants 

newly diagnosed with diabetes, 577 with total cholesterol 

>200 mg/dl, 842 with blood pressure >140/90, and 

1,276 with body mass index > 27. The health education 

program, which focuses on healthy lifestyles and includes 

meal preparation demonstrations, began in the summer of 

2003. As of September 2003, 68 families completed the 

week-long program. ■

Study on Medicare Coverage of Routine Thyroid 

Screening

Project No: 500-01-0055

Project Offi cer: Katharine Pirotte

Period: September, 2001 to March, 2003

Funding: $450,000

Principal 

Investigator: Janet Corrigan

Award: Contract

Awardee: Institute of Medicine

National Academy of Sciences

2101 Constitution Avenue, NW

Washington, DC 20418

Description: This is a study on the addition of coverage 

of routine thyroid screening using a thyroid-stimulating 

hormone test as a preventive benefi t under Medicare. 

This is a mandated study (section 123 of the Benefi ts 

Improvement and Protection Act of 2000). The mandate 

also requires that this involves the Academy’s United 

States Preventive Services Task Force. The study is to 

consider the short-term and long-term benefi ts, and the 

cost to the Medicare program of such an additional benefi t.

Status: This study has ended and we received the fi nal 

published copy of the study from IOM in spring 2003. ■
Active Projects Report—2004 Edition 133

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Airway Clearance for Prevention of Chronic 

Obstructive Pulmonary Disease (COPD) 

Exacerbations

Project No: 18-P-91858/03-01

Project Offi cer: Carl Taylor

Period: September, 2003 to 

September, 2004

Funding: $99,350

Principal 

Investigator: Gregory Diette

Award: Grant

Awardee: Johns Hopkins University School of 

Medicine

720 Rutland Avenue

Baltimore, MD 21205

Description: Approximately 60 to 70 percent of patients 

with minor to severe COPD have chronic cough and 

phlegm, and recent evidence shows that chronic mucus 

hypersecretion is associated with greater decline in lung 

function, increased airway reactivity, more frequent 

respiratory infections and exacerbations, and increased 

mortality. We hypothesize that mechanical airway 

clearance techniques will diminish exacerbations of 

COPD, thereby improving respiratory health status. 

The specifi c aim of this proposal is to conduct a pilot 

study that is a randomized, masked clinical trial of one 

form of mechanical airway clearance, high frequency 

chest wall oscillation (HFCWO) with a pneumatic 

vest to determine if we can reduce the rate of COPD 

exacerbations. The information gained from this pilot is 

essential for planning a larger, national multicenter trial 

that will provide the defi nitive evidence of the effi cacy 

of HFCWO to prevent COPD exacerbations. This study 

will randomly assign 50 subjects to 1 of 2 groups. The 

active treatment group will use a conventional vest 

(HFCWO) for 12 weeks, and the control group will be 

assigned to use a sham (deactivated) version of the vest. 

The primary study outcome will be reduction in COPD 

exacerbations. The secondary outcomes include quality 

of life, functional capacity, lung function, and health care 

use. The study will be completed in a 12-month period.

Status: The grant was awarded. ■

COORDINATED CARE TO IMPROVE QUALITY 

OF CARE FOR CHRONICALLY ILL MEDICARE 

BENEFICIARIES

This demonstration tests whether coordinated care 

programs can improve medical treatment plans, reduce 

avoidable hospital admissions, and promote other 

desirable outcomes among benefi ciaries who constitute 

a small proportion of the Medicare fee-for-service 

(FFS) population but account for a major proportion of 

Medicare expenditures. It is one of 15 sites selected as 

a part of the Medicare Coordinated Care Demonstration 

project to provide case management and disease 

management services to Medicare FFS benefi ciaries with 

complex chronic conditions. This project will allow 

CMS to test a wide range of programs aimed at reducing 

costs and increasing quality of care for chronically ill 

Medicare FFS benefi ciaries. The Balanced Budget Act 

of 1997 requires that the projects focus on chronically 

ill Medicare FFS benefi ciaries who are eligible for both 

Medicare Part A and Part B and requires that the projects’ 

payment methodology be budget neutral.

Coordinated Care To Improve Quality of Care for 

Chronically Ill Medicare Benefi ciaries—Arizona

Project No: 95-C-91318/09

Project Offi cer: Kathy Headen

Period: August, 2002 to June, 2006

Funding: $0

Principal 

Investigator: Beth Hale

Award: Cooperative Agreement

Awardee: Hospice of the Valley

3238 North 16th Street

Phoenix, AZ 85016

Status: Hospice of the Valley is a hospice that is 

offering an urban case management program to 

Medicare benefi ciaries in Maricopa County, Arizona, 

with signifi cant chronic illness. Targeting benefi ciaries 

with various chronic conditions, the program focuses 

on providing and coordinating palliative care. The site 

began enrolling benefi ciaries and providing coordinated 

care services in August 2002. ■

Coordinated Care To Improve Quality of Care 

for Chronically Ill Medicare Benefi ciaries—

Baltimore, Maryland

Project No: 95-C-91348/03

Project Offi cer: Kathy Headen

Period: April, 2002 to March, 2006

Funding: $45,100

Principal 

Investigator: Nancy Fisher

Award: Cooperative Agreement

Awardee: Erickson Retirement

Communities, Inc.

701 Maiden Choice Lane

Baltimore, MD 21228

Status: Erickson Retirement Communities, 

Incorporated, has implemented an urban case 

management program targeting benefi ciaries with 

congestive heart failure, chronic obstructive pulmonary 

disease, coronary artery disease, hypertension, or 

diabetes living at Charlestown and Oak Crest Village 

Retirement Communities located in Baltimore County, 
134 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Maryland, and at Riderwood Village in Silver Spring, 

Maryland. The site began enrolling benefi ciaries and 

providing coordinated care services in April 2002. ■

Coordinated Care To Improve Quality of Care for 

Chronically Ill Medicare Benefi ciaries—Florida

Project No: 95-C-91325/03

Project Offi cer: Kathy Headen

Period: September, 2002 to June, 2006

Funding: $63,000

Principal 

Investigator: Michael Wall

Award: Cooperative Agreement

Awardee: Quality Oncology, Inc.

1430 Spring Hill Road, Suite 106

McLean, VA 22102

Status: Quality Oncology, Incorporated, of McLean, 

Virginia, has implemented an urban disease management 

program focusing on benefi ciaries with cancer in 

Broward County, Florida. The site began enrolling 

benefi ciaries and providing coordinated care services in 

September 2002. ■

Coordinated Care To Improve Quality of Care for 

Chronically Ill Medicare Benefi ciaries—Houston, 

Texas

Project No: 95-C-91351/05

Project Offi cer: John Pilotte

Period: June, 2002 to May, 2006

Funding: $82,350

Principal 

Investigator: James O’Leary

Award: Cooperative Agreement

Awardee: CorSolutions Medical, Inc.

9500 West Bryn Mawr Avenue

Rosemont, IL 60018

Status: CorSolutions Medical, Inc., of Buffalo Grove, 

Illinois, has implemented an urban disease management 

program targeting benefi ciaries in Texas with highrisk congestive heart failure. The site began enrolling 

benefi ciaries and providing coordinated care services in 

June 2002. ■

Coordinated Care To Improve Quality of Care for 

Chronically Ill Medicare Benefi ciaries—Iowa

Project No: 95-C-91340/07

Project Offi cer: Sid Mazumdar

Period: April, 2002 to March, 2006

Funding: $50,000

Principal 

Investigator: Nancy Halford

Award: Cooperative Agreement

Awardee: Mercy Medical Center—North 

Iowa

1000 North Fourth Street, NW

Mason City, IA 50401

Status: Mercy Medical Center of Mason City, Iowa, has 

implemented a rural case management program targeting 

benefi ciaries in northern Iowa with various chronic 

conditions. The site began enrolling benefi ciaries and 

providing coordinated care services in April 2002. ■

Coordinated Care To Improve Quality of Care for 

Chronically Ill Medicare Benefi ciaries—Mahomet, 

Illinois

Project No: 95-C-91315/05

Project Offi cer: Dennis Nugent

Period: April, 2002 to March, 2006

Funding: $149,943

Principal 

Investigator: Cheryl Schraeder

Award: Cooperative Agreement

Awardee: Carle Foundation Hospital

307 East Oak, #3

PO Box 718

Mahomet, IL 61853

Status: The Carle Foundation Hospital of Mahomet, 

Illinois, has implemented a rural case management 

program targeting benefi ciaries with various chronic 

conditions in eastern Illinois. The site began enrolling 

benefi ciaries and providing coordinated care services in 

April 2002. ■
Active Projects Report—2004 Edition 135

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Coordinated Care To Improve Quality of Care for 

Chronically Ill Medicare Benefi ciaries—Maine

Project No: 95-C-91314/01

Project Offi cer: Sid Mazumdar

Period: April, 2002 to March, 2006

Funding: $138,720

Principal 

Investigator: John LaCasse

Award: Cooperative Agreement

Awardee: Medical Care Development

11 Packwood Drive

Augusta, ME 04330

Status: Medical Care Development of Augusta, Maine, 

has implemented a rural disease management program 

targeting benefi ciaries in Maine with congestive heart 

failure or post-acute myocardial infarction. The site 

began enrolling benefi ciaries and providing coordinated 

care services in April 2002. ■

Coordinated Care To Improve Quality of Care for 

Chronically Ill Medicare Benefi ciaries—Missouri

Project No: 95-C-91345/01

Project Offi cer: Kathy Headen

Period: August, 2002 to June, 2006

Funding: $150,000

Principal 

Investigator: John Lynch

Award: Cooperative Agreement

Awardee: Washington University Physician 

Network

7425 Forsyth Boulevard, Suite 307

St. Louis, MO 63105

Status: Washington University of St. Louis, Missouri, 

with American Healthways of Nashville, Tennessee, 

has implemented an urban case management program 

targeting benefi ciaries in St. Louis with various chronic 

conditions. The site began enrolling benefi ciaries and 

providing coordinated care services in August 2002. ■

Coordinated Care To Improve Quality of Care 

for Chronically Ill Medicare Benefi ciaries—

New York, NY

Project No: 95-C-91357/02

Project Offi cer: Dennis Nugent

Period: June, 2002 to May, 2006

Funding: $150,000

Principal 

Investigator: Nancy Mintz

Award: Cooperative Agreement

Awardee: The Jewish Home and Hospital for 

the Aged

120 West 106th Street

New York, NY 10025

Status: The Jewish Home and Hospital for the Aged 

has implemented an urban case management program 

targeting benefi ciaries with various chronic conditions 

in New York City. The site began enrolling benefi ciaries 

and providing coordinated care services in June 2002. ■

Coordinated Care To Improve Quality of Care for 

Chronically Ill Medicare Benefi ciaries—Northern 

California

Project No: 95-C-91352/02

Project Offi cer: John Pilotte

Period: July, 2002 to June, 2006

Funding: $150,000

Principal 

Investigator: Michael Cox

Award: Cooperative Agreement

Awardee: QMED, Inc.

25 Christopher Way

Eaton, NJ 07724

A and Part B and requires that the projects’ payment 

methodology be budget neutral.

Status: QMED, Inc., of Laurence Harbor, New 

Jersey, has implemented an urban disease management 

program targeting benefi ciaries in northern California 

with coronary artery disease. The site began enrolling 

benefi ciaries and providing coordinated care services in 

July 2002. ■
136 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Coordinated Care To Improve Quality of Care 

for Chronically Ill Medicare Benefi ciaries—

Pennsylvania

Project No: 95-C-91360/03

Project Offi cer: Cynthia Mason

Period: April, 2002 to March, 2006

Funding: $0

Principal 

Investigator: Kenneth Coburn

Award: Cooperative Agreement

Awardee: Health Quality Partners

875 North Easton Road

Doylestown, PA 18901

Status: Health Quality Partners of Plumsteadville, 

Pennsylvania, has implemented an urban and rural 

disease management program targeting benefi ciaries in 

eastern Pennsylvania with various chronic conditions. 

The site began enrolling benefi ciaries and providing 

coordinated care services in April 2002. ■

Coordinated Care To Improve Quality of Care 

for Chronically Ill Medicare Benefi ciaries—

Richmond, Virginia

Project No: 95-C-91319/03

Project Offi cer: Cynthia Mason

Period: April, 2002 to March, 2006

Funding: $75,448

Principal 

Investigator: Michael Matthews

Award: Cooperative Agreement

Awardee: CenVaNet, Inc.

2201 West Broad Street, Suite 202

Richmond, VA 23220

Status: CenVaNet, Incorporated, of Richmond, Virginia, 

has implemented an urban case management program 

targeting benefi ciaries with various chronic conditions 

in the metropolitan Richmond area. The site began 

enrolling benefi ciaries and providing coordinated care 

services in April 2002. ■

Coordinated Care To Improve Quality of Care 

for Chronically Ill Medicare Benefi ciaries—South 

Dakota

Project No: 95-C-91362/08

Project Offi cer: Sid Mazumdar

Period: June, 2002 to May, 2006

Funding: $0

Principal 

Investigator: David Kuper

Award: Cooperative Agreement

Awardee: Avera McKennan Hospital

800 East 21st Street

Sioux Falls, SD 57105

Status: Avera McKennan Hospital of Sioux Falls, South 

Dakota, has implemented a rural disease management 

program targeting benefi ciaries in South Dakota, Iowa, 

and Minnesota. The site began enrolling benefi ciaries 

and providing coordinated care services in June 2002. ■

Coordinated Care To Improve Quality of Care for 

Chronically Ill Medicare Benefi ciaries—University 

of Maryland

Project No: 95-C-91349/03

Project Offi cer: Dennis Nugent

Period: June, 2002 to May, 2006

Funding: $0

Principal 

Investigator: Stephen Gottlieb

Award: Cooperative Agreement

Awardee: University of Maryland School of 

Medicine

22 South Greene Street

Baltimore, MD 21201-1595

Status: The University of Maryland School of Medicine 

has implemented an urban disease management program 

targeting benefi ciaries with congestive heart failure 

in Baltimore, Maryland. The site began enrolling 

benefi ciaries and providing coordinated care services in 

June 2002. ■
Active Projects Report—2004 Edition 137

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Coordinated Care To Improve Quality of Care 

for Chronically Ill Medicare Benefi ciaries—

Washington, DC

Project No: 95-C-91367/03

Project Offi cer: John Pilotte

Period: June, 2002 to May, 2006

Funding: $0

Principal 

Investigator: James Welsh

Award: Cooperative Agreement

Awardee: Georgetown University

1707 L Street, NW, Suite 900

Washington, DC 20036

Status: Georgetown University Medical Center in 

Washington, DC, has implemented a program providing 

disease management services for Medicare FFS 

benefi ciaries with congestive heart failure residing in the 

District of Columbia and suburban Maryland. The site 

began enrolling benefi ciaries and providing coordinated 

care services in June 2002. ■

Implementation Support for the Medicare 

Coordinated Care Demonstration

Project No: HCFA-00-1223

Project Offi cer: Cynthia Mason

Period: September, 2000 to March, 2005

Funding: $1,768,000

Principal 

Investigators: Denise Marshall and Bradley Smith

Award: GSA Order

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: This demonstration tests whether 

coordinated care programs can improve medical 

treatment plans, reduce avoidable hospital admissions, 

and promote other desirable outcomes among 

benefi ciaries who constitute a small proportion of the 

Medicare fee-for-service (FFS) population but account 

for a major proportion of Medicare expenditures. 

Fifteen sites were selected to participate in this 4-year 

demonstration project to provide case management 

and disease management services to Medicare FFS 

benefi ciaries with complex chronic conditions. This 

project is allowing CMS to test a wide range of programs 

aimed at reducing costs and increasing quality of care for 

chronically ill Medicare FFS benefi ciaries. The Balanced 

Budget Act of 1997 requires that the projects focus on 

chronically ill Medicare FFS benefi ciaries who are eligible 

for both Medicare Part A and Part B and requires that the 

projects’ payment methodology be budget neutral.

Status: The project sites began implementing the 

project in April 2002. By September 2002, all 15 sites 

had initiated enrollment. The fi rst Report to Congress is 

scheduled to be released in the spring of 2004. ■

Evaluation of Disease Management 

Demonstration

Project No: 500-00-0033/03

Project Offi cer: Lorraine Johnson

Period: September, 2003 to 

September, 2004

Funding: $321,277

Principal 

Investigator: Robert Schmitz

Award: Task Order

Awardee: Mathematica Policy Research 

(Princeton)

600 Alexander Park

PO Box 2393

Princeton, NJ 08543-2393

Description: The purpose of this project is to evaluate the 

effectiveness of Medicare Capitated Disease Management 

Demonstration for benefi ciaries with chronic medical 

conditions such as stroke, congestive heart failure, and 

diabetes; people who receive both Medicare and Medicaid 

(dual eligibles); or frail elderly patients who would 

benefi t from a greater coordination of services. This 

demonstration uses disease management interventions 

and payment for services based on full capitation with 

risk sharing options to (1) improve the quality of services 

furnished to specifi c eligible benefi ciaries, including the 

dual eligible and frail elderly; (2) manage expenditures 

under Part A and Part B of the Medicare program; 

and (3) encourage the formation of specialty plans that 

market directly to Medicare’s sickest benefi ciaries.

Status: Project is on track and proceeding as planned. ■

Payment Development, Implementation, and 

Monitoring Support for the Medicare, Medicaid, 

and SCHIP Benefi ts Improvement and Protection 

Act (BIPA) Disease Management Demonstrations

Project No: 500-00-0036/01

Project Offi cer: J. Donald Sherwood

Period: September, 2002 to 

September, 2007

Funding: $435,557

Principal 

Investigator: C. William Wrightson

Award: Task Order

Awardee: Actuarial Research Corporation

5513 Twin Knolls Road, Suite 213

Columbia, MD 21045

Description: The purpose of this task is to support 

CMS in implementing a demonstration project in three 
138 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

or more sites to provide disease management services 

to Medicare benefi ciaries with advanced stages of 

congestive heart failure, coronary heart disease, and/or 

diabetes. Specifi cally, this project (1) provides general 

technical support in the analysis of rate proposals and 

assistance in calculating the appropriate payment rates 

(both initial and annual updates) for the selected projects; 

(2) educates demonstration sites regarding payment 

calculations, billing processes and requirements, and 

budget neutrality requirements; (3) monitors payments 

and Medicare expenditures to assure budget neutrality, 

including designing data collection processes for use 

in collecting and warehousing necessary data elements 

from sites and CMS administrative records for assessing 

performance; and (4) performs fi nancial analysis to assist 

in the fi nancial settlement and reconciliation.

Status: This project is in the second year. ■

Evaluation of End Stage Renal Disease (ESRD) 

Disease Management (DM)

Project No: 500-00-0028/02

Project Offi cer: Joel Greer

Period: September, 2003 to 

September, 2004

Funding: $2,192,652

Principal 

Investigator: Frederich Port, M.D.

Award: Task Order

Awardee: University Renal Research and 

Education Association

315 West Huron, Suite 260

Ann Arbor, MI 48103

Description: This task order is for an independent 

evaluation of the ESRD DM Demonstration (DMD) that 

will examine case-mix, patient satisfaction, outcomes, 

quality of care, and costs and payments. The Request for 

Proposals for providers to participate in the DMD was 

published in the Federal Register on June 4, 2003. The 

DMD will enroll Medicare benefi ciaries with ESRD into 

fully or partially capitated ESRD disease management 

organizations. It is anticipated that the awards for the 

DM sites will be made in the third quarter of FY 2004. 

The evaluation contractor will work with the DM sites 

to collect and analyze data to measure clinical, qualityof-life, and economic outcomes. The evaluation is 

currently funded for 1 year (until 9/27/04) with up to four 

additional 1-year phases to be awarded. When the DM 

sites are selected, the evaluation team will work with 

them to design and implement data collection instruments 

and mechanisms.

Status: The evaluator is waiting for the DM sites to 

begin operation. ■

Evaluation of Programs of Coordinated Care and 

Disease Management

Project No: 500-95-0047/09

Project Offi cer: Carol Magee

Period: September, 2000 to 

September, 2005

Funding: $3,018,839

Principal 

Investigator: Randall S. Brown, Ph.D.

Award: Task Order

Awardee: Mathematica Policy Research (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Description: This 5-year evaluation project will 

describe and assess, individually and summarily, 16 

congressionally mandated Medicare Coordinated Care 

Demonstration Programs, each providing a particular set 

of coordinated care interventions to fee-for-service (FFS) 

Medicare benefi ciaries with one or more selected chronic 

illnesses (e.g., diabetes, chronic obstructive pulmonary 

disease, asthma, hypertension, hyperlipidemia, stroke, 

renal or hepatic disease, coronary artery disease, cancer). 

Demonstration of the effectiveness of programs of 

care coordination or management has historically been 

complicated not only by wide variations in program staff, 

funding mechanisms, interventions, and stated goals, 

but by the evaluators’ defi nition(s) of effectiveness. The 

Balanced Budget Act of 1997 mandated demonstrations 

in separate program sites to implement approaches to 

coordinated care of chronic illnesses, along with an 

independent evaluation, for the Centers for Medicare & 

Medicaid Services (CMS) to investigate the potential of 

care coordination and/or case management to improve 

care quality and control costs in the Medicare FFS 

Program. An evaluation of best practices in coordinated 

care and a study of demonstration design options were 

conducted. The 16 CMS-funded demonstration programs 

being studied as a part of this evaluation vary widely 

with respect to the demographics, medical and social 

situations of the target population, intensity of services 

offered, interventions under study, type(s) of health care 

professionals delivering the interventions, and other 

factors. Each demonstration program has a randomized 

design, with a treatment arm and a “usual care” arm. The 

evaluation can thus test each unique program’s effects 

upon patient outcome(s)/well-being, patient satisfaction, 

provider behavior and satisfaction, and Medicare 

claims—attributable to particular methods of managing 

care in the FFS Medicare environment and as compared to 

the respective “usual care,” nonintervention patient group. 

The overall goals of this evaluation are to identify those 

characteristics of the programs of coordinated care 

under study that have the greatest impact on health care 

quality and cost and to identify the target populations 
Active Projects Report—2004 Edition 139

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

most likely to benefi t from such programs. In addition to 

analysis plans specifi c to each program/site, the evaluation 

contractor will conduct a process analysis to describe the 

interventions in detail, with a key goal of assessing what 

factors account for program success or failure. The study 

will include successive case studies of each of the 16 

sites, interim and fi nal site-specifi c reports, two interim 

summary reports, two Reports to Congress (based upon the 

interim summary reports), and a fi nal summary report.

Status: Subsequent to receiving the Offi ce of 

Management and Budget approval, the evaluation 

contractor has been holding initial conference calls and 

then visiting the majority of the 16 Demonstration sites 

over the past 2 years to amass data concerning their 

programs as actually implemented at 3 months into the 

demonstrations and their status as of 12 months post 

startup. A number of these individual site reports have 

been completed and are available from the evaluation 

project offi cer. The (confi dential) First Interim Summary 

report and the Draft of the First Report to Congress 

have just been completed. There is wide disparity, as 

expected, in the enrollment success of the various sites, 

and locating and convincing patients to enroll has been 

harder overall than anticipated. The fi rst of two waves of 

patient satisfaction and status telephone CATI interviews 

(n=3,315) has been completed in October for patients 

7 to 12 months following their respective enrollment. 

Similarly, the fi rst of two waves of physician provider 

interviews (n=350) was completed in October. ■

Evaluation of Programs of Disease Management 

(Phase I and Phase II)

Project No: 500-00-0033/02

Project Offi cer: Lorraine Johnson

Period: September, 2002 to 

September, 2007

Funding: $1,908,308

Principal 

Investigator: Randall S. Brown, Ph.D.

Award: Task Order

Awardee: Mathematica Policy Research (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Description: The objective of the evaluation is to assess 

the effectiveness of disease management programs for 

serious chronic medical conditions such as advanced 

stage diabetes and congestive heart failure. Although 

the participating demonstration sites may also vary by 

classifi cation of disease severity, the availability of a 

pharmacy benefi t, population targeted, scope of patient 

care covered, type of comparison group and other factors, 

they will have the common goal of improving quality and 

reducing cost of health care received by chronically ill 

Medicare benefi ciaries through specifi c services targeted 

to the management of a particular medical condition. 

The evaluation will study the independent effects of both 

the disease management program and a drug benefi t, as 

well as any interaction between the two.

Status: The project is under way. ■

Innovations in Health Care

Project No: 18-C-91677/04

Project Offi cer: Dennis Nugent

Period: September, 2001 to 

September, 2002

Funding: $775,833

Principal 

Investigator: Gary Stiles

Award: Cooperative Agreement

Awardee: Duke University Health System

DUMC 3681

Durham, NC 27710

Description: This is a three-phase study. First, it will 

develop policy case studies in strategic health planning 

designed to highlight the importance of integrative 

disease management and strategic health planning 

for patients with three complex and chronic diseases 

(congestive heart failure, diabetes, and depression). A 

policy case study on the management of obstetric care 

at the time of delivery will also be conducted. The 

second will summarize the evidences and develop an 

evidence-based approach to patient-specifi c strategic 

health planning that serves to link risks and behaviors to 

action items unique for each patient independent of any 

particular disease. The plans will incorporate a broadbased integrative approach including strategies regarding 

nutrition, exercise, stress management, and social 

support. The project will then implement strategic health 

planning in a defi ned patient cohort. Finally, the project 

will be a cost and policy analysis of secondary prevention 

for patients with coronary artery disease. The objectives 

here will be to maximize the appropriate use of secondary 

prevention for this disease in Medicare patients, measure 

the fi nancial impact on hospitals, providers, and patients 

of improving secondary prevention, and examine the 

effectiveness of strategies to improve adherence of 

physicians and patients to secondary prevention.

Status: The project is under way. ■
140 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Evaluation of the Informatics, Telemedicine, and 

Education Demonstration

Project No: 500-95-0055/05

Project Offi cer: Carol Magee

Period: September, 2000 to July, 2004

Funding: $1,419,493

Principal 

Investigators: David West and Judith Wooldridge

Award: Task Order

Awardees: Mathematica Policy Research 

(Princeton)

600 Alexander Park

PO Box 2393

Princeton, NJ 08543-2393

Urban Institute

2100 M Street, NW

Washington, DC 20037

Description: The Balanced Budget Act of 1997 

mandates a single, 4-year demonstration project using an 

eligible health care provider telemedicine network. The 

demonstration involves the application of high-capacity 

computing and advanced telemedicine networks to the 

task of improvement of primary care and prevention 

of health complications in Medicare benefi ciaries with 

diabetes mellitus. This project evaluates the impact of 

using telemedicine and medical informatics on improving 

access of Medicare benefi ciaries to health care services, 

on reducing the costs of such services, and on improving 

the quality of life of benefi ciaries. The Informatics, 

Telemedicine, and Education Demonstration project uses 

specially modifi ed home computers, or home telemedicine 

units (HTU) linked to a Clinical Information System, and 

studies benefi ciaries residing in medically underserved 

rural or medically underserved inner-city areas. The HTUs 

in patients’ homes allow video conferencing, access to 

health information and medical data, in both Spanish and 

English. The demonstration project is being conducted 

as a randomized, controlled clinical trial. Impact of the 

telemedicine intervention on health outcomes will be 

evaluated by comparing health outcome measures of the 

intervention group to a control group.

Status: The project is under way. ■

Informatics for Diabetes Education and 

Telemedicine (IDEATel) Demonstration

Project No: 95-C-90998/02

Project Offi cer: Patricia Brocato-Simons

Period: February, 2000 to February, 2008

Funding: $60,000,000

Principal 

Investigator: Steven Shea

Award: Cooperative Agreement

Awardee: Columbia University

630 West 168th Street

PH 9 East, Room 105

New York, NY 10706

Description: The project focuses on Medicare benefi ciaries 

with diabetes because of the high prevalence, cost, 

and complexity of this condition. It also focuses on 

benefi ciaries living in federally designated, medically 

underserved areas in order to demonstrate that obstacles 

to bridging the “digital divide” in health care are not 

intrinsic to the targeted population. The project involves 

a consortium of health care delivery organizations in 

New York City (urban component) and upstate New York 

(rural component), industry partners who are providing 

hardware, software, technology, and communication 

services, and the American Diabetes Association, which 

is providing the educational Web site for the project. The 

consortium is led by Columbia University. Intervention 

participants receive a home telemedicine unit that 

facilitates uploading of clinical data, interaction with a 

nurse case manager, and patient education.

Status: The fi rst 9 months of the project were devoted 

to technical implementation, fi eld testing, personnel 

training, and development of the evaluation instruments 

and procedures. Subject enrollment began in the latter 

part of 2000. As of September 2002, recruitment was 

completed and approximately 1,665 benefi ciaries were 

enrolled and randomized overall acceptability of the 

home telemedicine unit among participants was positive. 

The experience to date indicates that large-scale home 

telemedicine as a strategy for disease management is 

technically feasible, can be performed in a fashion that 

meets current requirements for health care data security 

and the Health Insurance Portability and Accountability 

Act, and is highly acceptable to those who agree to 

participate. Regardless, this does not preclude the 

extent of training and reinforcement often necessary 

under these circumstances to elevate enrollees to an 

active and participatory level. Evidence does indicate 

that some Medicare benefi ciaries living in federally 

designated medically underserved areas, for reasons such 

as language barriers, lack of education, and various other 

socioeconomic indications, are unable or unwilling to use 

computers or the World Wide Web to obtain health care 

information and health care services. ■
Active Projects Report—2004 Edition 141

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Heart Failure Home Care

Project No: 18-C-91509/03

Project Offi cer: John Pilotte

Period: September, 2001 to 

September, 2004

Funding: $2,900,000

Principal 

Investigators: Ozlem Soran, M.D. and

Arthur Feldman, M.D.

Award: Cooperative Agreement

Awardee: University of Pittsburgh Offi ce of 

Research

350 Thackeray Hall

Pittsburgh, PA 15260

Description: This project seeks to use integrated 

nursing services and technology to implement daily 

monitoring of congestive heart failure patients in 

underserved populations in accordance with established 

clinical guidelines. The demonstration tests the clinical 

and economic effectiveness of the Alere Day Link 

Home Monitoring Device in Medicare benefi ciaries 

from underserved population groups receiving care 

in community-based practices who are diagnosed 

with congestive heart failure and who have had a 

hospitalization within the last 6 months. The primary 

hypothesis is that the addition of this device to standard 

management of heart failure will reduce 6-month heart 

failure hospitalization rates, cardiovascular death, and 

length of hospital stay for heart failure.

Status: The site began enrollment in 2003 and has 

enrolled over 200 patients. ■

Heart Failure Home Care

Project No: 18-C-91509/03-02

Project Offi cer: John Pilotte

Period: September, 2001 to 

September, 2005

Funding: $1,847,941

Principal 

Investigators: Arthur Feldman, M.D. and

Ozlem Soran, M.D.

Award: Cooperative Agreement

Awardee: University of Pittsburgh Offi ce of 

Research

350 Thackeray Hall

Pittsburgh, PA 15260

Description: This project seeks to use integrated 

nursing services and technology to implement daily 

monitoring of congestive heart failure patients in 

underserved populations in accordance with established 

clinical guidelines. The demonstration tests the clinical 

and economic effectiveness of the Alere Day Link 

Home Monitoring Device in Medicare benefi ciaries 

from underserved population groups receiving care 

in community-based practices who are diagnosed 

with congestive heart failure and who have had a 

hospitalization within the last 6 months. The primary 

hypothesis is that the addition of this device to standard 

management of heart failure will reduce 6-month heart 

failure hospitalization rates, cardiovascular death, and 

length of hospital stay for heart failure.

Status: The project is ongoing. ■

Medicare Case Management Demonstration for 

Congestive Heart Failure (CHF) and Diabetes 

Mellitus (DM)

Project No: 95-W-00078/06

Project Offi cer: Kathy Headen

Period: November, 2001 to 

November, 2004

Funding: $0

Principal 

Investigator: Diane Fields

Award: Cooperative Agreement

Awardee: Lovelace Health Systems

2309 Renard Place, SE

Albuquerque, NM 87106

Description: This demonstration tests whether a case 

management program can improve medical treatment 

plans, reduce avoidable hospital admissions, and 

promote other desirable outcomes among benefi ciaries 

who constitute a small proportion of the Medicare feefor-service (FFS) population, but account for a major 

proportion of Medicare expenditures. The demonstration 

site provides case management services to high-cost, highrisk Medicare FFS benefi ciaries with CHF and DM. The 

project targets chronically ill Medicare benefi ciaries who 

are eligible for both Medicare Parts A and B and requires 

that the project’s payment methodology be budget neutral.

Status: The site began enrolling benefi ciaries and providing 

case management services in November 2001. ■
142 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Improving Diabetes Outcomes Using the Care 

Model in an Urban Network

Project No: 18-P-91850/05-01

Project Offi cer: David Greenberg

Period: September, 2003 to 

September, 2004

Funding: $74,428

Principal 

Investigator: Leon Fogelfeld

Award: Grant

Awardee: Cook County Bureau of Health 

Services

1900 West Polk Street

Chicago, IL 60612

Description: This initiative will use the Care Model to 

improve the well-being of diabetic patients enrolled with 

the Cook County Bureau of Health Services by reducing 

complications from type 2 diabetes as well as preventing 

the onset of type 2 diabetes in pregnant women with 

gestational diabetes. Populations with the highest 

prevalence of the disease and signifi cant barriers to selfmanagement will be targeted, including underserved 

African Americans and Latinos with limited English 

profi ciency. This project will provide an opportunity 

for the leadership team and local site-based teams to 

gain collective experience with the Care Model. Upon 

completion of the project, the Bureau will have a more 

highly developed, sustainable structure to support local 

primary care teams in overcoming barriers to adherence 

to clinical practice guidelines. 

Status: The awardee has accepted all terms and 

conditions and recently selected a clinical director for 

this project. ■

The Impact of Advanced Illness Coordinated 

Care (AICC) Nurse Practitioner

Project No: 18-P-91853/03-01

Project Offi cer: Pamela Kelly

Period: September, 2003 to March, 2005

Funding: $298,050

Principal 

Investigator: Joseph R. McClellan

Award: Grant

Awardee: Hamot Medical Center

3330 Peach Street, Suite 211

Erie, PA 16508

Description: The Advanced Illness Coordinated Care 

(AICC) demonstration project, utilizing Advanced 

Illness Nurse Practitioners (AIP), will implement the 

AICC program for patients diagnosed with advanced 

cancer, congestive heart failure, and chronic obstructive 

pulmonary disease at Hamot Medical Center. The primary 

objectives for the project are to increase documentation of 

advance directives, decrease intensive care utilization and 

mortalities, and decrease total health care costs for these 

patients with end-stage, advanced diagnoses.

Status: The project began in September 2003. As of 

January 2004, they have completed all hiring, as well as 

program processes, data collection forms, and database 

development for the project. They have begun screening 

patients and have identifi ed over 100 patients who 

potentially qualify for the project. They have contacted 

about 60 of those and have enrolled over 10 patients. 

They have recruited far more heart failure enrollees 

than oncology but hope to equalize that in the near 

future. They have had 20 patients express interest in 

participating but want to wait until spring because of the 

weather in Pennsylvania. ■

MEDICARE LIFESTYLE MODIFICATION 

PROGRAM DEMONSTRATION—PREVENTIVE 

MEDICINE RESEARCH INSTITUTE

The Medicare Lifestyle Modifi cation Program 

Demonstration was implemented October 1, 1999, 

to evaluate the feasibility and cost-effectiveness of 

cardiovascular lifestyle modifi cation. Sites eligible to 

participate in the demonstration are those licensed to the 

Dr. Dean Ornish Program for Reversing Heart Disease 

licensed by Lifestyle Advantage and the Preventive 

Medicine Research Institute. Sites will be able to enroll 

up to 1,800 Medicare Part B eligible benefi ciaries who 

meet the clinical enrollment criteria and voluntarily elect 

to participate in the demonstration. The demonstration 

sites receive 80 percent of a negotiated fi xed payment 

amount for a 12-month program of treatment. Sites 

may collect (or waive) the remaining 20 percent from 

the benefi ciary as an enrollment fee. Claims processing 

and payment is managed through the Division of 

Demonstrations Management in the Offi ce of Financial 

Management at CMS.

Status: On November 28, 2000, the enrollment criteria 

were amended to include patients with less severe 

cardiovascular disease. In accordance with Public Law 

106-554, the Consolidated Appropriations Act of 2001, 

the Cardiac Wellness lifestyle program of the Mind/Body 

Medical Institute (M/BMI) was incorporated into the 

overall demonstration. The same law provided a mandate 

for a 4-year treatment period beginning November 13, 

2000. On May 3, 2002, enrollment criteria were again 

amended to include patients with moderate cardiovascular 

disease and the demonstration enrollment period was 

extended to February 28, 2005, with treatment under the 

demonstration ending in 2006. There are currently 17 

sites offering the Dr. Dean Ornish Program and 8 sites 

offering the Cardiac Wellness Expanded Program. ■
Active Projects Report—2004 Edition 143

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00131/03

Project Offi cer: Armen Thoumaian

Period: May, 2002 to February, 2006

Funding: $0

Principal 

Investigator: David Seigneur

Award: Waiver-Only Project

Awardee: Allegheny General Hospital

320 North Avenue

Pittsburgh, PA 15212

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00132/03

Project Offi cer: Armen Thoumaian

Period: July, 2003 to February, 2006

Funding: $0

Principal 

Investigator: Michelle Dyer

Award: Waiver-Only Project

Awardee: DuBois Regional Medical Center

100 Hospital Avenue

DuBois, PA 15801

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00133/03

Project Offi cer: Armen Thoumaian

Period: May, 2003 to February, 2006

Funding: $0

Principal 

Investigator: Randall Komacko, MPT

Award: Waiver-Only Project

Awardee: Monongahela Valley Hospital

1163 Country Club Road

Monongahela, PA 15063

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00134/03

Project Offi cer: Armen Thoumaian

Period: October, 2002 to February, 2006

Funding: $0

Principal 

Investigator: Sean O’Dowd

Award: Waiver-Only Project

Awardee: Windber Medical Center

600 Somerset Avenue

Windber, PA 15963

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00135/03

Project Offi cer: Armen Thoumaian

Period: June, 2002 to February, 2006

Funding: $0

Principal 

Investigator: Joe Slavic

Award: Waiver-Only Project

Awardee: Howard Long Wellness Center at 

Wheeling Hospital

800 Medical Park

Wheeling, WV 26003

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00136/07

Project Offi cer: Armen Thoumaian

Period: June, 2002 to February, 2006

Funding: $0

Principal 

Investigator: Sandy Barta, MS, RN

Award: Waiver-Only Project

Awardee: Alegent Bergan Mercy Medical 

Center

7710 Mercy Road, BMPC, LL

Omaha, NE 68122
144 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00137/03

Project Offi cer: Armen Thoumaian

Period: May, 2002 to February, 2006

Funding: $0

Principal 

Investigator: Ed Haver

Award: Waiver-Only Project

Awardee: Charleston Area Medical Center

3200 MacCorkle Avenue, SE

Charleston, WV 25304

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00138/03

Project Offi cer: Armen Thoumaian

Period: April, 2002 to February, 2006

Funding: $0

Principal 

Investigator: Dana DeJarnett

Award: Waiver-Only Project

Awardee: Wellness Center at City Hospital

2000 Foundation Way, Suite 1200

Martinsburg, WV 25401

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00139/03

Project Offi cer: Armen Thoumaian

Period: March, 2002 to February, 2006

Funding: $0

Principal 

Investigator: Toni Marascio

Award: Waiver-Only Project

Awardee: United Hospital Center

#3 Hospital Plaza

Clarksburg, WV 26301

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00140/03

Project Offi cer: Armen Thoumaian

Period: November, 2002 to February, 2006

Funding: $0

Principal 

Investigator: Mona Wilson

Award: Waiver-Only Project

Awardee: St. Mary’s Medical Center

2900 1st Avenue

Huntington, WV 25702

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00141/03

Project Offi cer: Armen Thoumaian

Period: November, 2002 to February, 2006

Funding: $0

Principal 

Investigator: Cindy Gillaspie

Award: Waiver-Only Project

Awardee: Princeton Community Hospital

PO Box 1369

Princeton, WV 24740-1369

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00142/03

Project Offi cer: Armen Thoumaian

Period: June, 2003 to February, 2006

Funding: $0

Principal 

Investigator: Joyan L. Urda

Award: Waiver-Only Project

Awardee: Jameson Health System

1211 Wilmington Avenue, Room 430

New Castle, PA 16105
Active Projects Report—2004 Edition 145

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00143/07

Project Offi cer: Armen Thoumaian

Period: May, 2001 to February, 2006

Funding: $0

Principal 

Investigator: Thomas McLeod

Award: Waiver-Only Project

Awardee: Good Samaritan Health Systems

10 East 31st Street

PO Box 1990

Kearney, NE 68848-1990

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00144/03

Project Offi cer: Armen Thoumaian

Period: May, 2002 to February, 2006

Funding: $0

Principal 

Investigator: David Harshbarger

Award: Waiver-Only Project

Awardee: West Virginia University Hospital

Medical Center Drive

Morgantown, WV 26506-8120

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00145/05

Project Offi cer: Armen Thoumaian

Period: April, 2000 to February, 2006

Funding: $0

Principal 

Investigator: Jennifer Tucek

Award: Waiver-Only Project

Awardee: Swedish American Heart and 

Vascular Center

209 Ninth Street

Rockford, IL 61104

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical Institute

Project No: 95-W-00146/01

Project Offi cer: Armen Thoumaian

Period: September, 2001 to February, 2006

Funding: $0

Principal 

Investigator: Barbara Haydon

Award: Waiver-Only Project

Awardee: Care New England Wellness Center

2191 Post Road

Warwick, RI 02886

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical Institute

Project No: 95-W-00147/03

Project Offi cer: Armen Thoumaian

Period: October, 2002 to February, 2006

Funding: $0

Principal 

Investigator: Simin A. Mohit

Award: Waiver-Only Project

Awardee: Bon Secours—St. Mary’s Hospital

150 Kingsley Lane

Norfolk, VA 23501

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical Institute

Project No: 95-W-00148/03

Project Offi cer: Armen Thoumaian

Period: January, 2002 to February, 2006

Funding: $0

Principal 

Investigator: Brenda Alexander

Award: Waiver-Only Project

Awardee: Bon Secours—Maryview Hospital

3636 High Street

Portsmouth, VA 23707

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical Institute

Project No: 95-W-00149/10

Project Offi cer: Armen Thoumaian

Period: March, 2003 to February, 2006

Funding: $0

Principal 

Investigator: Dr. Mary Dean

Award: Waiver-Only Project

Awardee: MultiCare Health System

Cardiac Wellness Program

Tacoma, WA 98405
146 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical Institute

Project No: 95-W-00150/01

Project Offi cer: Armen Thoumaian

Period: June, 2001 to February, 2006

Funding: $0

Principal 

Investigator: Aggie Casey

Award: Waiver-Only Project

Awardee: Mind/Body Medical Institute

824 Boylston Street

Chestnut Hill, MA 02467

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine Research 

Institute

Project No: 95-W-00151/03

Project Offi cer: Armen Thoumaian

Period: August, 2003 to February, 2006

Funding: $0

Principal 

Investigator: Walter Horner

Award: Waiver-Only Project

Awardee: Hamot Medical Center

3330 Peach Street, Suite 211

Erie, PA 16508

Medicare Lifestyle Modifi cation Program 

Demonstration—Continuous Quality Monitoring

Project No: 500-99-MD02/SS05

Project Offi cer: Armen Thoumaian

Period: July, 1999 to March, 2006

Funding: $1,559,912

Principal 

Investigator: Thomas Schaefer

Award: PRO Contract Special Study

Awardee: Delmarva Foundation for Medical 

Care

9240 Centreville Road

Easton, MD 21601-7098

Description: The Medicare Lifestyle Modifi cation 

Program Demonstration was implemented October 1, 

1999, to evaluate the feasibility and cost-effectiveness 

of cardiovascular lifestyle modifi cation. Sites eligible 

to participate in the demonstration are those licensed 

to provide one of two nationally known treatment 

models: the Dr. Dean Ornish Program for Reversing 

Heart Disease licensed by Lifestyle Advantage and the 

Preventive Medicine Research Institute, or the Cardiac 

Wellness Expanded Program of Dr. Herbert Benson 

licensed by the Mind/Body Medical Institute. Sites 

offering either model will be able to enroll up to 1,800 

Medicare Part B eligible benefi ciaries who meet the 

clinical enrollment criteria and voluntarily elect to 

participate in the demonstration. The demonstration sites 

receive 80 percent of a negotiated fi xed payment amount 

for a 12-month program of treatment. Sites may collect 

(or waive) the remaining 20 percent from the benefi ciary 

as an enrollment fee. Claims processing and payment 

is managed through the Division of Demonstrations 

Management in the Offi ce of Financial Management 

at CMS. This project provides continuous quality 

monitoring of the demonstration sites to assure the health 

and safety of participating Medicare patients.

Status: On November 28, 2000, the enrollment criteria 

were amended to include patients with less severe 

cardiovascular disease. In accordance with Public Law 

106-554, the Consolidated Appropriations Act of 2001, 

the Cardiac Wellness lifestyle program of the Mind/

Body Medical Institute was incorporated into the overall 

demonstration. The same law provided a mandate for a 

4-year treatment period beginning November 13, 2000. 

On May 3, 2002, enrollment criteria were again amended 

to include patients with moderate cardiovascular 

disease and the demonstration enrollment period was 

extended to February 28, 2005, with treatment under the 

demonstration ending in 2006. There are currently 17 

sites offering the Dr. Dean Ornish Program and 8 sites 

offering the Cardiac Wellness Expanded Program. The 

Quality Monitoring and Review contract began in July 

1999. In September 2002, the contract was extended 

with additional funds to July 2006 commensurate with 

the extension of the demonstration treatment period. ■

Medicare Lifestyle Modifi cation Program 

Demonstration Evaluation

Project No: 500-95-0060/02

Project Offi cer: Armen Thoumaian

Period: September, 2000 to May, 2007

Funding: $3,795,076

Principal 

Investigators: Donald Shepard and

William B. Stanton

Award: Task Order

Awardee: Institute for Health Policy

Heller Graduate School

Brandeis University

415 South Street

PO Box 9110

Waltham, MA 02254-9110

Description: This project evaluates the health 

outcomes and cost-effectiveness of the Medicare 

Lifestyle Modifi cation Program Demonstration for 

Medicare benefi ciaries with coronary artery disease 

(CAD). The demonstration tests the feasibility and costeffectiveness of providing payment for cardiovascular 

lifestyle modifi cation program services to Medicare 

benefi ciaries. The goal of the evaluation is to provide an 
Active Projects Report—2004 Edition 147

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

assessment of the health benefi t and cost-effectiveness 

of treatment for Medicare benefi ciaries with CAD 

who enroll in the 12-month cardiovascular lifestyle 

modifi cation programs at the demonstration sites. The 

evaluation of the demonstration assesses the overall 

performance of the demonstration sites, including the 

quality of health care delivery over the course of the 

demonstration period. The evaluation also assesses the 

use of systems for administration, claims processing 

and payment, and the routine monitoring of quality 

of care. The evaluation consists, in part, of a pre/post 

quasi-experimental, matched pairs design with a 1-year 

followup of a maximum of 3,600 treatment enrollees 

and 3,600 comparison group subjects. Data collection 

is expected to include diagnostic and clinical outcome 

information from treatment and control patient physicians 

and the treatment program, supplemented by medical 

record review, patient surveys, program case studies, and 

Medicare claims data. Allowances are made to provide 

additional payments to the patients’ physicians for 

information reporting.

Status: In September 2001, the evaluation was 

expanded to include a longer followup period of 

treatment and control patients, and to include a critical 

review of literature of all lifestyle modifi cation 

programs worldwide. In September 2003, following the 

implementation of new enrollment criteria, the contract 

was expanded to include another matched control group 

of benefi ciaries who have had cardiac rehabilitation as 

part of traditional treatment. In addition, the evaluation 

was expanded to include a study of the Medicare cardiac 

rehabilitation benefi t. ■

Medicare Lifestyle Modifi cation Program 

Demonstration—Continuous Quality Monitoring 

and Review

Project No: 500-99-IA41

Project Offi cer: Armen Thoumaian

Period: July, 1999 to February, 2006

Funding: $1,559,912

Principal 

Investigator

Award: PRO Contract Special Study

Awardee: Delmarva Foundation for Medical 

Care

9240 Centreville Road

Easton, MD 21601-7098

Description: The Medicare Lifestyle Modifi cation 

Program Demonstration was implemented October 1, 

1999, to evaluate the feasibility and cost-effectiveness 

of cardiovascular lifestyle modifi cation. Sites eligible 

to participate in the demonstration are those licensed 

to provide one of two nationally known treatment 

models: the Dr. Dean Ornish Program for Reversing 

Heart Disease licensed by Lifestyle Advantage and the 

Preventive Medicine Research Institute, or the Cardiac 

Wellness Expanded Program of Dr. Herbert Benson 

licensed by the Mind/Body Medical Institute. Sites 

offering either model will be able to enroll up to 1,800 

Medicare Part B eligible benefi ciaries who meet the 

clinical enrollment criteria and voluntarily elect to 

participate in the demonstration. The demonstration sites 

receive 80 percent of a negotiated fi xed payment amount 

for a 12-month program of treatment. Sites may collect 

(or waive) the remaining 20 percent from the benefi ciary 

as an enrollment fee. Claims processing and payment 

is managed through the Division of Demonstrations 

Management in the Offi ce of Financial Management 

at CMS. This project provides continuous quality 

monitoring of the demonstration sites to assure the health 

and safety of participating Medicare patients.

Status: On November 28, 2000, the enrollment criteria 

were amended to include patients with less severe 

cardiovascular disease. In accordance with Public 

Law 106-554, the Consolidated Appropriations Act of 

2001, the Cardiac Wellness lifestyle program of the 

Mind/Body Medical Institute (M/BMI) was incorporated 

into the overall demonstration. The same law provided 

a mandate for a 4-year treatment period beginning 

November 13, 2000. On May 3, 2002, enrollment 

criteria were again amended to include patients with 

moderate cardiovascular disease and the demonstration 

enrollment period was extended to February 28, 2005, 

with treatment under the demonstration ending in 2006. 

There are currently 17 sites offering the Dr. Dean Ornish 

Program and 8 sites offering the Cardiac Wellness 

Expanded Program. The Quality Monitoring and Review 

contract began in July 1999. In September 2002, the 

contract was extended with additional funds to July 2006 

commensurate with the extension of the demonstration 

treatment period. ■

A Comprehensive Model of Practical and 

Emotional Support Service

Project No: 18-P-91860/09-01

Project Offi cer: Shannon Metzler

Period: September, 2003 to 

September, 2004

Funding: $322,888

Principal 

Investigator: Hywel Sims

Award: Grant

Awardee: The Breast Cancer Fund

2107 O’Farrell Street

San Francisco, CA 94115

Description: The Breast Cancer Fund (TBCF) and 

Shanti, a San Francisco-based nonprofi t organization, 

have joined together with a consortium of breast cancer 

and HIV/AIDS service providers to create Lifelines. 

The goal of this program is to increase the quality of 
148 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

life for underserved women living with breast cancer 

by addressing barriers that impact their ability to access 

care and treatment. The goal of this grant is to increase 

capacity to reach additional women in the Bay Area, 

where breast cancer rates are signifi cantly higher than 

the rest of the country. The additional resources will 

enable Lifelines to expand into a national model that 

raises the standard of health care for poor and uninsured 

women with breast cancer nationwide, building on the 

service delivery systems that are already in place in each 

community.

Status: The budget period of the project is scheduled 

for 9/01/03–8/31/04, with a fi nancial status report due 

to CMS no later than 90 days after the end of the budget 

period. A written progress report is due to CMS no later 

than 30 days after the end of the budget period. The 

CMS project offi cer spoke with the grantee regarding 

fi nancial issues and referred him to the CMS grants 

offi cer for any questions regarding funding. ■

CONSUMER DIRECTED DURABLE MEDICAL 

EQUIPMENT DEMONSTRATION PROJECT

This demonstration supports the U.S. Department of 

Education Center for Independent Living projects. A 

Center for Independent Living is a local consumer-led 

organization devoted to helping people with disabilities 

live and work within their communities. This CMS 

demonstration helps Medicare benefi ciaries with 

disabilities exercise greater choice and control in meeting 

their personal needs for wheelchairs and other durable 

medical equipment (DME). Goals of the projects 

include treating individuals with disabilities with dignity, 

providing the necessary tools to live and work more 

independently, and assisting people with disabilities to 

be successfully employed. CMS and the Department of 

Education will share any innovations and best practices 

identifi ed under the demonstration project.

Status: The project is under way. ■

Consumer Directed Durable Medical Equipment 

Demonstration Project

Project No: 95-C-90917/01

Project Offi cer: Paul Mendelsohn

Period: September, 2000 to August, 2004

Funding: $150,000

Principal 

Investigator: Kathryn Goodwin

Award: Cooperative Agreement

Awardee: Alpha One Center for Independent 

Living

127 Main Street

South Portland, ME 04106

Consumer Directed Durable Medical Equipment 

Demonstration Project

Project No: 95-C-90921/01

Project Offi cer: Paul Mendelsohn

Period: September, 2000 to August, 2004

Funding: $150,000

Principal 

Investigator: Robert Bailey

Award: Cooperative Agreement

Awardee: Center for Living and Working

484 Main Street, Suite 345

Worchester, MA 01668

Consumer Directed Durable Medical Equipment 

Demonstration Project

Project No: 95-C-90922/06

Project Offi cer: Michael Henesch

Period: September, 2000 to August, 2004

Funding: $150,000

Principal 

Investigator: Carla Lawson

Award: Cooperative Agreement

Awardee: Ability Resources Inc.

823 South Detroit, Suite 110

Tulsa, OK 74120
Active Projects Report—2004 Edition 149

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Consumer Directed Durable Medical Equipment 

Demonstration Project

Project No: 95-C-90916/03

Project Offi cer: Paul Mendelsohn

Period: September, 2000 to August, 2004

Funding: $150,000

Principal 

Investigator: Amy VanDyke

Award: Cooperative Agreement

Awardee: Center for Independent Living of 

Southwest Pennsylvania

7110 Penn Avenue

Pittsburgh, PA 15208-2434

Evaluation of Wheel Chair Purchasing in the 

Consumer-Directed Durable Medical Equipment 

(CD-DME) Demonstration and Other Fee-forService and Managed Care Settings

Project No: 500-00-0032/06

Project Offi cer: William Clark

Period: September, 2002 to 

September, 2004

Funding: $294,852

Principal 

Investigator: Debra Frankel

Award: Task Order

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Description: The purpose of this task order is to conduct a 

preliminary case-study evaluation of a four-site initiative. 

The descriptive evaluation will compare and contrast the 

purchasing of wheelchair equipment in these sites with 

those utilized in fee-for-service and in managed care models 

that serve people with disabilities. The study will propose 

further evaluation design options for CMS consideration 

and related feasibility studies of other DME. This initiative 

tests, at a local level, an important collaboration between 

the Department of Health and Human Services and the 

Department of Education intended to improve benefi ciary 

access and satisfaction with the purchase and maintenance 

of wheelchair equipment.

Status: A case study report on the fi rst year of project 

implementation has been accepted. Evaluators are 

conducting site visits at demonstration sites and managed 

care demonstration sites for people with disabilities who 

often purchase wheelchair equipment. ■

Increasing Access to Health Care for Bucks 

County Residents

Project No: 18-P-91506/03-01

Project Offi cer: Carol Magee

Period: September, 2001 to 

September, 2004

Funding: $1,843,000

Principal 

Investigator: Sally Fabian

Award: Grant

Awardee: Bucks County Health Improvement 

Project, Inc.

1201 Langhorne-Newton Road

Langhorne, PA 19047

Description: The project is entirely directed toward 

increasing access to health care for targeted vulnerable 

populations. Five of the Bucks County Health 

Improvement Project programs are already operating 

and will expand services to include patients in need of 

dental network, medication assistance, State Children’s 

Health Insurance Program (SCHIP) outreach, adolescent 

mental health counseling, and infl uenza vaccination. A 

sixth program will be a new service facility consisting of 

two community health care clinics for low-income adults 

and seniors in the lower county area. Together, these six 

new or expanded program services will target vulnerable 

subgroups of all ages. Quantitative and descriptive data 

are to be collected. This service-delivery expansion 

program is congressionally mandated.

Status: The project is under way. ■

Increasing Access to Health Care for Bucks 

County Residents

Project No: 18-C-91506/03-02

Project Offi cer: Carol Magee

Period: September, 2002 to 

September, 2004

Funding: $2,339,750

Principal 

Investigator: Sally Fabian

Award: Grant

Awardee: Bucks County Health Improvement 

Project, Inc.

1201 Langhorne-Newton Road

Langhorne, PA 19047

Description: Refer to Project 18-P-91506/03-01 for 

all information regarding the 3-year Bucks County 

grant plus the supplemental funding (18-C-91506/3-02) 

awarded in the last 2 years.

Status: Refer to Project 18-P-91506/03-01 for all 

information regarding the 3-year Bucks County grant 

plus the supplemental funding (18-C-91506/3-02) 

awarded in the last 2 years. ■
150 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Aging in Place: A New Model for Long-Term Care

Project No: 18-C-91036/07

Project Offi cer: Melvin Ingber

Period: June, 1999 to June, 2004

Funding: $2,000,000

Principal 

Investigator: Karen Dorman Marek

Award: Cooperative Agreement

Awardee: Curators of the University of 

Missouri, Offi ce of Sponsored 

Program Administration

University of Missouri–Columbia 

Sinclair School of Nursing

310 Jesse Hall

Columbia, MO 65211

Description: The goal of the Aging in Place model of 

care for frail elderly is to allow elders to remain in their 

homes as they age, rather than requiring frequent moves 

to allow for more intensive care if and when it becomes 

necessary. Although a planned element of the program is 

a new senior housing development, the program currently 

targets elderly residents of existing congregate housing.

Status: As a result of changes to the study plan, the 

applicant requested an increase in the fi rst-year award with 

a corresponding reduction in the Years 2–4 awards and no 

change in the total budget. This change was approved. ■

A Public-Private Partnership To Promote Reverse 

Mortgages for Long-Term Care

Project No: 18-P-91844/03-01

Project Offi cer: Tom Kornfi eld

Period: September, 2003 to May, 2004

Funding: $295,000

Principal 

Investigators: James P. Firman and Barbara Stucki

Award: Grant

Awardee: The National Council on the Aging

300 D Street, SW

Washington, DC 20024

Description: This project combines research, consumer 

surveys, and discussions with experts to identify costeffective government interventions and other incentives that 

can facilitate the use of reverse mortgages by the elderly 

to fi nance long-term care through the purchase of longterm care insurance or long-term care services. Reverse 

mortgages are a special type of loan that allows people age 

62 or over to convert equity in their home into cash.

Status: An expert panel consisting of members of 

government, industry, and nonprofi t organizations met 

in October 2003 and identifi ed a list of barriers to the 

adoption of reverse mortgages. The project team, based 

on additional discussions with expert panel members, 

is narrowing this list to identify the 5 or 10 barriers that 

are estimated to have the greatest impact on the use of 

reverse mortgages. The team will then evaluate these 

barriers and identify potential solutions and will conduct 

a survey to determine how consumers might respond to 

these solutions. The fi nal report will contain an analysis 

of the reverse mortgage market, including the size of 

potential market segments, the results of the consumer 

survey, a discussion of key barriers to the adoption 

of reverse mortgages and potential solutions, and an 

assessment of the impact of alternative reverse mortgage 

solutions on future Medicare and Medicaid enrollment 

and expenditures. ■

American Indian/Alaska Native (AI/AN) Eligibility 

and Enrollment in Medicaid, the State Children’s 

Health Insurance (SCHIP), and Medicare

Project No: 500-00-0037/05

Project Offi cers: Linda Greenberg and

Arthur Meltzer

Period: September, 2001 to 

November, 2003

Funding: $898,353

Principal 

Investigators: Mary Laschober and

Kathryn Langwell

Award: Task Order

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Description: The primary objectives of this project—

conducted jointly by Project HOPE Center for Health 

Affairs, BearingPoint Consulting, and Social and 

Scientifi c Systems, with assistance from six AI/AN 

consultants and a nine-member Technical Expert Panel—

were to (1) estimate eligibility of AI/ANs for enrollment 

in Medicaid, SCHIP, and Medicare; (2) develop estimates 

of the number of AI/ANs in Medicaid, SCHIP, and 

Medicare; (3) estimate the gap between eligibility and 

enrollment for AI/ANs, by State and substate areas; 

and (4) conduct in-depth case studies in 15 States to 

identify barriers to enrollment and effective strategies for 

increasing enrollment in these programs.

The project focused on eligibility and enrollment issues 

in 15 States: AK, AZ, CA, MI, MN, MT, ND, NM, 

NY, OK, OR, SD, UT, WA, and WI. Eligibility and 

enrollment estimates were made at the State and county 

levels using a variety of data sources including the 

2000 U.S. Census and data from Indian Health Service 

(IHS) and CMS. Due to various methodological issues, 

meaningful estimates of eligibility and enrollment 

could not be generated. Site visits were conducted in 

10 States to examine enrollment barriers so that CMS 

may develop new education and outreach initiatives to 

increase enrollment of AI/ANs in Medicaid, SCHIP, 

and Medicare. The case studies involved interviews 
Active Projects Report—2004 Edition 151

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

with Tribal leaders, Tribal Health Directors, IHS Area 

Medical Directors, State Medicaid offi cials, Urban Health 

Center Directors, community health representatives, and 

eligibility and outreach workers, among others. The site 

visit portion of the project was successful in identifying 

self-reported barriers to enrollment in Medicaid, SCHIP, 

and Medicare, as well as in highlighting strategies to 

further outreach and assistance to help people enroll in 

these programs.

Status: The project has been completed. Four reports 

have been generated and are available through the CMS 

Web site: data report, individual site visit report, summary 

site visit report, and fi nal data-site visit report. ■

Cancer Prevention and Treatment 

Demonstration for Ethnic and Racial Minorities 

Project

Project No: 500-00-0031/01

Project Offi cer: Diane Merriman

Period: September, 2001 to February, 2004

Funding: $835,533

Principal 

Investigators: Sarita Bhalotra and John Capitman

Award: Task Order

Awardee: Institute for Health Policy

Heller Graduate School

Brandeis University

415 South Street

PO Box 9110

Waltham, MA 02254-9110

Description: Congress enacted Section 122 of the 

Medicare, Medicaid, and SCHIP Benefi ts Improvement 

and Protection Act of 2000 legislation, entitled Cancer 

Prevention and Treatment Demonstration for Ethnic and 

Racial Minorities, which requires the Secretary of Health 

and Human Services to evaluate best practices and 

design, implement, and evaluate demonstration projects 

for targeted ethnic and racial minorities. The purpose of 

these demonstration projects is to reduce disparities in 

cancer prevention and treatment for African American, 

Latino, Asian American/Pacifi c Islander, and American 

Indian/Alaskan Native benefi ciary populations living in 

both urban and rural communities. These demonstration 

projects will be designed around new and innovative 

intervention models that improve health, clinical 

outcomes, satisfaction, quality of life, and appropriate 

use of Medicare-covered services.

Status: The Centers for Medicare & Medicaid 

Services (CMS) is responsible for conducting these 

demonstrations, which is being done in two phases. In 

the fi rst phase, CMS contracted with Brandeis University 

to conduct a review of the published literature on racial 

and ethnic disparities related to cancer prevention and 

treatment and an environmental scan of emerging models 

and innovative programs. Phase 1 results from the 

review of evidence and models are currently available 

on the CMS Web site at www.cms.gov/healthyaging/

EvidReports.asp and suggest that a combination of 

interventions holds the greatest promise for reducing 

cancer disparities. These interventions include the use 

of health care facilitation services and information and 

decisionmaking support systems that focus on cancer 

prevention, detection, and followup treatment. CMS 

is currently working on Phase 2, which involves the 

solicitation of sites to participate in a randomized 

controlled trial testing promising models and approaches 

for delivering cancer prevention, screening, and treatment 

services to the targeted racial and ethnic populations. The 

results of Phase 2 will be reported to Congress 2 years 

after the implementation of these demonstrations. ■

Diabetes Care Across the Life Span for Medicaid 

Benefi ciaries: Gender and Racial Differences

Project No: 500-00-0046/01

Project Offi cer: M. Beth Benedict

Period: August, 2001 to July, 2004

Funding: $214,592

Principal 

Investigator: Anupa Bir

Award: Task Order

Awardee: Research Triangle Institute

411 Waverly Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: This project assists CMS in understanding 

the magnitude and patterns of utilization of health care 

services for benefi ciaries with diabetes between the 

ages of 10 and 64 years in four States (Florida, Georgia, 

Michigan, and New Jersey) from 1996–1998. Chronic 

diseases contribute signifi cantly to the morbidity and 

mortality of Americans. Diabetes is a chronic disease of 

both childhood and adulthood. It is the seventh leading 

cause of death in this country. However, because diabetes 

frequently goes undiagnosed, the true burden of this 

disease is actually not known. The Centers for Disease 

Control and Prevention (CDC) estimate that the number 

of persons with undiagnosed diabetes is over 5 million. At 

the present time, it has been estimated that 10.3 million 

people have been diagnosed with diabetes in the United 

States. Although diabetes is more prevalent in the aged, 

current research has shown that the risk of developing 

type 2 diabetes for children and young adults is increasing. 

The rising incidence and prevalence of type 2 diabetes in 

the younger ages is believed to be related to several factors 

such as the onset of puberty, overweight and obesity, 

and lack of physical activity. It has been proposed that 

future diabetes research be directed toward elucidating 

the genetic and behavioral aspects of obesity, With 

more and more young people suffering from this chronic 

disease, one can expect an increased burden in the future 
152 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

as these individuals grow older. Identifying potential 

racial disparities and working toward eliminating these 

disparities is a key focus for CMS. Although some of 

the risk factors for diabetes cannot be modifi ed (age, 

race, gender, etc.), there are risk factors that can be 

modifi ed, such as level of physical activity, diet, and 

weight. However, the research has shown that certain 

cultures or racial/ethnic groups view weight gain and 

body image in different ways. Therefore, culturally 

relevant interventions must be developed to change these 

behaviors. To improve the health care delivered to our 

benefi ciaries, CMS needs to better understand the racial/

ethnic composition of its Medicaid benefi ciaries. Further, 

as CMS strives to make inroads in developing cultural 

competency in the way it administers its programs, 

having more detailed information on the racial/ethnic 

composition of its benefi ciaries is imperative. The 

current project will complement the research that we are 

conducting on diabetes care in the Medicare population. 

It will provide information on diabetes in children, youth, 

and/or nonelderly adults who are Medicaid benefi ciaries. 

Thus, fi ndings from this analytic study will assist in 

setting new directions for future studies and program 

activities related to diabetes education, prevention, and 

treatment to improve access and health outcomes for our 

benefi ciaries in the Medicaid program.

Status: This project is in the fi nal stages. ■

Health Disparities: Longitudinal Study of 

Ischemic Heart Disease Among Aged Medicare 

Benefi ciaries

Project No: 500-95-0058/12

Project Offi cer: Linda Greenberg

Period: September, 2000 to March, 2003

Funding: $282,157

Principal 

Investigator: Jerry Cromwell

Award: Task Order

Awardee: Research Triangle Institute

411 Waverley Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: The purpose of this project is to assess 

the use of Medicare-covered services among Medicare 

benefi ciaries with ischemic heart disease (IHD) based 

on sociodemographic characteristics (e.g., race/ethnicity, 

sex, age, socioeconomic status). This is being done 

using a longitudinal database consisting of 1997–1999 

data that link Medicare enrollment and claims data with 

small-area geographic data on income (e.g., U.S. Census 

data or other private data sources). The advantage of a 

longitudinal database is that it provides data at multiple 

time points during a person’s life. Information is 

being used to compare the incidence of disease and the 

outcomes of diagnostic and surgical procedures for IHD 

across racial/ethnic groups, socioeconomic status, and 

geographic areas. The unique aspect of this contract 

is that it examines cardiovascular care among whites, 

blacks, Hispanics, Asians, and American Indians/Alaska 

Natives. This project addresses an HHS initiative to 

eliminate health disparities, which is one of the goals of 

Healthy People 2010.

Status: The project is completed and the fi nal report has 

been submitted. ■

Health Disparities: Measuring Health Care Use 

and Access for Racial/Ethnic Populations

Project No: 500-00-0024/08

Project Offi cers: Arthur Meltzer and

Linda Greenberg

Period: September, 2002 to June, 2004

Funding: $284,870

Principal 

Investigator: Arthur Bonito

Award: Task Order

Awardee: Research Triangle Institute 

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: The purpose of this task order contract 

is to analyze health care access trends among minority 

benefi ciaries. Detailed data tables and narrative 

descriptions will be prepared that highlight major trends 

in health care access and utilization for whites, African 

Americans, Hispanics, Asians, Pacifi c Islanders, and 

American Indians/Alaska Natives. This contract also 

will focus on examining the accuracy and completeness 

of race/ethnicity data in the Medicare enrollment 

database. Results of this contract will provide a better 

understanding of access to care and utilization of health 

care services among racial/ethnic populations.

Status: The project is ongoing. ■

Implementation of the READII Survey

Project No: 500-00-0032/05

Project Offi cer: Susan Arday

Period: September, 2002 to 

September, 2004

Funding: $350,000

Principal 

Investigators: Pascale Wortley, Katherine BallardLeFauve, and Pamela Giambo

Award: Task Order

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138
Active Projects Report—2004 Edition 153

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Description: CMS and the Centers for Disease 

Control and Prevention (CDC) are working with 

fi ve demonstration sites to improve infl uenza and 

pneumococcal vaccination rates in African American 

and/or Hispanic communities. This contract will 

implement the READII Survey to a sample of Medicare 

benefi ciaries randomly selected from each of the fi ve 

demonstration sites. Information will be collected 

via a telephone survey to evaluate the impact of the 

Racial and Ethnic Adult Disparities in Immunization 

Initiative (READII). The demonstration sites use a 

coalition of public health professionals and medical 

providers to develop a community-based plan that will 

identify African American and Hispanic individuals in 

Medicare who are 65 years of age or over in need of 

infl uenza and pneumococcal vaccinations and offer these 

immunization services to them. The fi ve demonstration 

sites are Chicago, IL; Bexar County, TX; Milwaukee, 

WI; Monroe County, NY; and selected counties in rural 

Mississippi. Specifi c activities include, but are not 

limited to (1) drawing a random sample of cases from the 

Medicare Enrollment Database, (2) obtaining telephone 

numbers for those cases using telephone-address match 

vendors and Directory Assistance, (3) sending out 

advance (prenotifi cation) letters with postage-paid 

return postcards, (4) conducting telephone interviews 

over an 8–12 week period, (5) conducting interviews 

in English and Spanish, (6) obtaining at least 400 

completed interviews per subgroup (white and African 

American and/or Hispanic) at each demonstration site, 

and (7) targeting a response rate of 60 percent or higher 

(after excluding those for whom a telephone number 

could not be obtained).

Status: Demonstration project activities began in 

September 2002 and will continue for a 2-year period. 

Evaluation measures include outcome (proportion 

immunized) and process (change in knowledge). The 

intra-agency agreement (IAA) initially covered a 

12-month period from 9/12/2002 through 9/14/2003, 

during which time the fi rst round of the READII Survey 

was conducted, and data were collected from February 

through May 2003. At the discretion of both CMS 

and CDC, a second round of READII Survey activities 

is taking place over the 12-month period starting on 

9/15/2003 and running until 9/29/2004. The second 

round of the READII Survey will be conducted, and data 

will be collected from February through May 2004. ■

Racial Disparities in Health Services Among 

Medicaid Pregnant Women, (Multistate) Analysis

Project No: 500-96-0018/02

Project Offi cer: M. Beth Benedict

Period: September, 2000 to January, 2005

Funding: $430,779

Principal 

Investigator: Norma Gavin

Award: Task Order

Awardee: Research Triangle Institute 

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: The study examines pregnancy and 

delivery-related health care service use among Medicaid 

pregnant women in four racially diverse States during 

the mid 1990s to determine how successful the States’ 

efforts were in eliminating racial barriers to care within 

Medicaid. The fi rst paper investigates racial differences 

in demographic, Medicaid enrollment, and medical risk 

factors associated with disparities in health service use 

and whether race/ethnicity had an independent effect on 

use after controlling for these factors. Another aspect 

of the study was to examine differences across race/

ethnicity in geographic dimensions of provider supply 

and the effects of these differences on prenatal care 

utilization. Also included was an investigation of racial 

disparities in two maternal outcomes—cesarean section 

delivery and hospital readmissions in the fi rst 3 months 

following delivery. Most race/ethnicity research reports 

disparities among black and white pregnant women. Few 

studies provide information on both prenatal and postnatal care, comorbidities, and complications and also 

show results for Hispanic and Asian American women. 

This study looked at all of these areas. The study 

populations were women who had a live birth in 1995 in 

Florida, Georgia, and New Jersey; and in 1997 in Texas.

Status: The project results have been delivered to CMS. 

Manuscripts have been submitted to peer review journals. ■
154 Active Projects Report—2004 Edition

Theme 6: Improving the Health of 

Our Benefi ciary Population

Theme 6

Daycare, Respite Care, Emergency Services, and 

Social Services to HIV-Infected Children

Project No: 18-P-91854/04-01

Project Offi cer: Jean Close

Period: September, 2003 to September, 

2004

Funding: $99,350

Principal 

Investigator: Elizabeth Dupont

Award: Grant

Awardee: Hope House Daycare

23 South Idlewild

Memphis, TN 38174-1437

Description: Hope House Day Care offers day care 

services for children age 6 weeks to 5 years of age with 

HIV/AIDS. The objectives of the Hope House Project 

include (1) providing therapeutic day care and drop-in 

respite care; (2) providing material support, transportation, 

and emotional support to children and their families; 

(3) coordinating services for families; and (4) preparing 

preschool children for entry into kindergarten.

Status: This is a new project. ■

START Program: Success Through Anti-Retroviral 

Therapy —III

Project No: 15-P-91118/09

Project Offi cer: Jean Close

Period: March, 2000 to March, 2003

Funding: $3,700,000

Principal 

Investigator: Michael Weinstein

Award: Grant

Awardee: AIDS Healthcare Foundation

6255 West Sunset Boulevard

16th Floor

Los Angeles, CA 90028

Description: The START Program is a 4- to 6-week 

residential program designed to increase adherence to 

human immunodefi ciency virus (HIV) and acquired 

immunodefi ciency syndrome (AIDS) medication 

regimens of individuals at high risk for nonadherence or 

with a history of nonadherence. 

The objectives of the START program follow: 

• To provide a supervised residential environment 

for initiation and continuation of the latest HIV 

medication therapies

• To implement a structured educational program to 

meet the needs of the patient receiving complicated 

HIV treatment regimens

• To provide psychosocial support to the patient and 

his or her family

• To provide direct observation therapy during residency 

until the patient demonstrates the knowledge and 

ability to self-administer doses appropriately

The purpose of the project was to demonstrate how 

compliance with the complicated medication regimen 

for people living with HIV and AIDS, who are at high 

risk of noncompliance, can be increased by a short-term 

residential treatment program.

Status: The project has been continued. ■
Active Projects Report—2004 Edition 155

Theme 7: Prescription Drugs

Theme 7

Development and Cognitive Testing of Questions 

Relating to Prescription Drug Discount Cards

Project No: 500-00-0024/02b

Project Offi cer: Noemi Rudolph

Period: May, 2001 to August, 2005

Funding: $191,127

Principal 

Investigator: Lauren McCormack

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road 

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: The purpose of this project is (1) to 

develop and (2) to test the cognitive reliability and 

content validity of a set of Medicare benefi ciary 

knowledge questions relating to prescription drug 

discount cards. The tasks are to achieve consensus on 

measurement goals, develop and review questions with 

subject experts, fi eld test the questions (cognitive testing), 

and organize the questions for a stand-alone survey. 

Among the topics for question development are selfreported knowledge and awareness of prescription drug 

discount cards, information needs and sources, specifi c 

features of prescription drug discount cards, pricing and 

cost knowledge and experience, and satisfaction with 

prescription drug discount cards. The development and 

testing of these questions will inform CMS education and 

outreach efforts on prescription drug cards.

Status: The questions and cognitive testing reports have 

been submitted to CMS. CMS plans to fi eld selected 

questions in the spring 2004 round of the Medicare 

Current Benefi ciary Survey. ■

The Impact of Prescription Drug Coverage on 

Medicare Program Expenditures: A Case Study 

of the Evaluation of the United Mine Workers 

(UMW) Demonstration

Project No: 500-00-0032/04

Project Offi cer: Jennifer Shapiro

Period: September, 2002 to January, 2004

Funding: $181,763

Principal 

Investigator: Bruce Stuart and Marian Wrobel, 

Ph.D.

Award: Task Order

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Description: This project addresses the issue of how 

prescription coverage infl uences the use of medical care 

as drug therapy substitutes for or complements other 

medical services. The research has three specifi c aims: (1) 

to assess the impact of prescription coverage of Medicare 

benefi ciaries on program expenditures for Part A and Part 

B services, (2) to use the results of the analysis under 

Aim 1 to develop a method for evaluating the UMW 

waiver demonstration, and (3) to model per capita drug 

expenditures as a function of demographic characteristics 

and health status. The sole data source for the study is 

the 1995–2000 Medicare Current Benefi ciary Survey.

Status: The study on the impact of drug coverage 

on Medicare Part A and Part B expenditures (Final 

Report received September 16, 2003) showed that 

higher spending on drugs among those with coverage 

appears to have little aggregate impact on spending for 

Medicare-covered services. However, results suggest 

that drug coverage may potentially produce cost 

offsets for persons with particular medication-sensitive 

conditions, but the level of savings may also change 

over time. Draft fi ndings on developing a method for 

evaluating the UMW demonstration (draft report received 

November 26, 2003) showed that there are signifi cant 

Theme 7: Prescription Drugs

Summary: CMS is conducting various evaluation studies to implement and evaluate the new drug card and 

drug benefi ts. Our planned areas of research include best practices in the successful enrollment of lowincome benefi ciaries, the drug card program, prescription drug coverage estimates, and per capita spending for 

covered Part D drugs. We are also implementing a demonstration project, mandated by section 641 of the 

Medicare Modernization Act, that will pay for certain drugs or biologicals prescribed as replacements for drugs 

or biologicals that are now covered by Medicare.
156 Active Projects Report—2004 Edition

Theme 7: Prescription Drugs

Theme 7

limitations with several tested approaches to developing 

a control group for this unique population, and thus, it 

will be diffi cult to fi nd a credible control group for the 

evaluation. The key fi nding from the study on predicting 

drug expenditures (Final Report received June 24, 2003) 

was that health conditions were, in fact, key predictors of 

drug expenditures. The predictable component of drug 

expenditures was driven primarily by conditions that 

persisted from year to year. The project Final Report, 

to include the reports from all three research studies, is 

expected shortly. ■

National Drug Data File—III

Project No: CMS-02-00137

Project Offi cer: Dave Barbato

Period: May, 2002 to May, 2003

Funding: $54,000

Principal 

Investigator: Peter Cernack

Award: Simplifi ed Acquisition

Awardee: First Data Bank

1111 Bayhill Road

San Bruno, CA 94066

Description: This is a license agreement to use the 

database on drug prices and drug therapeutic classes. 

This database is called the “National Drug Data File.” 

The license covers up to 11 projects using the data. 

Options are included to purchase use of the data on 

further projects.

Status: This is an ongoing project; the license is 

purchased each year. The data are delivered quarterly in 

electronic format. ■

Master Drug Data Base—III

Project No: CMS-02-00126

Project Offi cer: Dave Barbato

Period: May, 2002 to May, 2003

Funding: $18,000

Principal 

Investigator: Tina Moon

Award: Simplifi ed Acquisition

Awardee: Facts & Comparisons

8425 Woodfi eld Crossing, Suite 490

Indianapolis, IN 46240

Description: This is a license to use the database. It 

contains drug pricing information and therapeutic class. 

It is called the “Master Drug Data Base.” The license 

covers use on Medicaid research. Options/prices are 

included for uses on further research projects.

Status: This is an ongoing project. The license is 

purchased each year. The data are delivered quarterly in 

electronic format. ■

Evaluation of the Illinois and Wisconsin State 

Pharmacy Assistance Programs

Project No: 500-00-0031/02

Project Offi cer: William Clark

Period: September, 2002 to 

September, 2005

Funding: $1,199,885

Principal 

Investigator: Donald Shepard

Award: Task Order

Awardee: Institute for Health Policy 

Heller Graduate School

Brandeis University 

415 South Street

PO Box 9110

Waltham, MA 02254-9110

Description: This evaluation examines two State 

pharmacy programs that have expanded Medicaid 

pharmacy coverage to low income residents otherwise 

not Medicaid eligible. The goals of this project are 

to understand administrative issues regarding Statesponsored prescription drug benefi t program and to 

estimate the cost-effectiveness of providing prescription 

drug coverage to elderly benefi ciaries. Specifi cally, the 

project will conduct a descriptive evaluation, a costeffectiveness analysis, and other analyses of specifi c 

aspects of the Illinois and Wisconsin pharmacy plus 

waiver demonstrations. The evaluation also provides 

an opportunity to assess pharmacy coverage for large 

numbers of Medicare benefi ciaries as a precursor to 

Medicare prescription drug coverage and to assess 

changes in State programs that are made in adjusting to 

the new Medicare role.

Status: Case studies on the fi rst year of operations 

are in fi nal stages of CMS review. The study survey is 

being fi elded. ■

Programming Support for Data To Study Drug 

Utilization of Medicare-Aged Merged Information 

From Medicare and Federal BC/BS Retirees

Project No: 500-02-0006/02

Project Offi cer: Jesse Levy

Period: July, 2003 to April, 2004

Funding: $99,950

Principal 

Investigator: Celia H. Dahlman

Award: Task Order

Awardee: CHD Research Associates

5515 Twin Knolls Road, #322

Columbia, MD 21045

Description: The project starts with claims and 

enrollee data for retirees from the Federal Employee 

Blue Cross/Blue Shield (BC/BS) claims and enrollee 

data for the years 1999 through 2002. These fi les, in 
Active Projects Report—2004 Edition 157

Theme 7: Prescription Drugs

Theme 7

conjunction with CMS claims data for these enrollees, 

will be analyzed to derive a drug benefi t risk-adjustment 

model. For each retiree in the data set, the contractor 

will compile all the diagnoses in both the BC/BS and 

CMS data systems, drug spending, Medicare spending, 

and demographic information. The resulting fi les will be 

turned over to CMS for analysis.

Status: The project is ongoing. ■

Medicaid and Medicare Drug Pricing—

Development and Implementation of Strategy To 

Determine Market Prices

Project No: 500-00-0049/01

Project Offi cer: Deirdre Duzor

Period: September, 2003 to July, 2004

Funding: $159,284

Principal 

Investigator: Marian Wroble

Award: Task Order

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Description: Under the Medicaid program, States 

have the option to cover outpatient drugs. All States 

have chosen to exercise this option. In 2002, Medicaid 

spending on drugs topped $23 billion. This is an increase 

of 18 percent over 2001. From Federal fi scal year (FY) 

1997 to 2000, Medicaid expenditures on outpatient drugs 

grew more than twice as fast as total Medicaid spending, 

accounting for more than 16 percent of total spending 

growth over that period. The President’s proposed 

budget for FY 2004 projects Medicaid outpatient drug 

costs to continue to rise at an average rate of 12 percent 

over the 5-year period. 

The Medicare program offers a more limited drug 

benefi t than is available in Medicaid. Under Part B of 

Medicare, drugs (including biologicals) covered are 

those that cannot be self-administered or are provided 

in conjunction with durable medical equipment. In 

addition, Medicare covers certain self-administered drugs 

used to treat cancer and for immunosuppressive therapy. 

The law sets payment for these drugs at 95 percent of 

average wholesale price (AWP). In 2002, Medicare 

spent $8 billion on these drugs. Spending is projected to 

increase at 25 percent annually. 

In light of the rapid growth in drug costs, CMS and States 

are interested in developing strategies to reduce costs. 

One clear means to reduce costs is to lower the amount 

paid for drugs.

Status: The contract has been extended until July 30, 2004. 

The fi nal report on phase I will be delivered shortly. ■

Prescription Drug Benefi t Questionnaire Item 

Development and Cognitive Testing

Project No: 500-00-0024/02c

Project Offi cer: Noemi Rudolph

Period: May, 2001 to August, 2005

Funding: $257,000

Principal 

Investigator: Lauren McCormack

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: The purpose of this project is (1) to 

develop and cognitively test the reliability and content 

validity of a set of questions for the Medicare Current 

Benefi ciary Survey (MCBS) that gather information on 

the generosity of benefi ciary prescription drug coverage, 

(2) to develop and cognitively test questions for a standalone survey that measure the type, depth, and adequacy 

of benefi ciary prescription drug coverage, and (3) analyze 

data using selected MCBS questions on prescription drug 

coverage, including those developed in item 1 to determine 

(a) benefi ciary cost-sharing measures currently used 

by existing health plans that provide prescription drug 

benefi ts, (b) any differing characteristics of benefi ciaries 

with and without current drug coverage, and (c) the impact 

of benefi ciary cost sharing on the use of prescription 

drug medications among the elderly. The questions and 

analysis will inform CMS implementation, monitoring, 

and evaluation of the future prescription drug benefi t.

Status: The development and testing of questions 

relating to the generosity of coverage have been 

completed and will be fi elded in the winter 2004 round 

of the MCBS. The analysis and report are expected by 

spring 2005. Questions on the type, depth, and adequacy 

of prescription drug coverage are being developed and 

will be cognitively tested in early 2004. ■
158 Active Projects Report—2004 Edition

Theme 7: Prescription Drugs

Theme 7

Prescription Drug Utilization in Medicaid: Using 

Medicaid Claims Data To Develop Prescription 

Drug Monitoring and Analysis

Project No: 500-00-0047/02

Project Offi cer: William Clark

Period: September, 2002 to June, 2004

Funding: $394,890

Principal 

Investigator: Jennifer Schore

Award: Task Order

Awardee: Mathematica Policy Research 

(Princeton)

600 Alexander Park 

PO Box 2393

Princeton, NJ 08543-2393

Description: The period of performance is an 18-month 

base plus one 6-month option. There are two primary 

goals of this project. The fi rst goal is to build a baseline 

capability to easily access information contained in 

Medicaid claims fi les for 1999. This activity includes 

creating summary tables, descriptive statistics, and 

graphics of utilization and expenditures of prescription 

drugs. The second goal is to conduct a timely and 

incisive analysis of drug utilization and expenditures in 

the context of State policies regarding use of generics, 

formularies, and restrictions on numbers of prescriptions.

Status: A set of Medicaid prescription drug tables for 

all States and DC, using MAX 1999 data, is now in fi nal 

production. A study of prescription drug utilization 

related to congestive heart failure is under way. ■

Studies of Use and Expenditure Patterns in 

Medicaid by Therapeutic Class of Drug for 

Selected Eligibility Groups

Project No: ORDI-IM-109

Project Offi cers: Steven Blackwell and David Baugh

Period: August, 2000 to December, 2004

Funding: $0

Principal 

Investigator: 

Award: Intramural

Awardee: 

Description: This project uses Medicaid prescription 

drug data fi les to group drugs by therapeutic class for the 

years 1994 through 2000. A series of intramural studies 

is planned. Research questions to be addressed include: 

(1) What types of drugs does the Medicaid eligibility 

group use? (2) What are the program payments for 

drugs by Medicaid program and enrollee characteristics? 

(3) What are the characteristics of settings where drugs 

are prescribed and how are they changing? (4) What are 

the utilization and program payments for high cost drugs? 

(5) What are the causes for Medicaid drug payment 

increases? (6) What can we learn about drug utilization 

patterns in fee-for-service to identify any access and 

underutilization problems after the implementation of 

prepaid plans? (7) What are the trends in drug utilization, 

by therapeutic category of drugs? (8) What are the levels 

of utilization and program payment for off-labeled use(s) 

of drugs? (9) What are the benefi ts-versus-cost tradeoffs 

of prescribing later-generation as opposed to earliergeneration drugs?

Status: During fi scal year 2001, the researchers 

added therapeutic classifi cation data to each Medicaid 

prescription drug record. These data were acquired via 

a license from the data holder, First Data Bank of San 

Bruno, CA. During 2003, the research team has prepared 

three manuscripts using these data. These manuscripts 

have been submitted for publication and should appear 

early in 2004. Additional research is under way. ■

Iowa Prescription Drug Cooperative

Project No: 18-C-91369/07-02

Project Offi cer: Pamela Kelly

Period: March, 2001 to September, 2004

Funding: $1,500,000

Principal 

Investigator: Ann Kinzel

Award: Grant

Awardee: Iowa Department of Public Health

Lucas State Offi ce Building

Des Moines, IA 50319

Description: CMS awarded funds to the Iowa 

Department of Public Health to establish a not-for-profi t 

corporation, with directors from the public and private 

sectors, to operate a buying cooperative designed to 

reduce the burden of high prescription cost on Iowa 

seniors. Congress appropriated $1 million in the FY 

2001 research budget for the demonstration. CMS 

approved an additional amount of $500,000 from its 

research budget to enable Iowa to lower the seniors’ 

annual fee. Reducing expenditures on medications 

occurs in two ways: by negotiating discounts/rebates 

with pharmaceutical companies so seniors can purchase 

medications at a discount without the entire burden being 

shifted to the pharmacy; and by having seniors, on the 

recommendation of their physicians and/or pharmacists, 

choosing to substitute a medication that costs less but is 

equally therapeutically effective and safe.

The program targets approximately 470,000 Medicare 

benefi ciaries who do not have an insured drug benefi t or 

are eligible for Medicaid. Members of the cooperative 

pay an annual fee of $20 and receive an initial drug 

therapy assessment to provide the baseline for ongoing 

assessment to ensure safety and effectiveness of drug 

therapies. Each time the member fi lls a prescription, 

the medication is checked for safety and effectiveness 

through a prospective drug utilization review process. In 
Active Projects Report—2004 Edition 159

Theme 7: Prescription Drugs

Theme 7

addition, members are encouraged to use less expensive 

brand name drugs and generic drugs through consultation 

with the physician, pharmacist, and patient. Prescription 

drugs are discounted approximately 10 percent. The 

program also includes an education and communication 

component directed at physicians and pharmacists so that 

they can help seniors to be cost conscious.

Status: The co-op continues to enroll new members each 

month. The project is scheduled to end on September 8, 

2004. The current membership is 9,400. Iowa also plans 

to evaluate the demonstration’s impact on the cost and 

utilization of prescription drug and Medicare services. 

HCFA will participate in the design of the evaluation. ■

Data From National Rx Audit Databases—II

Project No: HCFA-01-0176

Project Offi cer: Jean Stiller

Period: September, 2001 to 

September, 2002

Funding: $25,000

Principal 

Investigator: Sandra Sue

Award: Purchase Order

Awardee: IMS America

1001 G Street, NW, Suite 300 East

Washington, DC 20001

Description: This contract purchased data from 

the contractor’s National Prescription Audit: total 

prescription counts, number of new prescriptions, number 

of refi ll prescriptions, pharmaceutical acquisition dollars, 

and total retail dollars.

Status: Data were received on time. ■

Active Projects Report—2004 Edition 161

Theme 8: Building Research Capacity

Theme 8

Research Data Assistance Center (ResDAC)—II

Project No: 500-01-0043

Project Offi cer: Spike Duzor

Period: September, 2001 to 

September, 2006

Funding: $632,412

Principal 

Investigator: Marshall McBean

Award: Contract

Awardee: Division of Health Services Research 

and Policy 

School of Public Health 

University of Minnesota 

Mail Code Number 99

420 Delaware Street, SE

D 355 Mayo Building 

Minneapolis, MN 55455

Description: This project assists researchers who are 

not familiar with the data available at CMS. It describes 

the data and helps them with the process of gaining an 

approved Data Use Agreement. It also conducts training 

classes for these new-to-CMS researchers. This project 

also designs and implements programs that improve 

benefi ciary health status, promote continuous quality 

improvement (at the State and provider level), and oversee 

provider-based services (including public reporting). This 

project will provide technical on-site analytic support and 

training in accessing administrative and claims databases, 

linking databases, and creating analytic databases; training 

modules for data access and use by external organizations/

researchers; and consultative and data support functions 

for governmental and non-governmental research.

Status: This is a follow-on award from a competitive 

procurement to the incumbent contractor. It will be 

incrementally funded over its life. Thus, this award 

continues the work begun under contract 500-96-0023. ■

Understanding the Role of Culture in the Access 

and Utilization of Telemedicine Health Services 

Among Hispanic, Native Americans, and White 

Non-Hispanic Populations

Project No: 25-P-91143/09

Project Offi cer: Richard Bragg

Period: September, 2000 to March, 2003

Funding: $249,283

Principal 

Investigator: Ana Maria Lopez

Award: Grant

Awardee: University of Arizona Cancer 

Center

1515 North Campbell Avenue

Tucson, AZ 85724-5024

Description: The objectives of the study are to 

(1) identify if telemedicine increases or decreases the 

number of clinic encounters between patient and clinician 

at the same rate for Mexican American, Navajo, and nonHispanic white populations; (2) examine if telemedicine 

alters the type or complexity of the clinical encounter 

at the same level for these populations; (3) assess if 

telemedicine affects the cost of providing clinical services 

for the management of chronic and/or rehabilitative 

conditions at the same amount for these populations; 

(4) examine if telemedicine affects patient compliance 

(e.g., taking medications as prescribed, doing exercise 

as instructed) at the same level for these populations; 

(5) assess if minority patients perceive that cultural 

competency is an important factor in the delivery of 

telemedicine services such that it may affect utilization of 

these services; and (6) examine how telemedicine affects 

the quality of life for this population.

Status: The project was awarded under CMS’s Hispanic 

Health Services Research Grant Program. The project 

is completed. ■

Theme 8: Building Research Capacity

Summary: The research budget supports a range of activities to build and improve our health services research 

capacity, both internally and externally to CMS. The intent of these efforts is to increase the effi ciency of our 

research and demonstration program and meet the broad research needs of CMS and the wider health research 

community. These activities support two objectives: (1) to sponsor programs to improve the infrastructure 

of the U.S. health services research system, and (2) to provide tools to facilitate health services research and 

to support CMS’s effective and effi cient research program. The programs to improve the infrastructure are 

directed at developing or enhancing the expertise of researchers outside the Government, and they often also 

support broader Federal government initiatives. The tools to facilitate health services research are carried out 

to support CMS’s own research operations as well as to provide information that benefi ts external health care 

research related to CMS’s programs.
162 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

Identifi cation of Risk Factors, Barriers, and 

Severity for Emergency Room Asthma in Puerto 

Rico

Project No: 25-P-91151/02

Project Offi cer: Richard Bragg

Period: September, 2000 to March, 2003

Funding: $245,134

Principal 

Investigator: Frederico Montealegre

Award: Grant

Awardee: Ponce School of Medicine

PO Box 7004

Ponce, PR 00732

Description: The goal of this project is to improve 

intervention strategies and treatment outcomes for severe 

asthmatics in Puerto Rico. The project will defi ne the 

prevalence of moderate and severe asthma, study the 

demographic characteristics, investigate the seasonal 

trends of Emergency Room use, study the quality of 

life, and identify potential educational and intervention 

programs. The study will include chart review to 

determine whether the patient had an actual diagnosis of 

asthma, and to document prescribed treatment, age, sex, 

peak fl ow, asthma history, duration of attack, treatment 

with beta-antagonist nebulizers or steroids, referrals, and 

followup appointment.

Status: This project was awarded under CMS’s grant 

program for Hispanic Health Services Research and 

completed. ■

The Effectiveness of Insuring Uninsured Latino 

Children Using Community-Based Case 

Managers: A Randomized Trial

Project No: 25-P-91458/01

Project Offi cer: Richard Bragg

Period: September, 2001 to June, 2004

Funding: $250,000

Principal 

Investigator: Glenn Flores

Award: Grant

Awardee: Boston Medical Center 

Corporation

One Boston Medical Center Place

Boston, MA 02118

Description: The specifi c aim of this research is 

to conduct a randomized trial to evaluate whether 

community-based case managers are more effective 

than traditional methods in insuring uninsured children. 

Based on this aim, the project will examine or test four 

hypotheses: (1) a signifi cantly higher proportion of 

uninsured children randomized to a community-based 

case manager will obtain health insurance; (2) the mean 

duration of time in obtaining health insurance coverage 

will be signifi cantly shorter for uninsured children with 

a community-based case manager compared with those 

obtaining insurance through traditional methods; (3) a 

signifi cantly greater proportion of uninsured children 

who obtain health insurance through communitybased case managers will continuously be insured over 

a 1-year period compared with uninsured children 

who obtain insurance through traditional methods; 

(4) parental satisfaction (or patient satisfaction, in the 

case of adolescents living in shelters/group homes) 

with the process of obtaining health insurance will be 

signifi cantly higher among uninsured children randomized 

to community-based case managers compared with those 

randomized to traditional methods of obtaining insurance.

Status: This project was awarded under CMS’s Hispanic 

Health Services Research Grant Program and is in 

progress. ■

Medication Analysis in Mexican American Aged

Project No: 25-P-91467/06

Project Offi cer: Richard Bragg

Period: September, 2001 to June, 2004

Funding: $216,250

Principal 

Investigator: David Espino

Award: Grant

Awardee: University of Texas Health Science 

Center at San Antonio

7703 Floyd Curl Drive

San Antonio, TX 78284

Description: The project’s primary aim is to understand 

the extent of suboptimal medication use in elderly 

Mexican Americans. The objectives are to (1) estimate 

baseline prevalence and 2-year incidence of suboptimal 

prescription use, (2) identify baseline characteristics of 

subjects who report suboptimal prescribed medication 

use, (3) assess the association between suboptimal 

medication use and morbidity and mortality 2 and 4 years 

after the baseline survey, and (4) assess the association 

between suboptimal prescription drug use and use of 

health services 2 and 4 years after the baseline survey.

Status: The project was awarded under CMS’s Hispanic 

Health Services Research Grant Program and is in 

progress. ■
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Theme 8: Building Research Capacity

Theme 8

Studying Migrant and Seasonal Farm Workers

Project No: 25-P-91468/05

Project Offi cer: Richard Bragg

Period: September, 2001 to June, 2004

Funding: $246,400

Principal 

Investigator: Rene Perez Rosenbaum

Award: Grant

Awardee: Michigan State University

112 Paolucci Building

East Lansing, MI 48824-1110

Description: This 2-year cross-sectional pilot study 

among migrant and seasonal farm workers will provide 

data and information on sociodemographics, housing 

conditions, work conditions, self-reported and doctorreported health conditions, health services needs, and 

utilization. This research study will utilize a needs 

assessment strategy (500 subjects) to (1) produce a 

comprehensive profi le of the medical health needs of 

migrant and seasonal farm workers in northern Michigan, 

(2) identify the types of services required and general 

practice among migrant and seasonal farm workers in 

northern Michigan, and (3) determine the association 

between the health needs of farm workers, types of 

services required, and health services utilization rates in 

the population.

Status: The project was awarded under CMS’s Hispanic 

Health Services Research Grant Program and is in 

progress. ■

Navigating the U.S. Health Care System

Project No: 250-P-91910/04-01

Project Offi cer: Richard Bragg

Period: September, 2003 to 

September, 2005

Funding: $124,770

Principal 

Investigator: DeAnne Karen Hilfi nger Messias

Award: Grant

Awardee: College of Nursing

University of South Carolina 

Research Foundation

Columbia, SC 29208

Description: Access to health care that is culturally 

and linguistically acceptable is a key health issue for 

Hispanic Americans. There are a number of deterrents 

for Hispanics to enroll in health insurance programs and 

access health care in their communities, including fear 

or distrust of governmental programs and the language 

barrier. The three main objectives of this project are 

to (1) develop and implement a culturally appropriate 

English as a second language-based (ESL-based) 

educational intervention to improve access and utilization 

of the health care system by limited English profi ciency 

(LEP) immigrants; (2) assess the short- and long-term 

impact of an ESL-based educational intervention on 

levels of knowledge, perceived self-effi cacy of language and 

communication skills, and satisfaction with and utilization 

of the health care system; and (3) monitor patterns of 

primary care and emergency department utilization and 

SCHIP enrollment by Hispanic children for a period of 

12 months prior to and 6 months after the intervention.

Status: This is a new project under the Hispanic Health 

Services Research Grant Program. ■

Latino Health Care Collaborative (LHCC)

Project No: 25-P-91914/03-01

Project Offi cer: Richard Bragg

Period: September, 2003 to 

September, 2005

Funding: $125,000

Principal 

Investigator: Heather McClure

Award: Grant

Awardee: Council of Latino Agencies

2437 15th Street, NW

Washington, DC 20009

Description: The Council of Latino Agencies (CLA) in 

collaboration with three community-based health clinics 

(La Clinica del Pueblo, Mary’s Center for Maternal 

and Child Care, and Andromeda) is implementing this 

project. The study has three objectives: (1) obtain 

reliable baseline data on health status and health 

disparities experienced by the Hispanic community in 

Washington, DC; (2) design and conduct an education 

intervention to improve health-related attitudes, 

knowledge, and practices toward self and family among 

Hispanic residents; and (3) evaluate the impact of this 

project in the Hispanic community. LHCC will focus 

on assessing the health of a representative sample of 

the 45,000 to 55,000 Hispanic residents in the District 

of Columbia by collecting baseline data about health 

disparities among Hispanic residents.

Status: This is a new project under the Hispanic Health 

Services Research Grant Program. ■
164 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

Implementing Culturally and Linguistically 

Competent Assessment

Project No: 25-P-91772/08-01

Project Offi cer: Richard Bragg

Period: September, 2002 to 

September, 2004

Funding: $208,129

Principal 

Investigator: Rosario C. DeBaca

Award: Grant

Awardee: Latin American Research and 

Service Agency

309 West First Avenue

Denver, CO 80223

Description: The purpose of the project is to assess 

and develop the capacity of health care providers at 

two Denver metropolitan area health maintenance 

organizations (HMOs) to deliver culturally and 

linguistically competent care to Latino patients. The 

study is forming Latino provider networks to develop 

culturally and linguistically competent resources to 

build this capacity. The aim of the project addresses 

the mission of CMS for providing culturally and 

linguistically competent care to Latino patients using 

Medicare, Medicaid, and SCHIP. Two major objectives 

of the study are to (1) identify the cultural and linguistic 

knowledge, attitudes, and practices of 100 providers 

using a provider self-assessment survey; and (2) establish 

a network of Latino case providers representative of their 

organizations providing consultation in the development 

of cultural and linguistic competency training resources.

Status: This project was awarded under the Hispanic 

Health Services Research Grant Program and is in 

progress. ■

Cancer Prevention for Post-Reproductive Age 

Hispanic Women Along the U.S.-Mexico Border

Project No: 25-P-91768/09-01

Project Offi cer: Richard Bragg

Period: September, 2002 to 

September, 2004

Funding: $244,371

Principal 

Investigator: Francisco A.R. Garcia

Award: Grant

Awardee: Arizona Board of Regents 

University of Arizona

888 North Euclid, A510

Tucson, AZ 85721

Description: The applicant is developing and assessing 

the effectiveness of an educational intervention on 

the utilization of cancer screening services and cancer 

awareness among older poor Hispanic women. The aims 

of the study are to (1) assess the effectiveness of a group 

education community health worker intervention with 

regard to increased awareness and knowledge of breast 

and cervical cancer, as well as utilization of breast and 

cervical cancer screening services; (2) determine the 

proportion of women who comply with annual followup 

screening recommendations for breast and cervical cancer 

based on self-report and review of medical records; 

(3) describe the determinants of regular cancer screening 

behavior, including monthly self-breast examination 

and annual clinical breast examination, mammography, 

and cervical cytology (pap smears); (4) determine the 

prevalence of premalignant cervical disease (e.g., HPV 

infection and abnormal cytology) and breast abnormalities 

at followup of initial screening examination.

Status: The project was awarded under CMS’s Hispanic 

Health Services Research Grant Program and is currently 

in progress. ■

Increasing Mammography Screening Among 

African American Females in Rural Areas: An 

Educational Intervention Program

Project No: 20-P-91423/04

Project Offi cer: Richard Bragg

Period: September, 2001 to 

September, 2003

Funding: $120,282

Principal 

Investigator: Mary Edith Powell

Award: Grant

Awardee: College of Veterinary Medicine 

Nursing and Allied Health Kresge 

Center

Tuskegee University

Tuskegee, AL 36088

Description: The goal of the project is to increase 

mammography screening among African American 

females. The objectives are to (1) evaluate the 

effectiveness of breast cancer screening education 

program on mammography rates among African 

American females aged 40 and over living in rural 

communities, (2) increase breast self-examination and 

mammography rates among African American females 

aged 40 and over living in rural areas of Alabama, 

(3) evaluate whether the project has more or less of 

an impact among women who have a family history 

of breast cancer, and (4) compare the results of a rural 

education intervention project with the same project 

previously delivered in an urban setting. The project 

is being implemented in two counties in the Tuskegee, 

Alabama area: Macon and Greene. The population of 

these counties is predominantly African American—86 

percent and 81 percent, respectively. The educational 

level is low, with approximately 50 percent having 

earned a high school diploma. In addition, the only 

hospital is the Veterans Medical Center and residents 
Active Projects Report—2004 Edition 165

Theme 8: Building Research Capacity

Theme 8

must travel up to 30 miles to receive secondary care. 

Poverty levels are high, there is a signifi cant vulnerable 

population, and many residents are uninsured and 

receiving public assistance. ■

Status: Collaborations have been formed with the 

Ministerial Alliance of Black Churches, which will host the 

project; the Offi ce of Minority Health in the Alabama State 

Department of Health; and the Cancer Prevention Program 

to provide free mammograms. Tuskegee University 

National Center for Bioethics and Research in Health 

Care will provide administrative support and guidance. ■

Strategies To Improve Prostate Cancer Screening 

Rates Among African American Men in the 

Baltimore Metro Area

Project No: 20-P-91448/03

Project Offi cer: Richard Bragg

Period: September, 2001 to March, 2004

Funding: $239,085

Principal 

Investigator: Ivis Forrester-Anderson

Award: Grant

Awardee: Morgan State University

1700 East Coldspring Lane

Baltimore, MD 21251-0001

Description: The overall goal of the project is to 

increase the number of African American men, 40 years 

of age or over, who participate in routine screening for 

prostate cancer each year. The objectives are (1) to 

determine, through focus groups, barriers and enablers 

to routing screening for prostate cancer among African 

American men in the Baltimore metropolitan area; (2) 

to increase the knowledge of African American men 

about prostate health and prostate cancer, through a 

health education program, as measured by a pre- and 

post-test; and (3) to change the behavior of African 

American men relative to routine screening for prostate 

cancer by increasing the number who participate in regular 

screening. The project will be conducted in two phases 

in three counties in the Baltimore metropolitan area. In 

phase I, qualitative data will be collected on barriers and 

enablers to prostate cancer screening from participants in 

10 focus groups conducted in three targeted counties. In 

phase II, the planning and implementation of an education 

intervention program will utilize the “train-the-trainer” 

model.

Status: This HBCU Health Services Research Grant 

Program is in progress. ■

Diabetes: Factors Infl uencing Self-Care 

Among African Americans in Rural and Urban 

Populations

Project No: 20-P-91430/03

Project Offi cer: Richard Bragg

Period: September, 2001 to May, 2004

Funding: $241,640

Principal 

Investigator: Connie Webster

Award: Grant

Awardee: University of the District of 

Columbia

4200 Connecticut Avenue, NW

Washington, DC 20008

Description: The purpose of this project is to identify, 

assess, and evaluate knowledge about diabetes 

prevention, self-care (compliance), and focus of control 

behaviors among a population of urban and rural 

African Americans, age 45 or over, living in Baltimore, 

Maryland, the District of Columbia, and Petersburg, 

Virginia. Individuals will be recruited from free clinics, 

practitioners, senior citizen centers, and faith-based 

organizations. The multiphase project will identify 

at-risk diabetics (diabetics with self-care defi cits) and 

initiate specifi c sensitive interventions to decrease 

risk factors associated with diabetes complications 

and to improve self-care. The aim of the project is to 

identify high-risk type 2 diabetics, develop intervention 

strategies that are culturally sensitive, and provide an 

educational curriculum (regarding diabetes and self-care 

behavior) that recognized the impact of culture in disease 

management. These interventions will target three areas: 

health promotion, outreach, and diabetes care.

Status: Four historically black colleges and universities 

collaborate on this project: University of the District 

of Columbia, Morgan State University, Coppin State 

College, and Virginia State University. This HBCU 

Health Services Research Grant Program is in progress. ■
166 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

Promoting Health in the African American 

Community (PHAAC): Implementing Relaxation 

Techniques To Reduce Cardiovascular Risk 

Factors

Project No: 20-P-91884/04-01

Project Offi cer: Richard Bragg

Period: September, 2003 to 

September, 2005

Funding: $124,898

Principal 

Investigator: Lorna Harris

Award: Grant

Awardee: North Carolina Agricultural and 

Technical State University

1601 East Market Street

Greensboro, NC 27411

Description: The purpose of this collaborative study 

is to document how the health of African Americans 

can improve by using relaxation techniques to reduce 

stress, which in turn may reduce coronary heart disease 

risk, to determine the effectiveness of the parish nurse 

education component. Three important objectives are 

to (1) develop a training program for parish nurses that 

will enable them to provide an educational intervention 

program using relaxation and stress management 

techniques to reduce cardiovascular disease risk 

for African American church members in Guilford 

County, (2) implement a 12-week relaxation and stress 

management program for members of three churches 

located in the low-income urban communities of Guilford 

County, and (3) identify the health characteristics of 

African American church members who are more likely 

to participate in a church-based relaxation and stress 

management program.

Status: This HBCU Health Services Research Grant 

Program is a new project. ■

A Church-Based Educational Intervention 

Program on Prostate Cancer Screening for 

African American Males

Project No: 20-P-91879/04-01

Project Offi cer: Richard Bragg

Period: September, 2003 to 

September, 2005

Funding: $124,991

Principal 

Investigator: Baqar Husaini

Award: Grant

Awardee: Tennessee State University

3500 John Merritt Boulevard

Nashville, TN 37209-1561

Description: This project proposes to develop and 

test the effectiveness of a church-based prostate cancer 

education program for 400 African American men 

randomly selected from 40 African American churches in 

Nashville, Tennessee. The project addresses two issues: 

(1) the racial disparities in the prevalence and mortality 

rates of prostate cancer, and (2) the lack of prostate 

cancer intervention programs for African American men 

who are at higher risk for this disease. The purpose 

of the intervention is to increase cancer knowledge 

and screenings among African American males and to 

determine barriers to screening.

Status: This HBCU Health Services Research Grant 

Program is a new project. ■

An HIV Prevention Intervention for Homeless 

Mentally Ill African American Adult Males

Project No: 20-P-91751/04-01

Project Offi cer: Richard Bragg

Period: September, 2002 to 

September, 2004

Funding: $205,809

Principal 

Investigator: J. Gary Linn

Award: Grant

Awardee: Tennessee State University School 

of Nursing

3500 John Merritt Boulevard

Nashville, TN 37209-1561

Description: The purpose of this collaborative project 

is to test an intervention to reduce sexual risk behavior in 

an impaired population (i.e., homeless African American 

men with mental illness) from middle Tennessee 

with a high prevalence of HIV infection. The main 

aim is to assess the effectiveness of an intervention 

protocol, SEXG (which involves a method proven to 

be effective in New York City involving “sex,” games, 

and videotapes), in changing the sexual practices of 

sexually active African American men with a mental 

illness. These men are more likely to be at risk for sexual 

contraction or transmission of HIV.

Status: This HBCU Health Services Research Grant 

Program is in progress. ■
Active Projects Report—2004 Edition 167

Theme 8: Building Research Capacity

Theme 8

Violence Prevention as a Public Health Strategy 

To Reducing Health Care Costs Associated With 

Medicaid

Project No: 20-P-91761/03-01

Project Offi cer: Richard Bragg

Period: September, 2002 to 

September, 2004

Funding: $238,536

Principal 

Investigator: Michael Mbanaso

Award: Grant

Awardee: Howard University Offi ce of 

Research Administration

2400 6th Street, NW

Washington, DC 20059

Description: The purpose of this study is to ascertain 

the potential benefi t of applying violence prevention 

as a public health strategy toward reducing health care 

costs associated with Medicaid expenditures for gun 

violence-related injuries. Specifi cally, the researcher will 

investigate the effects of violence prevention measures 

on health outcomes among African Americans in urban 

centers. Four majors objectives are to (1) analyze gunrelated violence and trends in three urban study sites—

Washington, DC; Baltimore, Maryland; and New York 

City; (2) analyze rates of gun-related violence (fatal and 

non-fatal) among African American youths within the 

selected study sites; (3) analyze health care and Medicaid 

costs associated with those gun-related injuries; and 

(4) develop a model program intervention strategy for 

violence prevention.

Status: HBCU Health Services Research Grant Program 

and is in progress. ■

Effects of State Medicaid Policies on Elderly 

Persons—Savings Patterns and Long-Term Care

Project No: 30-P-91716/04-01

Project Offi cer: Al Deal

Period: February, 2002 to January, 2003

Funding: $20,659

Principal 

Investigator: Lara Bryant

Award: Grant

Awardee: Offi ce of Research Services for 

Department of Health Policy and 

Administration

University of North Carolina at 

Chapel Hill 

CB#4100, 300 Bynum Hall

Chapel Hill, NC 27599-4100

Description: The objective of this study is to investigate 

the infl uence of health and variations in State Medicaid 

policies on the savings patterns and long-term care 

(LTC) decisions of elderly persons who anticipate the 

need for LTC. This study will use a dynamic, stochastic 

model to examine the effect of variations in these rules 

across States on the decumulation or accumulation of 

savings and on the LTC decisions of the elderly. Specifi c 

questions are (1) What is the extent to which the elderly 

must impoverish themselves in order to obtain Medicaid 

eligibility? (2) Are the middle class elderly transferring, 

sheltering, or under-reporting assets in order to qualify 

for Medicaid coverage or are they accumulating wealth 

to avoid the need for Medicaid coverage because of 

welfare aversion? (3) What are the effects of Medicaid 

on the probability of entering a nursing home and on the 

amounts of formal care, and informal care provided to 

elderly persons in the community? and (4) What is the 

price sensitivity of the demand for formal care and the 

demand for institutional care other than the respective 

price of care? 

Status: This project is completed. ■

Medicare Health Maintenance Organizations 

Withdrawals and Modifi cations

Project No: 30-P-91703/05-01

Project Offi cer: Al Deal

Period: February, 2002 to January, 2005

Funding: $32,400

Principal 

Investigator: Rachel Halpern

Award: Grant

Awardee: University of Minnesota School of 

Public Health

420 Delaware Street, SE

Minneapolis, MN 55455-0392

Description: The objective of the proposed research 

study is to model the decision processes of health 

maintenance organizations (HMOs) that offer 

Medicare+Choice (M+C) plans and to identify the 

factors associated with the HMOs’ decisions regarding 

their M+C plans for the following contract year. 

Specifi cally, the purpose of this study is to identify the 

factors associated with the following HMO decisions: 

(1) whether or not to renew the M+C contract in a 

geographic area; (2) whether or not to reduce the number 

of counties defi ned by the M+C contract; (3) whether or 

not to change the level of supplemental benefi ts, change 

the premium, or both; and (4) whether or note to change 

the confi guration of M+C plans offered. HMO decisions 

will be modeled for 1999–2000 and 2000–2001. The 

analysis will use secondary data from CMS, Interstudy, 

the Area Resource File, and from the Bureau of Labor 

Statistics. The study design is a two-stage analysis, and 

the unit of analysis is a county.

Status: A copy of the dissertation is expected in 2006. ■
168 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

Using Risk Sharing and Risk Adjustment 

Strategies for Dealing With the Tradeoff Between 

Selection and Effi ciency

Project No: 30-P-91713/01-01

Project Offi cer: Al Deal

Period: February, 2002 to January, 2003

Funding: $30,055

Principal 

Investigator: Manual Garcia

Award: Grant

Awardee: Department of Economics 

Graduate School of Arts and 

Sciences 

Boston University 

881 Commonwealth Avenue

Boston, MA 02215

Description: This study will develop a model of optimal 

payment policy to health plans in which regulators 

choose risk adjustment, risk sharing, and outlier threshold 

parameters in order to optimize an objective function, 

which refl ects a tradeoff between effi ciency and access 

measures. Data from the Medicare 5 percent Standard 

Analytical File (1996–1997) will be used to empirically 

evaluate the effectiveness of these risk adjustment and 

risk sharing strategies, and compare the results with other 

empirical studies. The Medicare Current Benefi ciary 

Survey (1996–1999) will be used to empirically examine 

the relationship between cost information and taste 

variables. The goal is to better understand the factors 

driving health plan choice, especially the correlation 

between taste variables and cost variables that drive 

selection, and whether there are any changes over time. 

The study will also explore whether Medicare+Choice 

health maintenance organizations deferentially select 

aged versus disabled enrollees in response to payment 

incentives. Analysis will use county-level data available 

from CMS and the Area Resource File.

Status: A copy of the dissertation/final report has 

been received. ■

Relationships Between Nursing Staff and 

Resident Quality of Care and Quality of Life

Project No: 30-P-91706/05-01

Project Offi cer: Al Deal

Period: February, 2002 to January, 2003

Funding: $32,400

Principal 

Investigator: Jiexin Liu

Award: Grant

Awardee: University of Minnesota School of 

Public Health

420 Delaware Street, SE

Minneapolis, MN 55455-0392

Description: This study investigates how nurse staffi ng 

affects quality of life (QOL) and quality of care for 

nursing home residents. The independent variables are 

(1) nursing staff-to-resident ratios, (2) turnover/stability 

rates, and (3) extent of nursing pool use (as opposed to 

payroll). The staff ratios are calculated separately for 

registered nurses, licensed practical nurses, and certifi ed 

nursing assistants (CNA). Turnover and pool use are 

calculated separately for licensed personnel and CNAs. 

Facility-level control variables are ownership, percentage 

of Medicaid residents, stability of administrator tenure, 

and (for QOL) activity personnel to resident ratios. 

QOL is defi ned as nine selected quality indicators (e.g., 

bedsores, falls, and urinary tract infections), which will 

be risk adjusted for. The study uses four sources of data: 

(1) a CMS national survey using personal interviews with 

nursing home residents; (2) Minimum Data Set data for the 

same nursing home residents, 1 year prior to interview; (3) 

the On-Line Survey and Certifi cation Assessment Review 

nursing home staffi ng data; and (4) an administrative 

survey developed specifi cally for this dissertation.

Status: This grant is completed. ■

Evaluating Health System Performance: Access 

and Quality of Care for Acute Cardiac Events in 

the Rural Medicare Population

Project No: 30-P-91715/05-01

Project Offi cer: Al Deal

Period: February, 2002 to June, 2004

Funding: $30,240

Principal 

Investigator: Cathy Jaynes

Award: Grant

Awardee: Ohio State University Research 

Foundation

1960 Kenny Road

Columbus, OH 43210

Description: This descriptive cross-sectional study 

will utilize data from the Medicare Current Benefi ciary 

Survey to examine current practice of treating the rural 

elderly diagnosed with acute myocardial infarction 

(AMI). The study will compare the characteristics of 

those who receive their treatment for AMI at a hospital 

that performs a high volume of interventional cardiac 

procedures with those who receive treatment in lowvolume hospitals. Claims data will be used to construct 

a chain of events surrounding a critical cardiac diagnosis. 

Data for the Provider of Services database will describe 

the volume of cardiac interventions accomplished at 

treating hospitals. The Behavioral Model of Healthcare 

Utilization provides the structure for the study, namely, 

an examination of present practices to determine the 

extent to which perceived or evaluated need rather 

than predisposing characteristics of enabling resources 

determines access to health care services.
Active Projects Report—2004 Edition 169

Theme 8: Building Research Capacity

Theme 8

Status: The project period end date has been extended to 

June 30, 2004. ■

Caregiving From the Care Recipient Perspective: 

Infl uence of Caregiving on Health and Use of 

Health Services

Project No: 30-P-91709/03-01

Project Offi cer: Al Deal

Period: February, 2002 to January, 2003

Funding: $31,536

Principal 

Investigator: Jennifer Wolff

Award: Grant

Awardee: Johns Hopkins University

615 North Wolf Street

Baltimore, MD 21205

Description: The goal of this research is to investigate 

the infl uence of informal care arrangements on health 

and health services use among a group of elderly, 

moderately to severely disabled women. The proposed 

study will address the following specifi c aims: (1) to 

evaluate the association between intensity of assistance, 

diversity of caregiver resources, and promotion of 

care recipient independence with perceived adequacy 

of the care arrangement (at baseline); (2) to identify 

care arrangement characteristics at baseline that are 

longitudinally associated with stability or improvement in 

care recipient task functioning and mental health and lower 

risk of morality; and (3) to evaluate the longitudinal impact 

of baseline care arrangement characteristics on health 

services utilization outcomes. The study draws on data 

from the Women’s Health and Aging Study, the Women’s 

Health and Aging Caregiving Survey, and administrative 

data from the Medicare Program.

Status: A copy of the dissertation/final report has 

been received. ■

A Longitudinal Study of Health Coverage 

Transitions Between the Years of 59 and 67; The 

Risk of Being Uninsured and Underinsured

Project No: 30-P-91700/02-01

Project Offi cer: Al Deal

Period: February, 2002 to August, 2003

Funding: $26,055

Principal 

Investigator: Christine Caffrey

Award: Grant

Awardee: Syracuse University

113 Browne Hall

Syracuse, NY 13244

Description: This longitudinal study will look at the 

risk of being uninsured or lacking suffi cient coverage 

between the years of 59 and 67. Using the Health and 

Retirement Survey, the analysis will include descriptive 

models of the health insurance coverage of people aged 

59 to 67 years, regression models of the determinants 

of health insurance coverage over the 6-year period, 

and hazard models of the risk of losing coverage before 

Medicare eligibility and not having suffi cient coverage 

after Medicare eligibility. The project will focus on the 

insurance coverage of subgroups, such as women and 

minorities, and on insurance coverage changes after 

certain life events, like early retirement, losing a spouse, 

or Medicare eligibility.

Status: A copy of the dissertation/final report has 

been received. ■

Actuarial Research Contract—Part II (Special 

Modeling Activity)

Project No: 500-03-0021

Project Offi cer: Christopher Molling

Period: September, 2003 to 

September, 2004

Funding: $467,500

Principal 

Investigator: David McKusic

Award: Contract

Awardee: Actuarial Research Corporation

5513 Twin Knolls Road

Suite 213

Columbia, MD 21045

Description: Continues the development and updating 

of the micro-simulation model used to support health 

policy analysis. This model is used by CMS to analyze 

impacts of changes in U.S. health care and for requirements 

of HIPAA.

Status: This is current and ongoing. ■

Development of a Software Program To Support 

CMS’s Consumer Experience Survey (CES)—

Home Care Survey 

Project No: 500-00-0050/01

Project Offi cer: Suzanne Bosstick

Period: September, 2002 to 

November, 2003

Funding: $149,933

Principal 

Investigator: Beth Jackson

Award: Task Order

Awardee: Medstat Group (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512
170 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

Description: The purpose of this contract is the 

development of a computer software program to support 

and facilitate the use of CMS’s Consumer Experience 

Survey (CES). The software program will facilitate 

the electronic collection and analysis of person-specifi c 

survey information, thus reducing the burden of 

conducting and analyzing the survey information. The 

potential users of both the CES and the software program 

include the State Medicaid agencies, other State agencies 

that provide Medicaid home and community-based 

services and supports to persons with chronic illness and 

disability, and provider organizations that likewise serve 

Medicaid benefi ciaries.

Status: The contractor is near completion of the 

software program. The task order contract was extended, 

at no additional cost, to April 30, 2004, to allow the 

contractor additional time to fi nalize the software. CMS 

expects to disseminate the fi nal product at the Systems 

Change Conference in March 2004. ■

Econometric Forecasting and Economic 

Services—II

Project No: 500-01-0010

Project Offi cer: Shannon Martin

Period: April, 2001 to April, 2006

Funding: $422,000

Principal 

Investigator: Laura Hodges

Award: Contract

Awardee: Global Insight Incorporated

1850 M Street, NW

Suite 1100

Washington, DC 20036

Description: This project is a multiyear project and 

provides econometric forecasting and other economic 

services to CMS. It also provides for forecasts and 

maintenance of CMS input price indexes for use in 

updating payments in the various prospective payment 

systems. The project also allows for various other 

economic studies and analyses concerning health carerelated and input price index issues including health 

sector compensation trends and analysis of malpractice 

liability premium growth. 

Status: This contract continues year to year since it 

provides basic support for our actuarial estimates used 

in operating the Medicare program. For FY 2003, the 

contractor completed an update of actual malpractice 

premium growth for 2002 and 2003. The contractor also 

has constructed forecasts of CMS’s input price indexes 

on a quarterly basis and has provided assistance with 

OACT work on the President’s Budget and Trustees 

Report. Also in FY 2003, the contractor assisted OACT 

staff with the development of an input price index for 

End Stage Renal Disease and in rebasing the Medicare 

Economic Index for incorporation into the 2004 

Physician Fee Schedule update. ■

Expansion of Special Policy Analysis Model 

(SPAM)—II

Project No: 500-97-0003

Project Offi cer: Sally Burner

Period: September, 1997 to 

September, 2002

Funding: $1,919,199

Principal 

Investigator: David McKusick

Award: Contract

Awardee: Actuarial Research Corporation

5513 Twin Knolls Road

Suite 213

Columbia, MD 21045

Description: This project continues the development of 

the microsimulation model used to support health policy 

analyses begun under contract 500-92-0042 “Expansion 

of Special Policy Analysis Model.” The model is used by 

CMS to analyze the impacts of changes in the U.S. health 

care fi nancing and delivery system and to provide support 

for the expanded requirements resulting from the Health 

Insurance Portability and Accountability Act of 1996.

Status: This is a long-term support project for CMS’s 

Offi ce of the Actuary. The microsimulation model is 

being continually updated. It is a working tool that is 

used on an ongoing basis. ■

Hospital Cost Monitoring

Project No: 500-97-0001

Project Offi cer: Benson Dutton

Period: April, 1997 to January, 2003

Funding: $692,330

Principal 

Investigator: Carmela Coyle

Award: Contract

Awardee: American Hospital Association

840 North Lake Shore Drive

Chicago, IL 60611

Description: This project replaced the data collected 

by the American Hospital Association (AHA) through 

the National Monthly Hospital Panel Survey (NMHPS) 

with the National Hospital Indicators Survey (NHIS). 

The data will be used for research, actuarial studies, and 

policy development efforts that involve cost, expenditure, 

service, and utilization analyses. The AHA collects the 

NMHPS and NHIS data annually.

In the past, the NMHPS collected information on hospital 

beds and bassinets; inpatient and outpatient utilization; 

revenue, expenses, and current assets and liabilities; 
Active Projects Report—2004 Edition 171

Theme 8: Building Research Capacity

Theme 8

personnel; and utilization for inpatients aged 65 years 

and older. The quarterly hospital survey summary 

statistics (national by Census division and by AHA 

bed size) contain information on items such as hospital 

beds, inpatient and outpatient utilization, revenue and 

expenses, and utilization for inpatients aged 65 years of 

age or older.

Status: This is the fourth in a series commencing in 

1980 (contract numbers: 500-80-0066, 500-87-0039 and 

500-92-0003). Data from the survey of hospital are 

delivered annually. ■

Implementing the HEDIS Medicare Health 

Outcomes Survey

Project No: 500-00-0055

Project Offi cer: Chris Haffer

Period: September, 2003 to 

September, 2004

Funding: $750,000

Principal 

Investigators: Jessica Briefer-French, Barbara 

Gandek, Lewis Kazis, 

Russell Mardon, and Nancy McCall

Award: Contract

Awardee: National Committee for Quality 

Assurance

2000 L Street, NW, Suite 500

Washington, DC 20036

Description: The Medicare Health Outcomes Survey 

(HOS) is the fi rst patient-based outcomes measure 

and largest survey of managed care benefi ciaries used 

by CMS. It was implemented in 1998. The survey is 

fi elded nationally as a Health Plan Employer Data Set 

(HEDIS) measure. It is a longitudinal, self-administered 

survey which utilizes the SF-36 (assesses physical and 

mental functioning) and additional case mix adjustment 

variables. Each year, survey data are collected for 

a new sample (cohort) of Medicare managed care 

benefi ciaries. Members who respond to the baseline 

survey are resurveyed 2 years later in a followup. The 

goals of the Medicare HOS are (1) to help benefi ciaries 

make informed health care choices, and (2) to promote 

quality improvement based on competition. This 

project manages the collection and transmittal of the 

data to CMS and supports the technical development 

of the Medicare HOS measure. The survey is actually 

administered through a group of certifi ed vendors.

Status: The HOS is an ongoing annual survey. The 

HOS program has achieved national and international 

recognition as the largest collection of robust health 

status measurements from the patients’ perspective in the 

world. Results have been presented at various national 

and international professional meetings and published 

extensively in peer-reviewed journals. ■

International Comparative Data and Analysis of 

Health Care Financing and Delivery Systems—II

Project No: 500-00-0010

Project Offi cer: David Skellan

Period: August, 2000 to August, 2005

Funding: $1,953,392

Principal 

Investigator: Manfred Hauber

Award: Contract

Awardee: Organization for Economic 

Cooperation and Development

2 Rue Andre Pascal

75775 Paris Cedex 16, France

Description: The Organization for Economic 

Cooperation and Development (OECD) has developed a 

unique database that contains information on health care 

fi nancing and use in industrialized Western nations. This 

project obtains these data on an ongoing basis, updates 

and expands them, and provides a series of papers that 

analyze the trends in Western-developed nations and their 

policy relevance to the United States. These data are the 

source of statistics comparing health spending (usually 

expressed as a percentage of gross domestic product or 

in U.S. dollars per capita) in the United States and other 

Western developed nations.

Status: The annual publication, OECD Health Data 

2003, a comparative analysis of 30 countries, was 

released in June 2003. Core indicators, such as health 

expenditures, are now available up to 2001. OECD 

will provide the updated database on an annual basis, in 

addition to the analytical papers, as approved under the 

contract budget. ■

Market Area Selection Criteria and Data 

Development for Medicare Fee-for-Service 

Reform

Project No: 500-00-0022/01

Project Offi cer: David Skellan

Period: September, 2001 to 

September, 2002

Funding: $233,887

Principal 

Investigator: Thomas Hoerger, Ph.D.

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road

PO Box 12194 

Research Triangle Park, NC 

27709-2194

Description: In order for the traditional Medicare 

program to be “modernized” to incorporate innovations 

that could benefi t the program, CMS is exploring how to 

test and potentially adopt strategies already used by other 

payers that might improve Medicare’s effi ciency and/or 
172 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

enhance quality of care. Changes in the health care 

system include dramatic changes in medical technology, 

service delivery, the setting of care, the fi nancing of care, 

the organization of the health care delivery system, and 

private insurance coverage mechanisms. This project 

will provide a foundation for a centralized system of 

collecting and maintaining market area characteristics 

and information that is needed to better understand 

market conditions that are crucial in targeting these 

new initiatives to ultimately ensure that Medicare 

benefi ciaries and the program as a whole will benefi t. 

Potential new payment and service delivery models 

identifi ed include coordinated care, disease management, 

Centers of Excellence, better collaboration with providers 

and physicians, and competitive acquisition.

Status: The report contains detailed work plans, 

personnel assignments and schedules, and an outline and 

proposed content for the interim and fi nal reports. ■

Preparation of Analytic Data for National, State, 

and Age Accounts Data Analysis

Project No: CMS-03-01070

Project Offi cer: Anne Martin

Period: July, 2003 to July, 2004

Funding: $199,999

Principal 

Investigator

Award: GSA Order

Awardee: Fu Associates

2300 Clarendon Boulevard

Suite 1400

Arlington, VA 22201

Description: This project continues the tabulations of 

data by State, age, and National Health Account type of 

service for use in the National, State, and Age Health 

Account estimation.

Status: This is a continuation of work performed under 

contract 01-01137. ■

Preparation of Analytic Data for the National, 

State, and Age Health Accounts Data Analysis

Project No: CMS-01-01137

Project Offi cer: Anne Martin

Period: August, 2001 to October, 2003

Funding: $160,000

Principal 

Investigator: Teri Deutsch

Award: GSA Order

Awardee: Fu Associates

2300 Clarendon Boulevard

Suite 1400

Arlington, VA 22201

Description: The National Health Statistics Group 

in CMS’s Offi ce of the Actuary is responsible for 

maintaining the National Health Accounts (NHA) that 

form the structure for health care expenditure information 

for the United States. The accounts contain estimates 

by type of service (hospital care, physician services, 

prescription drugs, nursing homes, etc.) and by sources of 

funding (out-of-pocket, private health insurance, public 

programs, etc.). Similar estimates by type of services and 

for selected sources of funding are periodically produced 

by geographic area (State) and by age cohort. This 

contract will supply tabulations from the National Claims 

History fi les for the National Health Accounts type of 

services by state (for National and State Health Account 

estimation) and by age and sex (for Age Account 

estimation). The contract will also supply tabulations 

from the Medicaid SMURF fi les by age and sex and by 

NHA type of service (for Age Account estimation). In 

addition, this contract will supply tabulations from the 

Adjusted Community Rating (ACR) fi les by State and 

by NHA type of service (for National and State Health 

Account estimation). Furthermore, this contract develops 

estimates of the migration factors that are used to convert 

State health care expenditures by type of service from a 

location-of-provider basis to a location-of-benefi ciaries’-

residence basis. The contract will supply tabulations 

from the National Claims History fi les by State and by 

NHA type of service. This contract also includes the 

development of service mix adjustments for hospital and 

physician spending by State for use in the State Health 

Account estimation.

Status: This is a followup award and expansion of work 

performed under contract 98-247. ■

Programming Support for Development of the 

SEER-Medicare Database

Project No: 500-96-0516/09

Project Offi cer: Gerald Riley

Period: June, 1999 to September, 2004

Funding: $357,242

Principal 

Investigator: Celia H. Dahlman

Award: Task Order

Awardee: CHD Research Associates

5515 Twin Knolls Road, #322

Columbia, MD 21045

Description: This project provides programming 

support for the Surveillance, Epidemiology, and End 

Results (SEER)-Medicare database. The SEERMedicare database has been in existence since 1991 

and is the collaborative effort of the National Cancer 

Institute, the SEER registries, and CMS to create a large 

population-based source of information for cancerrelated epidemiologic and health services research. The 

creation of the linked fi les requires matching persons 
Active Projects Report—2004 Edition 173

Theme 8: Building Research Capacity

Theme 8

reported to the SEER registries with a master fi le of 

Medicare enrollment to determine which persons 

appearing in the SEER data are entitled to Medicare. For 

persons found to be Medicare enrollees, their Medicare 

utilization claims are appended to their SEER record. 

The instant programming services are for the update 

and maintenance of the SEER-Medicare data, analyses 

related to the SEER-Medicare data, and analyses related 

to other Medicare program studies.

Status: The contractor has extracted Medicare claims 

data for 1999 and has obtained various Medicare fi les for 

a cancer-free control group. Plans are being formulated 

to update the SEER-Medicare link. ■

Programming Support for the Development 

of the SEER-Medicare Database To Examine 

the Hospice Benefi t Among Aged Medicare 

Benefi ciaries

Project No: 500-96-0516/10

Project Offi cer: Linda Greenberg

Period: September, 1999 to 

September, 2004

Funding: $49,998

Principal 

Investigator: Celia H. Dahlman

Award: Task Order

Awardee: CHD Research Associates

5515 Twin Knolls Road, #322

Columbia, MD 21045

Description: This project provides programming 

services for the development of an analytic fi le of hospice 

services using the updated Surveillance, Epidemiology, 

and End Results (SEER)-Medicare database. The SEERMedicare database has been in existence since 1991 

and is the collaborative effort of the National Cancer 

Institute, the SEER registries, and CMS to create a large 

population-based source of information for cancer-related 

epidemiologic and health services research. The creation 

of the linked fi les requires matching persons reported 

to the SEER registries with a master fi le of Medicare 

enrollment to determine which persons appearing in 

the SEER data are entitled to Medicare. Preliminary 

analyses of the use of hospice services among elderly 

benefi ciaries diagnosed with cancer suggest some 

differences by age, race, income, and HMO status. This 

project expands preliminary analyses beyond colorectal 

and lung cancer cases diagnosed in 1992 and 1993 to 

include more cases from the updated Medicare-SEER 

database. We will examine the sociodemographic 

determinants of hospice use among all decedent cancer 

patients, aged 65 and older, and expenditure patterns 

of users and nonusers of hospice care. Additionally, 

analyses will focus on differences among cancer patients 

enrolled in health maintenance organizations (HMOs) 

and fee for service (FFS).

Status: The project is on schedule for completion. ■

Survey Result From the Retail Method of 

Payment Database—II

Project No: HCFA-01-0142

Project Offi cer: Jean Stiller

Period: September, 2001 to 

September, 2002

Funding: $20,000

Principal 

Investigator: Sandra Sue

Award: Purchase Order

Awardee: IMS America

1001 G Street NW

Suite 300 East

Washington, DC 20001

Description: This contract purchased data—retail sales 

of prescription drugs by State and by method of payment.

Status: Data were received. ■

Analysis of Medicare Current Benefi ciary Survey 

(MCBS) Data: Phase III

Project No: 500-00-0024/03

Project Offi cer: Brigid Goody

Period: May, 2001 to May, 2003

Funding: $217,132

Principal 

Investigator: Nancy Berkman

Award: Task Order

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road 

PO Box 12194

Research Triangle Park, NC 

27709-2194

Description: This project evaluates CMS’s success in 

providing information to each Medicare benefi ciary about 

the Medicare program and promoting the benefi ciaries 

informed choice. Information provided covers benefi ts, 
174 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

benefi ciary liability, premiums, supplemental benefi ts, 

a list of plans in the service area and comparison of 

plan options, quality and performance. This task order 

analyzes Medicare benefi ciary baseline knowledge 

data that have been most recently collected through 

the Medicare Current Benefi ciary Survey (MCBS). 

Analysis of the MCBS baseline data supports monitoring, 

reporting, accountability, and evaluation activities 

necessary to determine whether the new CMS programs 

are working as intended.

Status: These analyses continue and build on the prior 

analyses of the CY 1995–1999 MCBS data including 

Round 23 (knowledge supplement) and Round 24 

(benefi ciary need supplement) under previous task order 

500-95-0061/04. ■

Medicare Current Benefi ciary Survey—III

Project No: 500-99-0001

Project Offi cer: Frank Eppig

Period: March, 1999 to February, 2004

Funding: $12,256,629

Principal 

Investigator: Richard Apodaca

Award: Contract

Awardee: Westat Corporation

1650 Research Boulevard

Rockville, MD 20850

Description: The Medicare Current Benefi ciary 

Survey (MCBS) is a continuous, multipurpose survey 

of a representative sample of the Medicare population 

designed to aid CMS’s administration, monitoring, and 

evaluation of the Medicare program. The survey is 

focused on health care use, cost, and sources of payment. 

Data from the MCBS will enable CMS to—

• Determine sources of payment for all medical 

services used by Medicare benefi ciaries, including 

copayments, deductibles, and noncovered services.

• Develop reliable and current information on the use 

and cost of services not covered by Medicare (e.g., 

prescription drugs and long-term care).

• Ascertain all types of health insurance coverage and 

relate coverage to sources of payment.

• Monitor the fi nancial effects of changes in the 

Medicare program. 

Additionally, MCBS is the only source of 

multidimensional person-based information about the 

characteristics of the Medicare population and its access 

to and satisfaction with Medicare services.

Status: MCBS has been in the fi eld continuously since 

the fall of 1991. It is currently in its 38th round of 

interviewing. To date, public use data fi les are available 

for 1991, 1992, 1993, 1994, 1995, 1996, 1997, 1998, 

1999, 2000, 2001, and 2002. ■

ADP Services Supporting Research and 

Demonstration Activities—Jing Xing

Project No: 500-96-0026

Project Offi cer: William Long

Period: September, 1996 to February, 2004

Funding: $40,217

Principal 

Investigator: Cliff Bailey

Award: Contract

Awardee: Jing Xing Technologies

1312 Vincent Place 

PO Box 6655 

McLean, VA 22106-6655

Description: To provide statistical support for Medicare 

Current Benefi ciary Survey and other Information and 

Methods Group activities.

Status: The project is active. ■

ADP Services Supporting Research, Analysis, and 

Demonstration Activities—Base Contract

Project No: 500-02-0006

Project Offi cer: Dave Barbato

Period: September, 2002 to 

September, 2007

Funding: $0

Principal 

Investigator: Celia H. Dahlman

Award: Task Order Contract, Base

Awardee: CHD Research Associates

5515 Twin Knolls Road, #322

Columbia, MD 21045

Description: CMS’s research, analytic, and 

demonstration projects require computer and related 

support services to access, manipulate, process, and 
Active Projects Report—2004 Edition 175

Theme 8: Building Research Capacity

Theme 8

develop data and files. The data files include those 

derived from the Medicare and Medicaid programs, as 

well as those from CMS contracts and grants or from 

other sources. Current and anticipated internal resources 

are insuffi cient to handle the range and quantity of 

requirements that arise from these projects and from 

projects that will occur in the future.

Status: Awarded 9/30/02. There are two task orders 

under this contract. ■

ANALYSIS OF LARGE DATA SETS TASK 

ORDER CONTRACT

This is the base contract under which task orders can 

be awarded for a wide range of general analysis of 

data activities. These projects will relate to Medicare, 

Medicaid, Managed Care, Long-Term Care, children’s 

health insurance, low income, and uninsured programs; 

fi nancing and delivery of health services or quality and 

appropriateness of health services; and various other 

associated topics. The contractor can be required to 

perform tasks involving the analysis of data to assist 

health care fi nancing research studies or projects. The 

contractor must have, or must be able to acquire, the 

resources and expertise to perform these functions on 

an almost-immediate basis. Examples of functions 

required to be performed under this task order contract 

are acquiring and analyzing data; assisting in providing 

technical assistance or training; pilot testing; framing 

and designing a project; convening technical expert 

groups or panels; developing options or issue papers with 

interim and fi nal reports; conducting actuarial, statistical, 

and other analyses; preparing administrative clearance 

packages; meeting with government and non-government 

groups; abstracting records and other claims/forms; 

making presentations when necessary; preparing papers 

and articles; disseminating fi ndings; preparing literature 

reviews; etc.

Status: This is the base contract on which subsequent 

task orders are awarded. It remains active as long as any 

single task is under way. ■

Analysis of Large Data Sets Task Order 

Contract—Acumen

Project No: 500-01-0031

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2002

Funding: $1,000

Principal 

Investigator: Thomas MaCurdy

Award: Task Order Contract, Base

Awardee: Acumen, LLC

1415 Rollins Road

Burlingame, CA 94010

Analysis of Large Data Sets Task Order 

Contract—ANASYS

Project No: 500-01-0037

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Joshua Park

Award: Task Order Contract, Base

Awardee: ANASYS

10450 Shaker Drive, Suite 113

Columbia, MD 21046

Analysis of Large Data Sets Task Order 

Contract—ARC

Project No: 500-01-0033

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: C. William Wrightson

Award: Task Order Contract, Base

Awardee: Actuarial Research Corporation

5513 Twin Knolls Road, Suite 213

Columbia, MD 21045
176 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

Analysis of Large Data Sets Task Order 

Contract—Econometrica

Project No: 500-01-0039

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Cyrus Baghelai

Award: Task Order Contract, Base

Awardee: Econometrica, Inc.

4401 East-West Highway, Suite 303

Bethesda, MD 20814

Analysis of Large Data Sets Task Order 

Contract—JEN

Project No: 500-01-0035

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Dan Gilden

Award: Task Order Contract, Base

Awardee: JEN Associates, Inc.

PO Box 39020

Cambridge, MA 02139

Analysis of Large Data Sets Task Order 

Contract—Jing Xing

Project No: 500-01-0040

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Steward Wong

Award: Task Order Contract, Base

Awardee: Jing Xing Technologies

1312 Vincent Place 

PO Box 6655 

McLean, VA 22106-6655

Analysis of Large Data Sets Task Order 

Contract—Klemm

Project No: 500-01-0038

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Rebecca Klemm

Award: Task Order Contract, Base

Awardee: Klemm Analysis Group, Inc.

1725 Massachusetts Avenue, NW 

Suite 501

Washington, DC 20036-2104

Analysis of Large Data Sets Task Order 

Contract—McDonald

Project No: 500-01-0034

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Walter McDonald

Award: Task Order Contract, Base

Awardee: Walter R. McDonald & Associates, 

Inc.

7311 Greenhaven Drive, Suite 273

Sacramento, CA 95831

Analysis of Large Data Sets Task Order 

Contract—QRS

Project No: 500-01-0036

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Alfred Meltzer

Award: Task Order Contract, Base

Awardee: Quality Resources Systems

11350 Random Hills Road

Suite 100

Fairfax, VA 22030-6044
Active Projects Report—2004 Edition 177

Theme 8: Building Research Capacity

Theme 8

DESIGN AND CONDUCT OF SURVEY TASK 

ORDER CONTRACTS

This is the base award of an Indefi nite Delivery 

Indefi nite Quantity (IDIQ) task order contract. Under 

this specialty area contract, CMS may award task orders 

for projects that involve general survey design and 

planning; data collection and methodological research; 

designing and pilot testing of questionnaires and other 

kinds of data collection instruments; and conducting 

general population survey(s) of all kinds including 

surveys of subsets of the general population, such as the 

elderly, Medicare and Medicaid recipients (dual eligible 

benefi ciaries), uninsured, and low income families with 

small children. The base award was for 1 year with a 

maximum of 4 option years.

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2001. There are no tasks 

awarded to date. ■

Design and Conduct of Survey Task Order 

Contracts—Abt

Project No: 500-01-0021

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: David Kidder

Award: Task Order Contract, Base

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Design and Conduct of Survey Task Order 

Contracts—AIR

Project No: 500-01-0023

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Diane Pelavin

Award: Task Order Contract, Base

Awardee: American Institute for Research

3333 K Street, NW

Washington, DC 20007-3541

Design and Conduct of Survey Task Order 

Contracts—Analytical Science

Project No: 500-01-0029

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Donald Holzworth

Award: Task Order Contract, Base

Awardee: Analytical Science

2605 Meridan Parkway, Suite 200

Durham, NC 27713

Design and Conduct of Survey Task Order 

Contracts—ANASYS

Project No: 500-01-0026

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Joshua Park

Award: Task Order Contract, Base

Awardee: ANASYS

10450 Shaker Drive, Suite 113

Columbia, MD 21046

Design and Conduct of Survey Task Order 

Contracts—Gallup

Project No: 500-01-0022

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Max Larsen

Award: Task Order Contract, Base

Awardee: The Gallup Organization

Government Division

901 F Street, NW

Washington, DC 20004
178 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

Design and Conduct of Survey Task Order 

Contracts—Hope

Project No: 500-01-0017

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Marc Berk

Award: Task Order Contract, Base

Awardee: Project Hope, Center for Health 

Affairs

7500 Old Georgetown Road

Suite 600

Bethesda, MD 20814

Design and Conduct of Survey Task Order 

Contracts—Jing Xing

Project No: 500-01-0028

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Steward Wong

Award: Task Order Contract, Base

Awardee: Jing Xing Technologies

1312 Vincent Place

PO Box 6655

McLean, VA 22106-6655

Design and Conduct of Survey Task Order 

Contracts—MPR

Project No: 500-01-0025

Project Offi cer: Dave Barbato

Period: September, 2001 to September, 

2004

Funding: $1,000

Principal 

Investigator: Joseph Garrett

Award: Task Order Contract, Base

Awardee: Mathematica Policy Research (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Design and Conduct of Survey Task Order 

Contracts—NORC

Project No: 500-01-0019

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Steven Knable

Award: Task Order Contract, Base

Awardee: NORC

1155 East 60th Street

Chicago, IL 60637

Design and Conduct of Survey Task Order 

Contracts—RAND

Project No: 500-01-0024

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Donna Farley

Award: Task Order Contract, Base

Awardee: RAND Corporation

1700 Main Street 

PO Box 2138

Santa Monica, CA 90407-2138

Design and Conduct of Survey Task Order 

Contracts—RTI

Project No: 500-01-0018

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: David Faucette

Award: Task Order Contract, Base

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road 

PO Box 12194 

Research Triangle Park, NC 

27709-2194
Active Projects Report—2004 Edition 179

Theme 8: Building Research Capacity

Theme 8

Design and Conduct of Survey Task Order 

Contracts—Westat

Project No: 500-01-0020

Project Offi cer: Dave Barbato

Period: September, 2001 to 

September, 2004

Funding: $1,000

Principal 

Investigator: W. Sherman Edwards

Award: Task Order Contract, Base

Awardee: Westat Corporation

1650 Research Boulevard

Rockville, MD 20850

Programming, Analytical and Data Presentation 

Support for Future of Medicare Related Issues

Project No: 500-96-0516/06

Project Offi cer: Sharman Stephens

Period: September, 1998 to March, 2004

Funding: $117,424

Principal 

Investigator: Celia H. Dahlman

Award: Task Order

Awardee: CHD Research Associates

5515 Twin Knolls Road, #322

Columbia, MD 21045

Description: This task order is to provide programming, 

analysis, and data presentation services to support 

HCFA’s work related to analysis of issues on the future 

of Medicare. This work included responding to requests 

of the National Bipartisan Commission on the Future of 

Medicare, as well as continuing analyses relevant to the 

Future of Medicare. In conducting this work, there is a 

need to access, prepare, and analyze Medicare Current 

Benefi ciary Data and other HCFA data. This activity 

also involves documenting the fi ndings as well as the 

preparation of presentation materials.

Status: The project has been completed. ■

RESEARCH, ANALYSIS, DEMONSTRATION, 

AND SURVEY TASK ORDER 

CONTRACT—MEDICAID RESEARCH AND 

DEMONSTRATIONS (R&D)

This is the base award of an Indefi nite Delivery Indefi nite 

Quantity (IDIQ) task order contract. Under this 

Medicaid R&D specialty area contract, CMS may award 

task orders for projects that involve a range of research 

and demonstration activities. These projects will relate to 

the Medicare, Medicaid, and Child Health programs; the 

fi nancing and delivery of health services; or the quality 

and appropriateness of health services and associated 

topics. The tasks can involve the development, analysis, 

implementation, and/or evaluation of health care 

fi nancing research and demonstration studies/projects. 

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicaid Research and 

Demonstrations (R&D)—Abt

Project No: 500-00-0049

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: David Kidder

Award: Task Order Contract, Base

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There is one task 

awarded to date. The base award was for 1 year with a 

maximum of 4 option years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicare Research and 

Demonstrations (R&D)—ARC

Project No: 500-00-0036

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Gordon Trapnell

Award: Task Order Contract, Base

Awardee: Actuarial Research Corporation

5513 Twin Knolls Road, Suite 213

Columbia, MD 21045

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There is one task 

order awarded to date. The base award was for 1 year 

with a maximum of 4 option years. ■
180 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicare Research and 

Demonstrations (R&D)—BearingPoint

Project No: 500-00-0037

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Kenneth Cahill

Award: Task Order Contract, Base

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Status: This is the base task order contract (IDIQ) 

awarded in September 2000. Tasks awarded to date 

are (TO #1) Report to Congress: State Licensure and 

Certifi cation Standards, and Respiratory Therapy 

Competency Examinations; (TO #2) Implementation 

Support for the Medicare Participating Centers of 

Excellence Demonstration; (TO #3) Assessment 

of Medicare and You Education Program; (TO #4) 

Impact of Medicare Plus Choice Lock-In Provision; 

(TO #5) American Indian/Alaska Native Eligibility 

and Enrollment in Medicaid, SCHIP, and Medicare. 

Individual tasks are described separately. The base award 

was for 1 year with a maximum of 4 option years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicare Research and 

Demonstrations—Brandeis

Project No: 500-00-0031

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Christopher Tompkins

Award: Task Order Contract, Base

Awardee: Institute for Health Policy 

Heller Graduate School 

Brandeis University 

415 South Street 

PO Box 9110

Waltham, MA 02254-9110

Status: This is the base task order contract awarded 

in September 2000. Task awarded to date is (TO #1) 

Cancer Prevention and Treatment Demonstration for 

Ethnic and Racial Minorities Project. Individual tasks 

are described separately. The base award was for 1 year 

with a maximum of 4 option years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicaid Research and 

Demonstrations (R&D)—CHSR

Project No: 500-00-0052

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Robert Schlenker

Award: Task Order Contract, Base

Awardee: Center for Health Services 

Research

University of Colorado 

1355 South Colorado Boulevard 

Suite 706

Denver, CO 80222

Status: This is the base task order contract (IDIQ) 

awarded in September 2000. There are no tasks awarded 

to date. The base award was for 1 year, with a maximum 

of 4 option years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicare Research and 

Demonstrations (R&D)—CHSR

Project No: 500-00-0026

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Robert Schlenker

Award: Task Order Contract, Base

Awardee: Center for Health Services 

Research 

University of Colorado 

1355 South Colorado Boulevard 

Suite 706

Denver, CO 80222

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Task awarded to 

date is (TO #1) Improving Protocols for Home Health 

Agency Assessment in the Survey Process. Individual 

tasks are described separately. There are three task 

orders awarded to date. The base award was for 1 year 

with a maximum of 4 option years. ■
Active Projects Report—2004 Edition 181

Theme 8: Building Research Capacity

Theme 8

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicaid Research and 

Demonstrations (R&D)—C.N.A.

Project No: 500-00-0053

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Robert Murray

Award: Task Order Contract, Base

Awardee: C.N.A. Corporation

4401 Ford Avenue 

PO Box 16268

Alexandria, VA 22302-8268

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are two task 

orders awarded to date. The base award was for 1 year 

with a maximum of 4 option years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicare Research and 

Demonstrations—C.N.A.

Project No: 500-00-0035

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Robert Murray

Award: Task Order Contract, Base

Awardee: C.N.A. Corporation

4401 Ford Avenue

PO Box 16268

Alexandria, VA 22302-8268

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Tasks awarded 

to date are (TO#1) Integrated Chronic Disease Quality 

Performance Measurement at the Physician Level, 

and (TO#2) Improving Nursing Home Enforcement. 

Individual tasks are described separately. The base award 

was for 1 year with a maximum of 4 option years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicaid Research and 

Demonstrations (R&D)—Lewin

Project No: 500-00-0051

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Michael Fischman

Award: Task Order Contract, Base

Awardee: Lewin Group

3130 Fairview Park Drive, Suite 800

Falls Church, VA 22042

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Task awarded 

to date is (TO #1) Medicaid Payment Accuracy Review 

Systems. There are currently three task orders awarded. 

Individual tasks are described separately. The base award 

was for 1 year with a maximum of 4 option years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicare Research and 

Demonstrations—Medstat

Project No: 500-00-0034

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Claude Bowen

Award: Task Order Contract, Base

Awardee: Medstat Group (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are no tasks 

awarded to date. The base award was for 1 year with a 

maximum of 4 option years. ■
182 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicaid Research and 

Demonstrations (R&D)—Medstat

Project No: 500-00-0050

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Claude Bowen

Award: Task Order Contract, Base

Awardee: Medstat Group (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Task awarded 

to date is 01 “Next Generation Medicare Managed 

Care Payment System.” Individual tasks are described 

separately. The base award was for 1 year, but the 

contract includes four 1-year options to extend for a total 

potential of 5 years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicaid Research and 

Demonstrations (R&D)—MPR

Project No: 500-00-0047

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $0

Principal 

Investigator: Embry Howell

Award: Task Order Contract, Base

Awardee: Mathematica Policy Research (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Task awarded 

to date is (TO# 01) Disabled and Special Needs 

Populations: Examining Enrollment, Utilization, and 

Expenditures. There are currently four task orders 

awarded. Individual tasks are described separately. 

The base award was for 1 year with a maximum of 4 

option years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicare Research and 

Demonstrations (R&D)—MPR

Project No: 500-00-0033

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Randall S. Brown, Ph.D.

Award: Task Order Contract, Base

Awardee: Mathematica Policy Research 

(Princeton)

600 Alexander Park 

PO Box 2393

Princeton, NJ 08543-2393

Status: This is the base task order contract awarded 

in September 2000. Task order awarded to date is (TO 

#1) Evaluation of PACE as a Permanent Program and a 

For-Profi t Demonstration. Individual tasks are described 

separately. There are three task orders awarded. The 

base award was for 1 year with a maximum of 4 option 

years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicaid Research and 

Demonstrations (R&D)—RAND

Project No: 500-00-0048

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Richard Wright

Award: Task Order Contract, Base

Awardee: RAND Corporation

1700 Main Street

PO Box 2138

Santa Monica, CA 90407-2138

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are no tasks 

awarded to date. The base award was for 1 year with a 

maximum of 4 option years. ■
Active Projects Report—2004 Edition 183

Theme 8: Building Research Capacity

Theme 8

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicaid Research and 

Demonstrations—RTI

Project No: 500-00-0046

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Janet Mitchell

Award: Task Order Contract, Base

Awardee: Research Triangle Institute

411 Waverley Oaks Road, Suite 330

Waltham, MA 02452-8414

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Tasks awarded to 

date are (TO #1) Diabetes Care Across the Life Span for 

Medicaid Benefi ciaries: Gender and Racial Differences, 

and (TO #2) Evaluation of the Demonstration To 

Maintain Independence and Employment and the Maine 

Section 1115 HIV/AIDS Waiver (TWWIIA). Individual 

tasks are described separately. The base award was for 1 

year with a maximum of 4 option years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicaid Research and 

Demonstrations—RTI 

Project No: 500-00-0044

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $0

Principal 

Investigator: Don Enichen

Award: Task Order Contract, Base

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road 

PO Box 12194 

Research Triangle Park, NC

27709-2194

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Tasks awarded to 

date are (TO# 1) Evaluation of the BadgerCare Medicaid 

Demonstration, and (TO# 2) Research on Systems 

Changes in Long-Term Care. Individual tasks are 

described separately. The base award was for 1 year with 

a maximum of 4 option years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicare Research and 

Demonstrations (R&D)—RTI

Project No: 500-00-0024

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $0

Principal 

Investigator: Don Enichen

Award: Task Order Contract, Base

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road 

PO Box 12194

Research Triangle Park, NC 

27709-2194

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Tasks awarded 

to date are (TO#1) Assessment of Medicare Prescription 

Drugs and Coverage Policies, (TO#2) Questionnaire 

Development and Cognitive Testing Using Item 

Response Theory, (TO#3) Analysis of Medicare 

Benefi ciary Baseline Knowledge Data Using the 

Medicare Current Benefi ciary Survey—Phase 3, and 

(TO#4) Development of Quality Indicators for Inpatient 

Rehabilitation. There are currently 14 task orders 

awarded. Individual tasks are described separately. The 

base award was for 1 year with a maximum of 4 option 

years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicaid Research and 

Demonstrations (R&D)—UI

Project No: 500-00-0045

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Erica Franklin

Award: Task Order Contract, Base

Awardee: Urban Institute

2100 M Street, NW

Washington, DC 20037

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are two task 

orders awarded to date. The base award was for 1 year 

with a maximum of 4 option years. ■
184 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicare Research and 

Demonstrations (R&D)—UI

Project No: 500-00-0025

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $0

Principal 

Investigator: Steven Zuckerman

Award: Task Order Contract, Base

Awardee: Urban Institute

2100 M Street, NW

Washington, DC 20037

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Tasks awarded 

to date are (TO#1) Assessment of Medicare Prescription 

Drugs and Coverage Policies, (TO#2) Questionnaire 

Development and Cognitive Testing Using Item 

Response Theory, (TO#3) Analysis of Medicare 

Benefi ciary Baseline Knowledge Data Using the 

Medicare Current Benefi ciary Survey – Phase 3, and 

(TO#4) Development of Quality Indicators for Inpatient 

Rehabilitation. There are currently 14 task orders 

awarded. Individual tasks are described separately. The 

base award was for 1 year with a maximum of 4 option 

years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicare Research and 

Demonstrations—URREA

Project No: 500-00-0028

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Philip Held

Award: Task Order Contract, Base

Awardee: University Renal Research and 

Education Association

315 West Huron, Suite 260

Ann Arbor, MI 48103

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are no tasks 

awarded to date. The base award was for 1 year with a 

maximum of 4 option years. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Medicare Research and 

Demonstrations (R&D)—Wisconsin

Project No: 500-00-0029

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Sarita Karon, Ph.D.

Award: Task Order Contract, Base

Awardee: University of Wisconsin, Madison

750 University Avenue

Madison, WI 53706

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are no tasks 

awarded to date. The base award was for 1 year with a 

maximum of 4 option years. ■

RESEARCH, ANALYSIS, DEMONSTRATION, 

AND SURVEY TASK ORDER CONTRACT—

POLICY ANALYSIS

This is the base award of an Indefi nite Delivery Indefi nite 

Quantity (IDIQ) task order contract. Under this policy 

analysis specialty area contract, CMS may award task 

orders for projects that involve the analysis of policy 

questions, often within short timeframes, to provide 

the Government with information and options to guide 

decisions related to important or urgent policy issues. 

The base award was for 1 year with a maximum of 

4 option years.

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Policy Analysis—Abt

Project No: 500-00-0015

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: David Kidder

Award: Task Order Contract, Base

Awardee: Abt Associates, Inc.

55 Wheeler Street

Cambridge, MA 02138

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Task awarded to 

date is (TO#1) Medicare Behavioral Health Cost and Use 

Study. Individual tasks are described separately. ■
Active Projects Report—2004 Edition 185

Theme 8: Building Research Capacity

Theme 8

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Policy Analysis—ARC

Project No: 500-00-0016

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $0

Principal 

Investigator: Gordon Trapnell

Award: Task Order Contract, Base

Awardee: Actuarial Research Corporation

5513 Twin Knolls Road, Suite 213

Columbia, MD 21045

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Task awarded to 

date: (TO# 1) Data Collection to Support Policy Analysis 

of Choices Offered to Medicare+Choice Enrollees 

and Choices Made by Enrollees. Individual tasks are 

described separately. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Policy Analysis—

BearingPoint

Project No: 500-00-0017

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Kenneth Cahill

Award: Task Order Contract, Base

Awardee: BearingPoint

1676 International Drive

McLean, VA 22102-4828

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are no tasks 

awarded to date. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Policy Analysis—Brandeis

Project No: 500-00-0018

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Christopher Tompkins

Award: Task Order Contract, Base

Awardee: Institute for Health Policy 

Heller Graduate School 

Brandeis University

415 South Street

PO Box 9110

Waltham, MA 02254-9110

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are no tasks 

awarded to date. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Policy Analysis—C.N.A.

Project No: 500-00-0019

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Robert Murray

Award: Task Order Contract, Base

Awardee: C.N.A. Corporation

4401 Ford Avenue 

PO Box 16268

Alexandria, VA 22302-8268

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are no tasks 

awarded to date. ■
186 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Policy Analysis—Medstat

Project No: 500-00-0021

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Claude Bowen

Award: Task Order Contract, Base

Awardee: Medstat Group (DC)

600 Maryland Avenue, SW

Suite 550

Washington, DC 20024-2512

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are no tasks 

awarded to date. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Policy Analysis—MPR

Project No: 500-00-0020

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Sue Felt-Lisk

Award: Task Order Contract, Base

Awardee: Mathematica Policy Research 

(Princeton)

600 Alexander Park 

PO Box 2393

Princeton, NJ 08543-2393

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are no tasks 

awarded to date. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Policy Analysis—RTI

Project No: 500-00-0022

Project Offi cer: Dave Barbato

Period: September, 2000 to 

September, 2004

Funding: $1,000

Principal 

Investigator: Don Enichen

Award: Task Order Contract, Base

Awardee: Research Triangle Institute (NC)

3040 Cornwallis Road 

PO Box 12194 

Research Triangle Park, NC 

27709-2194

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Task awarded 

to date is (TO# 1) Market Area Selection and Data 

Development for Medicare Fee-for-Service Reform. 

Individual tasks are described separately. ■

Research, Analysis, Demonstration, and Survey 

Task Order Contract—Policy Analysis—UI

Project No: 500-00-0023

Project Offi cer: Dave Barbato

Period: September, 2000 to September, 

2004

Funding: $1,000

Principal 

Investigator: Steven Zuckerman

Award: Task Order Contract, Base

Awardee: Urban Institute

2100 M Street, NW

Washington, DC 20037

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. There are no tasks 

awarded to date. ■

Support for Research and Analytic Activities— 

IQ Solutions

Project No: 500-00-0059

Project Offi cer: Dave Barbato

Period: September, 2000 to September, 

2004

Funding: $0

Principal 

Investigator: Ileana Quintas

Award: Task Order Contract, Base

Awardee: IQ Solutions, Inc.

11300 Rockville Pike, Suite 901

Rockville, MD 20852

Description: This project provides support for CMS’s 

research and analytic program. Specifi cally, it will 

support project design and operation, dissemination and 

distribution of results, and data-related activities. The base 

award was for 1 year with a maximum of 4 option years.

Status: This is the base task order contract (IDIQ 

contract) awarded in September 2000. Tasks 

awarded to date are (TO#1) Support for Research 

and Analytic Activities; (TO#2) Active Projects 

Report: Reconsideration, Revision, and Production 

Improvements; and (TO#3) Research and Demonstration 

Projects Searchable Database; Stage Two Improvement, 

Enhancements, and Implementation. Individual tasks are 

described separately. ■
Active Projects Report—2004 Edition 187

Theme 8: Building Research Capacity

Theme 8

Project Planning Templates and Development of 

XML Data Files

Project No: CMS-03-00330

Project Offi cer: James Beyer

Period: September, 2003 to 

September, 2004

Funding: $40,000

Principal 

Investigator: Ed Ziv

Award: Simplifi ed Acquisition

Awardee: Ventera Corp

1600 International Drive, Suite 100

McLean, VA 03756

Description: The Offi ce of Research, Development, 

and Information (ORDI) at CMS is a diverse group 

that includes an assembly of researchers, analysts, and 

other administrative personnel whose main purpose 

is to compose and disseminate health-related data in 

layman’s terms to the general public. Every year, ORDI 

compiles at least fi ve major publications, e.g., Health 

Care Financing Review and the CMS Data Compendium. 

These publications contain articles, statistics, graphs, 

and tables that describe a wide variety of health-related 

data. These publications are in the process of migrating 

to an .xml format for Web posting and eventually for 

production and publication. Managing this migration 

while maintaining timely publication is a serious 

challenge in any case, and particularly so at static 

staffi ng levels.

One item of particular importance in this migration 

process involves a review of current and upcoming 

publication formats to identify new ways of presenting 

and disseminating the data themselves and their 

implications for the health services research community. 

This goal involves analyzing the post-production archives 

of the Statistical Supplement and related publications to 

identify opportunities for document conversion hubs, 

interactive data tools, Internet-based availability of both 

raw data and analyzed fi les, and graphic representation of 

technical data for nontechnical audiences.

Another item of great importance is reviewing the 

production process itself to identify ways to improve 

data collection and presentation. Current processes for 

gathering data from legacy systems and into more upto-date programs may not be keeping up with current 

opportunities in information technology. Identifying 

opportunities for greater effi ciency and accuracy, 

including areas where human review is needed for quality 

assurance, is essential for keeping these publication 

schedules on-target as legacy-based programmers retire 

and are not replaced.

Status: The project is close to completion. ■

Convert CMS Research Results to Consistent 

Standardized Architecture To Support WebBased Dissemination (With Two Options)

Project No: 500-00-0059/04

Project Offi cer: James Beyer

Period: September, 2002 to 

September, 2004

Funding: $50,839

Principal 

Investigator: Kenitra Smith

Award: Task Order

Awardee: IQ Solutions, Inc.

11300 Rockville Pike, Suite 901

Rockville, MD 20852

Description: This project provides review, assessment, 

and planning activities that support CMS in building a 

Web-based capacity to disseminate the fi ndings of our 

research and information. Some preparatory work that 

makes this possible has already been done for some of 

our products, e.g., Health Care Financing Review and 

moving the database on research and demonstration 

projects to a Web-based application.

Status: Conversion of statistical publications in .xml 

format and then into electronic publishing is in planning 

stages (December 2003). ■

Impact of Nonresponse of MCBS Estimates

Project No: 500-01-0027/01

Project Offi cer: Gerald Adler

Period: September, 2001 to July, 2003

Funding: $220,233

Principal 

Investigator: Gregory Pope

Award: Task Order

Awardee: Research Triangle Institute

411 Waverley Oaks Road, Suite 330

Waltham, MA 02452-8414

Description: This task is to conduct methodological 

studies on data from the Medicare Current Benefi ciary 

Survey (MCBS) in order to: (1) inform project 

management of improvements that may be made in 

the design of the study, and (2) inform users of data 

characteristics that may be important to their analyses. 

The goal of this activity is to make available the highest 

quality MCBS data, and to facilitate the highest quality 

analyses. All surveys are subject to several forms of 

nonresponse, defi ned generally as the failure to obtain 

complete measurements on the survey sample including 

unit nonresponse, in which a sample member fails 

to be interviewed, and item nonresponse, in which 

certain answers are missing in an otherwise completed 

questionnaire. In addition, in longitudinal surveys there 
188 Active Projects Report—2004 Edition

Theme 8: Building Research Capacity

Theme 8

is the potential for respondents to respond partially, 

participating in some rounds of the survey and not in 

others. This project is intended to produce a thorough 

documentation and analysis of the degree of nonresponse 

bias experienced by the MCBS, reasons for and 

demographic correlates of nonresponse, consequences 

of nonresponse rates for analyses of MCBS data, and 

ways in which the impact of nonresponse may be reduced 

or mitigated.

Status: The project is completed. ■

Annual Production

Project No: 500-00-0059/02

Project Offi cer: James Beyer

Period: June, 2002 to September, 2005

Funding: $29,000

Principal 

Investigator: Kenitra Smith

Award: Task Order

Awardee: IQ Solutions, Inc.

11300 Rockville Pike, Suite 901

Rockville, MD 20852

Description: The Active Projects Report is an annual 

publication listing research and demonstration projects 

funded by the Centers for Medicare & Medicaid Services. 

Until the 2001 edition, this was done by intramural staff 

at substantial expense (measured in staff hours). As of 

the 2002 edition, the fi rst draft now generates directly 

from the database that holds research and demonstration 

project information. This copy needs to be edited and 

readied for printing. This project has two purposes for 

future editions: (1) to produce the book, including a 

template to convert the database fi le to print-ready copy, 

and (2) to do so more effi ciently than through the use of 

intramural staff.

Status: This in an annual publication. ■

Research and Demonstrations Projects 

Searchable Database: Stage Two, Improvement, 

Enhancements, and Implementation

Project No: 500-00-0059/03

Project Offi cer: James Beyer

Period: September, 2001 to 

November, 2002

Funding: $128,816

Principal 

Investigator: Ileana Quintas

Award: Task Order

Awardee: IQ Solutions, Inc.

11300 Rockville Pike, Suite 901

Rockville, MD 20852

Description: This task order continues the work of 

earlier efforts toward modernizing the results of CMS 

research efforts. A previous task helped to automate 

and simplify the publication of a directory of all active 

research projects at CMS; this task turns that information 

into a searchable, Web-friendly database. 

These efforts involve a careful beta test of the revised 

database, revision as dictated by this test, retesting, and 

secondary revision, preparation for access through public 

Web pages, and the addition of documents and references 

as appropriate.

Status: The fi rst version of the revised database 

structure was completed in mid-November 2002 and 

a second, more functional version delivered in late 

December for testing. The second version was developed 

based on comments from use of the initial/fi rst version 

and was displayed to a larger group of CMS staff in late 

December. This second version was placed in an internal 

environment for staff testing. Due to functional issues 

and other technical diffi culties with the initial deliverable, 

the software has been returned to the contractor for 

further refi nements. ■
Active Projects Report—2004 Edition 189

Topical Index

Indices

A

Access to care ........................................... 10, 11, 22, 152

ACSC .............................................................................. 6

Acute care ................. 13, 25, 89, 104, 105, 106, 110, 123

African American women ................................... 164, 165

Aid to Families with Dependent Children 

(AFDC) .............................................. 15, 17, 27, 28, 29

Ambulatory care (see also Outpatient) ............. 6, 15, 131

American Indians/Alaska Natives ............................... 152

Analytic support .......................................................... .......................................................... 161

Asthma ...................................... 21, 86, 87, 115, 138, 162

B

Behavioral health .............................................. 10, 13, 16

Benefi ts ................................ 5, 7, 8, 9, 11, 13, 14, 16, 21, 

23, 27, 28, 29, 32, 83, 84, 89, 90, 91, 

97, 98, 99, 101, 110, 112, 115, 132, 

137, 151, 157, 158, 167, 173, 174

Best practices ........................................ 85, 138, 148, 151

Boren Amendment ........................................................ ........................................................ 11

Buy-in ............................................... 76, 82, 84, 126, 127

C

Cancer ........................ ........................ 115, 134, 138, 142, 147, 148, 151, 

157, 161, 164, 165, 166, 172, 173, 180

Cancer Screening ................................................ 165, 166

Cardiovascular ........................... ........................... 109, 110, 132, 141, 142, 

146, 147, 152, 166

Case mix adjustment ................................................... ................................................... 171

Children .......................... 1, 10, 11, 13, 14, 15, 16, 17, 18, 

20, 21, 22, 27, 28, 29, 32, 33, 34, 39, 

41, 45, 47, 54, 55, 58, 65, 67, 69, 74, 75, 

76, 85, 86, 87, 88, 115, 124, 149, 150, 

151, 152, 154, 162, 163, 175, 177

Chronic disease ........................................... 125, 131, 151

Clinical outcomes ........................................................ 151

Community-based .......................... .......................... 10, 13, 20, 23, 32, 33,

39, 43, 44, 45, 47, 56, 62, 63, 64, 85, 

87, 90, 127, 141, 153, 162, 163, 170

Consumer choice ........................................................... 63

Continuous quality improvement ................ ................ 116, 126, 161

Contractors ............................................................ 91, 105

Coordinated care .................... 21, 89, 131, 133, 134, 135, 

136, 137, 138, 142, 172

Costs ............................... 1, 4, 5, 9, 10, 11, 12, 18, 21, 24, 

25, 33, 62, 65, 84, 86, 88, 96, 104, 106, 

107, 109, 112, 115, 118, 132, 133, 137, 

138, 140, 142, 157, 158, 167

Coverage .................................. 4, 5, 7, 15, 16, 19, 20, 21, 

22, 26, 27, 74, 82, 83, 84, 87, 89, 91, 

105, 108, 115, 126, 132, 155, 156, 157, 

161, 162, 167, 169, 172, 174, 183, 184

D

Database ......................... 1, 10, 25, 85, 88, 105, 106, 110,

126, 142, 152, 156, 168, 171, 172, 173

Death ........................................................... 125, 141, 151

Developmental disabilities ............ 10, 24, 34, 52, 55, 127

Diabetes .......................... 4, 115, 131, 132, 133, 137, 138, 

139, 140, 141, 142, 151, 152, 165, 183

Disability ...................... 10, 23, 26, 29, 30, 31, 32, 34, 38, 

42, 44, 45, 46, 47, 54, 62, 65, 82, 

84, 106, 129, 130, 170

Disabled ......................... ......................... 9, 10, 19, 22, 23, 27, 62, 63, 76,

168, 169, 182

Disease management ...................... ...................... 15, 23, 133, 134, 135, 

136, 137, 138, 139, 140, 165, 172

Disenrollment .......................................................... .......................................................... 1, 2, 3

Disparities ........................... 115, 151, 152, 153, 163, 166

Drugs ...........................111, 112, 155, 157, 158, 159, 172,

173, 174, 183, 184

Drug coverage ....................................... 89, 155, 156, 157

Dual eligibles .............................. 10, 23, 24, 26, 131, 137

Durable medical equipment (DME) ..............89, 105, 111,

148, 149, 157

E

Elderly .......................... 4, 6, 9, 22, 23, 24, 30, 32, 54, 65, 

96, 97, 118, 123, 125, 126, 137, 150, 

156, 157, 162, 167, 168, 169, 173, 177

Eligibility ........................... 12, 13, 14, 15, 16, 17, 18, 19,

20, 22, 23, 24, 27, 29, 74, 76, 84, 

103, 117, 150, 151, 158, 167, 169, 180

Employment ............................. ............................. 27, 28, 37, 64, 76, 77, 78,

79, 80, 81, 82, 83, 84, 115, 126, 183

Encounter data .................................................. 12, 89, 90

End of life ..................................................................... 76

End stage renal disease (ESRD) .......................... 4, 8, 99, 

119, 138, 170

Topical Index
190 Active Projects Report—2004 Edition

Topical Index

Indices

Enrollment ............................ ............................ 1, 2, 6, 9, 10, 11, 13, 14, 15, 

17, 19, 20, 23, 24, 27, 84, 86, 87, 91, 

95, 96, 97, 99, 115, 118, 131, 137, 139, 

140, 141, 142, 146, 147, 150, 151, 152, 

153, 163, 173, 180, 182

Environmental Factors .................................................. 86

Evaluation .......................... 1, 5, 6, 7, 8, 9, 10, 11, 13, 14,

 15, 16, 20, 21, 22, 24, 25, 30, 32, 

38, 56, 63, 64, 65, 66, 74, 75, 84, 85, 

86, 89, 90, 91, 96, 99, 100, 104, 105, 

108, 110, 111, 112, 114, 116, 117, 

118, 120, 124, 126, 137, 138, 139, 

140, 146, 147, 149, 153, 155, 156, 

157, 159, 173, 174, 179, 182, 183

EverCare ................................................................. 25, 97

Expenditures .................... 1, 9, 10, 11, 14, 15, 22, 23, 28, 

29, 45, 86, 90, 100, 101, 103, 109, 

111, 123, 133, 137, 138, 141, 150, 

155, 156, 157, 158, 161, 167, 171, 

172, 182

F

Family planning services .................................. 18, 19, 20

Federal Employees Health Benefi ts Program ................. 5

Fee for service (FFS) .................................................. 173

Frail elderly ......................................................... 137, 150

H

Health benefi t .................................................. .................................................. 5, 125, 147

Health care delivery .......................... 4, 14, 140, 147, 172

Health education ................................................. 132, 165

Health insurance ....................... 1, 8, 9, 11, 12, 13, 15, 16,

17, 19, 21, 67, 69, 86, 87, 88, 95, 

115, 140, 149, 150, 161, 162, 163, 

169, 170, 172, 174, 175

Health maintenance organization (HMO) ... 27, 97, 98, 99

Health Outcome Survey (HOS) ...................... 32, 97, 171

Health promotion ........................................................ 165

Health services utilization ................................... 163, 169

Healthy aging .............................................................. 103

Healthy People 2010 ............................................. 39, 152

Heart disease ............................................... 138, 152, 166

HEDIS ................................................................... 32, 171

Hispanic Americans (see also Latinos) ............... 152, 163

Hispanic Health Services Research .... 161, 162, 163, 164

Historically Black Colleges and Universities 

(HBCU) .................................................... 165, 166, 167

HIV/AIDS ........................... 16, 17, 83, 84, 147, 154, 183

Home health ......................... 5, 6, 9, 26, 63, 64, 103, 104,

105, 106, 116, 117, 118, 122, 125

Hospital .............................. 5, 6, 9, 15, 18, 21, 22, 23, 26,

33, 87, 89, 100, 106, 110, 111, 112, 

113, 114, 116, 123, 125, 133, 134, 

135, 136, 137, 141, 143, 144, 145, 

153, 164, 168, 170, 171, 172

I

ICF/MR ......................................................................... ......................................................................... 11

Information systems .......................................... 15, 18, 89

Information technology ................................................. 85

Injuries .................................................................... 9, 167

Inpatient care ......................................................... 18, 117

Insurance ...................... 1, 4, 6, 7, 8, 9, 10, 11, 12, 13, 14,

15, 16, 17, 18, 19, 21, 22, 67, 69, 

86, 87, 88, 91, 92, 93, 94, 95, 107, 

108, 115, 140, 149, 150, 161, 162, 

163, 169, 170, 172, 174, 175

Intervention strategies ......................................... 162, 165

Investigation .................................................... 6, 120, 153

Ischemic heart disease ................................................. 152

L

Latinos (see also Hispanic Americans) ............... 142, 163

Lock-in ............................................................................ 1

Long-term care ......................... 97, 98, 99, 103, 104, 119, 

123, 150, 167, 173, 175, 183

Low income ................................................ 156, 175, 177

Low vision .................................................................. 126

M

Mammography ............................................................ 164

Managed care ....................... 1, 2, 3, 4, 13, 16, 17, 18, 19,

20, 21, 22, 23, 32, 45, 89, 99, 

100, 109, 115, 118, 149, 171, 

175, 182

Market area ..................................................... 1, 104, 172

Market research ............................................................... 6

Medicaid eligibility (see also Dual Eligibles) ............ 158

167, 189

Medicaid Statistical Information System (MSIS) ......... 12

Medicare+Choice (M+C) ........................... 1, 2, 3, 4, 7, 8,

13, 32, 89, 90, 91, 94, 95, 97, 

98, 99, 100, 101, 167, 168, 185

Medicare Choices .................................................... 89, 90
Active Projects Report—2004 Edition 191

Topical Index

Indices

Medicare Current Benefi ciary Survey 

(MCBS) ..................................... 6, 7, 10, 155, 157, 161,

168, 173, 174, 183, 184

Medicare Health Outcomes Survey ...................... 32, 171

Medicare Health Survey ............................................... 97

Mental health .......................... 5, 11, 22, 32, 87, 149, 169

Mental illness ............................................ 20, 22, 54, 166

Mexico .......................................... 18, 29, 51, 68, 80, 164

Minimum Data Set (MDS) .......... 106, 122, 123, 124, 168

Minority health ............................................................ 165

Monitoring ........................... 1, 7, 11, 106, 107, 109, 110, 

115, 118, 119, 122, 126, 137, 141, 

146, 147, 157, 158, 170, 173, 174

N

National health accounts ............................................. 172

National Medicare Education Program 

(NMEP) ................................................................ 7, 8, 9

Nursing ............................... 5, 8, 9, 11, 21, 24, 25, 38, 56,

57, 58, 59, 60, 61, 62, 63, 64, 65, 

90, 94, 96, 104, 105, 115, 118, 120, 

121, 122, 123, 124, 141, 150, 163, 

164, 166, 167, 168, 172, 181

Nursing facilities ..... 11, 57, 58, 62, 63, 65, 104, 105, 124

Nutrition .........................................74, 111, 126, 132, 139

O

Offi ce of Personnel Management (OPM) ....................... 5

Online Survey Certifi cation and Reporting 

System (OSCAR) ..................................................... 122

Outcome and Assessment Information Set 

(OASIS) ................................................ 6, 104, 116, 122

Outcome measures .................................. 63, 96, 116, 140

Outpatient (see also Ambulatory care) ............. 5, 11, 14,

25, 86, 104, 111, 118, 157, 170, 171

Outpatient rehabilitation ......................................... 5, 104

P

Parity ................................................................... 5, 18, 44

Payment ........................ ........................ 1, 5, 6, 11, 17, 18, 20, 23, 24, 25,

56, 63, 66, 67, 68, 69, 70, 71, 72, 73, 

87, 88, 89, 90, 94, 95, 97, 98, 99, 

100, 103, 104, 105, 106, 107, 108, 

109, 110, 111, 114, 117, 123, 131, 

133, 135, 137, 138, 141, 142, 146, 

147, 157, 158, 168, 170, 172, 

173, 174, 181, 182

Payment system .......................... 5, 73, 95, 104, 105, 106

Peer review organizations (PRO) ................................ 118

Performance measurement .................................... .................................... 45, 131

Pneumonia ....................................................115, 117, 118

Post-acute care .................. 5, 89, 104, 105, 106, 110, 123

Practice expense ............................................ 89, 107, 108

Preferred provider organization (PPO) .................. 91, 92,

93, 94, 95

Pregnant women ................................ 17, 20, 27, 142, 153

Prenatal care ................................................................ 153

Prescription drugs .............................. 112, 155, 158, 172,

173, 174, 183, 184

Prevention .......................... 118, 131, 133, 139, 140, 151,

152, 153, 164, 165, 166, 167, 180

Program for All-Inclusive Care for the 

Elderly (PACE) ........................ 25, 95, 96, 97, 100, 182

Prospective payment .................................... .................................... 1, 5, 89, 104, 

105, 106, 123, 170

Prostate cancer .................................................... .................................................... 165, 166

Publication .................................................. 158, 171, 187

Purchasing ................................. 17, 88, 89, 108, 131, 149

Q

Quality assurance ............................. 40, 64, 96, 116, 127, 

128, 129, 130, 171

Quality improvement .................... ....................5, 32, 45, 96, 115, 116,

122, 126, 127, 131, 161, 171

Quality improvement organization .....................116, 117,

118, 123, 131, 189

Quality of care .................... 3, 8, 9, 10, 11, 20, 22, 24, 45,

99, 115, 116, 117, 119, 121, 122, 

124, 131, 133, 134, 135, 136, 

137, 138, 147, 168, 172

Quality of life ....................... 10, 17, 63, 83, 84, 103, 122,

126, 133, 140, 147, 151, 161, 

162, 168

Quality of service .................................................. 25, 109

R

Racial and Ethnic Adult Disparities in 

Immunization Initiative ............................................ 153

Ratebook ..................................................................... ..................................................................... 100

Real Choice .............................. 30, 32, 34, 38, 40, 43, 45,

46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 

57, 58, 62, 63, 65, 127

Rehabilitation ........... 5, 21, 37, 46, 78, 82, 104, 106, 116,

124, 125, 126, 147, 155, 183, 184

Rehabilitation facilities ....................................... 106, 116
192 Active Projects Report—2004 Edition

Topical Index

Indices

Report to Congress ........................11, 90, 97, 98, 99, 111, 

137, 139, 180

Risk adjustment ............................ ............................ 13, 96, 97, 98, 99, 100,

116, 131, 168

S

Skilled nursing facilities (SNFs) ......................... 104, 105

State Children’s Health Insurance Program 

(SCHIP) ....................... 1, 11, 13, 15, 16, 17, 18, 21, 66, 

67, 68, 68, 68, 69, 70, 86, 87, 90, 

97, 98, 99, 112, 137, 149, 150, 

151, 163, 164, 180

State Medicaid Reform Demonstrations ....................... 22

Substance abuse .................. 5, 20, 21, 22, 28, 29, 36, 129

Survey and certifi cation ...................................... 119, 120

Systems Change Grants for Community Living .......... 30,

32, 34, 39, 40, 43, 45, 46, 

47, 54, 56, 57, 58, 65, 127

T

Technology .............85, 103, 115, 118, 124, 140, 141, 172

Telemedicine ................................................. 89, 140, 161

Ticket-to-Work and Work Incentives 

Improvement Act (TWWIIA) ............ 84, 115, 126, 183

Two-parent families ................................................ 27, 28

U

Uninsured ................................. ................................. 11, 14, 15, 16, 17, 18, 19, 

20, 22, 87, 115, 148, 162, 

165, 169, 175, 177

Utilization .............................. 1, 3, 5, 6, 9, 10, 11, 23, 24,

45, 46, 86, 96, 99, 103, 104, 105, 

107, 108, 111, 112, 115, 117, 118, 

125, 142, 151, 152, 153, 156, 158, 

159, 161, 163, 164, 168, 169, 170, 

171, 173, 182

V

Vision ........................................................ 6, 39, 112, 126

Vulnerable populations ....................... 1, 8, 9, 85, 89, 149

W

Waiver programs ..................................................... 10, 64
Active Projects Report—2004 Edition 193

Alphabetical Index of Research 

and Demonstration Projects

Indices

Access Health: A Three-Share Model—I 

Community Health and Coverage Project

95-C-91721/05 .............................................................. 87

Actuarial Assessment of PACE Enrollment 

Characteristics in Developing Capitated 

Payments

500-95-0061/09 ............................................................. 95

Actuarial Research Contract—Part II 

(Special Modeling Activity)

500-03-0021 ................................................................ 169

ADA and Quality Initiatives

500-00-0021/01 ............................................................. 64

ADP Services Supporting Research and 

Demonstration Activities—Jing Xing

500-96-0026 ................................................................ 174

ADP Services Supporting Research, 

Analysis and Demonstration Activities—

Base Contract

500-02-0006 ................................................................ 174

Aging and Disability Resource Center Grant

11-C-91930/03-01 ......................................................... 32

Aging and Disability Resource Center Grant

11-C-91933/01-01 ......................................................... 32

Aging and Disability Resource Center Grant

11-C-91934/01-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91939/01-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91940/05-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91942/03-01 ......................................................... 30

Aging and Disability Resource Center Grant

11-C-91944/08-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91945/02-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91949/03-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91950/04-01 ......................................................... 32

Aging and Disability Resource Center Grant

11-C-91953/01-01 ......................................................... 30

Aging and Disability Resource Center Grant

11-C-91959/06-01 ......................................................... 30

Aging in Place: A New Model for 

Long-Term Care

18-C-91036/07 ............................................................ 150

Airway Clearance for Prevention of Chronic 

Obstructive Pulmonary Disease (COPD) 

Exacerbations

18-P-91858/03-01 ....................................................... 133

American Indian/Alaska Native (AI/AN) 

Eligibility and Enrollment in Medicaid, the 

State Children’s Health Insurance (SCHIP), 

and Medicare

500-00-0037/05 ........................................................... 150

Analysis of Large Data Sets Task Order 

Contract—Acumen

500-01-0031 ................................................................ 175

Analysis of Large Data Sets Task Order 

Contract—ANASYS

500-01-0037 ................................................................ 175

Analysis of Large Data Sets Task Order 

Contract—ARC

500-01-0033 ................................................................ 175

Analysis of Large Data Sets Task Order 

Contract—Econometrica

500-01-0039 ................................................................ 176

Analysis of Large Data Sets Task Order 

Contract—JEN

500-01-0035 ................................................................ 176

Analysis of Large Data Sets Task Order 

Contract—Jing Xing

500-01-0040 ................................................................ 176

Alphabetical Index of Research and 

Demonstration Projects
194 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

Analysis of Large Data Sets Task Order 

Contract—Klemm

500-01-0038 ................................................................ 176

Analysis of Large Data Sets Task Order 

Contract—McDonald

500-01-0034 ................................................................ 176

Analysis of Large Data Sets Task Order 

Contract—QRS

500-01-0036 ................................................................ 176

Analysis of Medicare Current Benefi ciary 

Survey (MCBS) Data: Phase III

500-00-0024/03 ........................................................... 173

Annual Production

500-00-0059/02 ........................................................... 188

Arizona Health Care Cost Containment 

System

11-W-00032/09 ............................................................. 13

Arizona Welfare Reform: Employing 

and Moving People Off Welfare and 

Encouraging Responsibility Program 

(EMPOWER)

11-W-00058/09 ............................................................. 27

Arkansas 1115

11-W-00116/06 ............................................................. 13

Arkansas TEFRA-like Demonstration

11-W-00163/06 ............................................................. 14

ARKids B

11-W-00115/06 ............................................................. 14

Assertive Community Treatment (ACT) 

and Other Community-Based Services for 

Persons with Mental Illness or Persons with 

Co-Occurring Mental Illness and Substance 

Abuse Disorders

500-00-0051/02 ............................................................. 20

Assessing the Impact of Requiring Parity for 

Mental Health

HCFA-IA-00-100 ............................................................ 5

Assessment of Medicare & You Education 

Program

500-00-0037/03 ............................................................... 8

Assessment of State Database Capacity and 

Development of Prototype Performance 

Monitoring System

18-C-91507/00 ............................................................ 126

Assessment, Refi nement, and Analysis of 

the Existing Prospective Payment System 

for Skilled Nursing Facilities

500-00-0025/02 ........................................................... 105

Asthma Champion Initiative

18-C-91370/05-02 ......................................................... 87

Benefi ciary Knowledge: Questionaire Item 

Development and Cognitive Testing Using 

Item Response Theory

500-00-0024/02a ............................................................. 7

Better Chance Welfare Reform Project, A

11-W-00056/03 ............................................................. 28

Cancer Prevention and Treatment 

Demonstration for Ethnic and Racial 

Minorities Project

500-00-0031/01 ........................................................... 151

Cancer Prevention for Post-Reproductive 

Age Hispanic Women Along the 

U.S.-Mexico Border

25-P-91768/09-01 ....................................................... 164

Caregiving from the Care Recipient 

Perspective: Infl uence of Caregiving on 

Health and Use of Health Services

30-P-91709/03-01 ....................................................... 169

Cash and Counseling Demonstration: 

Florida

11-W-00117/04 ............................................................. 65

Church-Based Educational Intervention 

Program on Prostate Cancer Screening for 

African American Males, A

20-P-91879/04-01 ....................................................... 166

Clinical and Economic Effectiveness 

of a Technology-Driven Heart Failure 

Monitoring System

18-C-91172/03 ............................................................ 118

Collection and Analysis of Information 

and Analysis of State and Federal Policies 

Concerning the Use of Annuities To Shelter 

Assets in State Medicaid Programs

500-00-0053/02 ............................................................. 12
Active Projects Report—2004 Edition 195

Alphabetical Index of Research 

and Demonstration Projects

Indices

Community Health Advocate Program

18-C-91140/01 .............................................................. 85

Community Nursing Organization 

Demonstrations: Final Report to Congress

500-95-0062/10 ............................................................. 90

Community-Based Treatment Alternatives 

for Children

11-P-92008/04-01 ......................................................... 33

Community-Based Treatment Alternatives 

for Children

11-P-92030/05-01 ......................................................... 33

Community-Based Treatment Alternatives 

for Children

11-P-92104/01-01 ......................................................... 33

Community-Based Treatment Alternatives 

for Children

18-P-92001/03-01 ......................................................... 33

Community-Based Treatment Alternatives 

for Children

18-P-92003/06-01 ......................................................... 34

Community-Based Treatment Alternatives 

for Children

18-P-92043/07-01 ......................................................... 33

Community-Integrated Personal Assistance 

Services and Supports

11-P-91619/09-01 ......................................................... 35

Community-Integrated Personal Assistance 

Services and Supports

11-P-92005/01-01 ......................................................... 35

Community-Integrated Personal Assistance 

Services and Supports

11-P-92029/03-01 ......................................................... 38

Community-Integrated Personal Assistance 

Services and Supports

11-P-92058/01-01 ......................................................... 36

Community-Integrated Personal Assistance 

Services and Supports

11-P-92065/09 ............................................................... 34

Community-Integrated Personal Assistance 

Services and Supports

11-P-92081/07-01 ......................................................... 36

Community-Integrated Personal Assistance 

Services and Supports

11-P-92099/06-01 ......................................................... 35

Community-Integrated Personal Assistance 

Services and Supports

11-P-92100/06-01 ......................................................... 38

Community-Integrated Personal Assistance 

Services and Supports

11-P-92140/00-01 ......................................................... 37

Community-Integrated Personal Assistance 

Services and Supports

18-P-91519/01............................................................... 37

Community-Integrated Personal Assistance 

Services and Supports

18-P-91538/04-01 ......................................................... 37

Community-Integrated Personal Assistance 

Services and Supports

18-P-91546/05............................................................... 36

Community-Integrated Personal Assistance 

Services and Supports

18-P-91563/07-01 ......................................................... 35

Community-Integrated Personal Assistance 

Services and Supports

18-P-91567/06............................................................... 34

Community-Integrated Personal Assistance 

Services and Supports

18-P-91570/09............................................................... 37

Community-Integrated Personal Assistance 

Services and Supports

18-P-91613/01............................................................... 37

Community-Integrated Personal Assistance 

Services and Supports

18-P-91622/03-01 ......................................................... 38

Community-Integrated Personal Assistance 

Services and Supports

18-P-91630/08-01 ......................................................... 34

Community-Integrated Personal Assistance 

Services and Supports

18-P-91634/05............................................................... 36

Community-Integrated Personal Assistance 

Services and Supports

18-P-91647/00............................................................... 35
196 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

Community-Integrated Personal Assistance 

Services and Supports

18-P-91654/05-01 ......................................................... 35

Community-Integrated Personal Assistance 

Services and Supports

18-P-91657/08............................................................... 36

Community-Integrated Personal Assistance 

Services and Supports

18-P-91658/06............................................................... 37

Community-Integrated Personal Assistance 

Services and Supports

18-P-91662/00............................................................... 34

Community-Integrated Personal Assistance 

Services and Supports

18-P-91668/04-01 ......................................................... 36

Comprehensive Model of Practical and 

Emotional Support Service, A

18-P-91860/09-01 ....................................................... 147

Construction of Analytic Files for Study of 

the Cardiac Rehabilitation Benefi t Among 

Medicare Benefi ciaries

500-02-0006/01 ........................................................... 124

Consumer Directed Durable Medical 

Equipment Demonstration for Benefi ciaries 

With Disabilities

95-C-90921/01 ............................................................ 148

Consumer Directed Durable Medical 

Equipment Demonstration for People With 

Physical Disabilities

95-C-90917/01 ............................................................ 148

Consumer Directed Durable Medical 

Equipment Demonstration Project

95-C-90922/06 ............................................................ 148

Consumer Driven Durable Medical 

Equipment Acquisition Program

95-C-90916/03 ............................................................ 149

Convert CMS Research Results to 

Consistent Standardized Architecture To 

Support Web-Based Dissemination (With 

Two Options)

500-00-0059/04 ........................................................... 187

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Arizona

95-C-91318/09 ............................................................ 133

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Baltimore, Maryland

95-C-91348/03 ............................................................ 133

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Florida

95-C-91325/03 ............................................................ 134

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Houston, Texas

95-C-91351/05 ............................................................ 134

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Iowa

95-C-91340/07 ............................................................ 134

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Mahomet, Illinois

95-C-91315/05 ............................................................ 134

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Maine

95-C-91314/01 ............................................................ 135

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Missouri

95-C-91345/01 ............................................................ 135

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—New York, NY

95-C-91357/02 ............................................................ 135

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Northern California

95-C-91352/02 ............................................................ 135

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Pennsylvania

95-C-91360/03 ............................................................ 136
Active Projects Report—2004 Edition 197

Alphabetical Index of Research 

and Demonstration Projects

Indices

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Richmond, Virginia

95-C-91319/03 ............................................................ 136

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—South Dakota

95-C-91362/08 ............................................................ 136

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—University of Maryland

95-C-91349/03 ............................................................ 136

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Washington, DC

95-C-91367/03 ............................................................ 137

Data Collection for Second Generation 

S/HMO

500-96-0005/02 ............................................................. 99

Data from National Rx Audit Databases—II

HCFA-01-0176 ........................................................... 159

Daycare, Respite Care, Emergency Services, 

and Social Services to HIV-Infected 

Children

18-P-91854/04-01 ....................................................... 154

Demonstration of HHA Settlement for Dual 

Eligibles

95-W-00084/02 ............................................................. 26

Demonstration of HHA Settlement for Dual 

Eligibles

95-W-00085/01 ............................................................. 26

Demonstration of HHA Settlement for Dual 

Eligibles

95-W-00086/01 ............................................................. 26

Demonstration To Improve Direct Service 

Community Workforce

11-P-92187/01-01 ......................................................... 29

Demonstration To Improve Direct Service 

Community Workforce

11-P-92189/06-01 ......................................................... 29

Demonstration To Improve Direct Service 

Community Workforce

95-P-92168/03-01 ......................................................... 29

Demonstration To Improve Direct Service 

Community Workforce

95-P-92214/04-01 ......................................................... 29

Demonstration To Improve Direct Service 

Community Workforce

95-P-92225/03-01 ......................................................... 30

Design and Conduct of Survey Task Order 

Contracts—Abt

500-01-0021 ................................................................ 177

Design and Conduct of Survey Task Order 

Contracts—AIR

500-01-0023 ................................................................ 177

Design and Conduct of Survey Task Order 

Contracts—Analytical Science

500-01-0029 ................................................................ 177

Design and Conduct of Survey Task Order 

Contracts—ANASYS

500-01-0026 ................................................................ 177

Design and Conduct of Survey Task Order 

Contracts—Gallup

500-01-0022 ................................................................ 177

Design and Conduct of Survey Task Order 

Contracts—Hope

500-01-0017 ................................................................ 178

Design and Conduct of Survey Task Order 

Contracts—Jing Xing

500-01-0028 ................................................................ 178

Design and Conduct of Survey Task Order 

Contracts—MPR

500-01-0025 ................................................................ 178

Design and Conduct of Survey Task Order 

Contracts—NORC

500-01-0019 ................................................................ 178

Design and Conduct of Survey Task Order 

Contracts—RAND

500-01-0024 ................................................................ 178

Design and Conduct of Survey Task Order 

Contracts—RTI

500-01-0018 ................................................................ 178

Design and Conduct of Survey Task Order 

Contracts—Westat

500-01-0020 ................................................................ 179
198 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

Design and Implementation of a Targeted 

Benefi ciary Survey on Access to Physician 

Services Among Medicare Benefi ciaries

500-01-0025/01 ............................................................... 2

Design and Implementation of Medicare 

Home Health Quality Assurance 

Demonstration

500-94-0054 ................................................................ 116

Design of Evaluation Options of the 

Systems Change Grants

500-00-0044/03 ............................................................. 38

Design, Development, Implementation, 

Monitoring, and Refi nement of a 

Prospective Payment System for Inpatient 

Rehabilitation

500-95-0056/08 ........................................................... 106

Develop, Conduct, and Analyze Surveys 

of Providers That Work With Quality 

Improvement Organizations (QIO)

500-01-0020/01 ........................................................... 118

Developing and Evaluating the Use of a 

Quality Indicator Format in the End Stage 

Renal Disease Survey Process

500-96-0005/04 ........................................................... 119

Development and Cognitive Testing of 

Questions Relating to Prescription Drug 

Discount Cards

500-00-0024/02b ......................................................... 155

Development and Evaluation of Medical 

Intervention for Early Childhood Caries

11-P-91251/04-03 ......................................................... 86

Development and Production of the 

Medicare Quality Monitoring System

500-95-0058/16 ........................................................... 115

Development and Validation of MDS 3.0

500-00-0027/02 ........................................................... 122

Development of a Software Program to 

Support CMS’s Consumer Experience 

Survey (CES)—Home Care Survey Tool

500-00-0050/01 ........................................................... 169

Development of Quality Indicators for 

Inpatient Rehabilitation Facilities

500-00-0024/04 ........................................................... 116

Diabetes Care Across the Life Span for 

Medicaid Benefi ciaries: Gender and Racial 

Differences

500-00-0046/01 ........................................................... 151

Diabetes: Factors Infl uencing Self-Care 

Among African Americans in Rural and 

Urban Populations

20-P-91430/03............................................................. 165

Direct and Indirect Effects of the Changes 

in Home Health Policy and an Analysis of 

the Skill Mix of Medicare Home Health 

Services Before and After the Balanced 

Budget Act of 1997

HCFA-00-0108 ........................................................... 103

Disabled and Special Needs Populations: 

Examining Enrollment, Utilization, and 

Expenditures

500-00-0047/01 ............................................................... 9

Disproportionate Share Hospital (DSH) 

Funds Under Section 1115 Demos

500-00-0044/04 ............................................................. 22

Econometric Forecasting and Economic 

Services—II

500-01-0010 ................................................................ 170

Effectiveness of Insuring Uninsured Latino 

Children Using Community-Based Case 

Managers: A Randomized Trial, The 

25-P-91458/01............................................................. 162

Effects of State Medicaid Policies on 

Elderly Persons/Savings Patterns and 

Long-Term Care

30-P-91716/04-01 ....................................................... 167

End Stage Renal Disease (ESRD) Managed 

Care Demonstration: Health Options

95-C-90692/04 .............................................................. 99

Environmental Factors That Increase the 

Risk of Asthma in Medicaid Recipients

CMS-IA-01-128 ............................................................ 86

Environmental Scan for Selective 

Contracting Practices With Effi cient 

(Qualifi ed) Physicians and Physician 

Group Practices; Profi ling Techniques; 

Incentive Payments and Barriers to Selective 

Contracting

500-00-0030/01 ........................................................... 109
Active Projects Report—2004 Edition 199

Alphabetical Index of Research 

and Demonstration Projects

Indices

Evaluating Health System Performance: 

Access and Quality of Care for Acute 

Cardiac Events in the Rural Medicare 

Population

30-P-91715/05-01 ....................................................... 168

Evaluating the Use of Quality Indicators in 

the Long-Term Care Survey Process

500-96-0010/03 ........................................................... 119

Evaluation of Balanced Budget Act 

(BBA) Impacts on Medicare Delivery and 

Utilization of Inpatient and Outpatient 

Rehabilitation Therapy Services

500-00-0030/02 ............................................................... 5

Evaluation of Competitive Bidding 

Demonstration for DME and POS

500-95-0061/03 ............................................................111

Evaluation of Demonstration To Improve the 

Direct Service Community Workforce

500-00-0051/03 ............................................................. 30

Evaluation of Disease Management 

Demonstration

500-00-0033/03 ........................................................... 137

Evaluation of End Stage Renal Disease 

(ESRD) Disease Management (DM)

500-00-0028/02 ........................................................... 138

Evaluation of Group-Specifi c Volume 

Performance Standards Demonstration

500-95-0048/04 ........................................................... 117

Evaluation of Independent Informal Dispute 

Resolution (IDR) Process

500-97-0440/18 ........................................................... 120

Evaluation of Issues Related to Prospective 

Payment System Under Consolidated 

Bidding for Skilled Nursing Facilities and 

Home Health Agencies

500-96-0026/14 ........................................................... 105

Evaluation of Medicaid Family Planning 

Demonstrations

500-00-0053/03 ............................................................. 20

Evaluation of Physician Group Practice 

Demonstration

500-00-0024/12 ........................................................... 117

Evaluation of Private Fee-for-Service Plans 

in the Medicare+Choice Program

500-00-0032/02 ............................................................... 1

Evaluation of Programs of Coordinated Care 

and Disease Management

500-95-0047/09 ........................................................... 138

Evaluation of Programs of Disease 

Management (Phase I and Phase II)

500-00-0033/02 ........................................................... 139

Evaluation of QMB and SLMB Programs

500-95-0058/08 ............................................................. 10

Evaluation of the Badgercare Medicaid 

Demonstration

500-00-0044/01 ............................................................. 21

Evaluation of the Demonstration To 

Maintain Independence and Employment 

(DMIE) and Other Related Disease-Specifi c 

1115 Waiver Programs

500-00-0046/02 ............................................................. 84

Evaluation of the Development and Early 

Implementation of Health Insurance 

Flexibility and Accountability (HIFA) 

Demonstration Initiative

500-00-0045/01 ............................................................. 16

Evaluation of the Dialysis Facility Compare 

Web Site

500-00-0024/07 ............................................................... 8

Evaluation of the Diamond State Health 

Plan

500-92-0033/04 ............................................................. 21

Evaluation of the Home and 

Community-Based Waiver Program

500-96-0005/03 ............................................................. 10

Evaluation of the Illinois and Wisconsin 

State Pharmacy Assistance Programs

500-00-0031/02 ........................................................... 156

Evaluation of the Impact on Benefi ciaries of 

the Medicare+Choice Lock-in Provision

500-00-0037/04 ............................................................... 1
200 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

Evaluation of the Informatics, Telemedicine, 

and Education Demonstration

500-95-0055/05 ........................................................... 140

Evaluation of the M+C Alternative Payment 

Demonstration

500-95-0057/06b ........................................................... 90

Evaluation of the Medical Savings Account 

Demonstration

500-95-0057/06 ........................................................... 100

Evaluation of the Medicare Health 

Outcomes Survey Program, An

500-99-MD02 ............................................................... 32

Evaluation of the Medicare Preferred 

Provider Organization (PPO) Demonstration

500-00-0024/05 ............................................................. 91

Evaluation of the New Jersey Hospital 

Association Demonstration of Performance 

Based Incentives: Part 2.

500-00-0024/15 ........................................................... 110

Evaluation of the New York Medicare 

Graduate Medical Education Payment 

Demonstration and Related Provisions

500-95-0058/10 ........................................................... 114

Evaluation of the Ohio Behavioral Health 

Program

500-95-0048/05 ............................................................. 16

Evaluation of the Program of All-Inclusive 

Care for the Elderly (PACE) as a Permanent 

Program and of a For-Profi t Demonstration

500-00-0033/01 ............................................................. 96

Evaluation of the State Child Health 

Insurance Program

500-96-0016/03 ............................................................. 11

Evaluation of the State Medicaid Reform 

Demonstrations, II

500-95-0040 .................................................................. 22

Evaluation of the Use of Bedside 

Technology To Improve Quality of Care in 

Nursing Facilities

500-00-0024/10 ........................................................... 124

Evaluation of Wheel Chair Purchasing in 

the Consumer-Directed Durable Medical 

Equipment (CD-DME) Demonstration and 

Other Fee-for-Service and Managed Care 

Settings

500-00-0032/06 ........................................................... 149

Examining Long-Term Care Episodes and 

Care History for Medicare Benefi ciaries

500-00-0025/03 ............................................................... 4

Expanding Capacity for the Medical Care 

for Children Partnership

18-P-91859/03-01 ......................................................... 74

Expansion of Special Policy Analysis Model 

(SPAM)—II

500-97-0003 ................................................................ 170

Family-to-Family Health Care Information 

and Education Centers

95-P-92020/08-01 ......................................................... 39

Family-to-Family Health Care Information 

and Education Centers

95-P-92038/03-01 ......................................................... 40

Family-to-Family Health Care Information 

and Education Centers

95-P-92042/02-01 ......................................................... 40

Family-to-Family Health Care Information 

and Education Centers

95-P-92056/05-01 ......................................................... 40

Family-to-Family Health Care Information 

and Education Centers

95-P-92063/08-01 ......................................................... 39

Family-to-Family Health Care Information 

and Education Centers

95-P-92093/05-01 ......................................................... 39

Family-to-Family Health Care Information 

and Education Centers

95-P-92108/08-01 ......................................................... 40

Family-to-Family Health Care Information 

and Education Centers

95-P-92112/07-01 ......................................................... 40

Family-to-Family Health Care Information 

and Education Centers

95-P-92139/00-01 ......................................................... 39
Active Projects Report—2004 Edition 201

Alphabetical Index of Research 

and Demonstration Projects

Indices

5 Year Review of Malpractice Relative 

Value Units

500-00-0017/01 ........................................................... 108

HCFA On-Line: Market Research for 

Benefi ciaries—I

500-95-0057/02 ............................................................... 6

HCFA On-Line: Market Research for 

Benefi ciaries—II

500-95-0057/07 ............................................................... 7

Health Disparities: Longitudinal Study 

of Ischemic Heart Disease Among Aged 

Medicare Benefi ciaries

500-95-0058/12 ........................................................... 152

Health Disparities: Measuring Health 

Care Use and Access for Racial/Ethnic 

Populations

500-00-0024/08 ........................................................... 152

Health Loop Information Project

18-C-91171/04 .............................................................. 85

Healthy Aging: Senior Risk Reduction 

Demonstration

500-00-0034/01 ........................................................... 132

Healthy Aging/Smoking Cessation

500-98-0281 ................................................................ 131

Heart Failure Home Care

18-C-91509/03 ............................................................ 141

Heart Failure Home Care

18-C-91509/03-02 ....................................................... 141

HIV Prevention Intervention for Homeless 

Mentally Ill African American Adult Males, 

An

20-P-91751/04-01 ....................................................... 166

Home Health Data Link

HCFA-00-1157 ................................................................ 5

Hospital Cost Monitoring

500-97-0001 ................................................................ 170

Identifi cation of Risk Factors, Barriers, and 

Severity for Emergency Room Asthma in 

Puerto Rico

25-P-91151/02 ............................................................. 162

Impact of Advanced Illness Coordinated 

Care (AICC) Nurse Practitioner, The 

18-P-91853/03-01 ....................................................... 142

Impact of Alternative Low Vision 

Intervention on Quality, The 

18-P-91372/03............................................................. 126

Impact of Nonresponse of MCBS Estimates

500-01-0027/01 ........................................................... 187

Impact of Prescription Drug Coverage on 

Medicare Program Expenditures: A Case 

Study of the Evaluation of the United Mine 

Workers (UMW) Demonstration, The 

500-00-0032/04 ........................................................... 155

Implementation of NMEP Evaluation 

Studies/Surveys

500-01-0020/03 ............................................................... 9

Implementation of Quality Improvement 

Organization Sixth Scope of Work 

Pneumococcal Pneumonia and Infl uenza 

Immunization Remeasurement Survey

500-95-0062/11 ........................................................... 117

Implementation of the Medicare Managed 

Care Version of the Consumer Assessment 

of Health Plans (MMC-CAHPS) Survey

500-95-0061/05 ............................................................... 3

Implementation of the Medicare Managed 

Care Version of the Consumer Assessment 

of Health Plans (MMC-CAHPS) Survey

500-01-0018/01 ............................................................... 3

Implementation of the Medicare Managed 

Care Version of the Consumer Assessment 

of Health Plans (MMC-CAHPS) Survey

500-95-0057/04 ............................................................... 3

Implementation of the Medicare Managed 

Care Version of the Consumer Assessment 

of Health Plans (MMC-CAHPS) Survey 

500-01-0020/02 ............................................................... 2

Implementation of the READII Survey

500-00-0032/05 ........................................................... 152

Implementation Support for the Medicare 

Coordinated Care Demonstration

HCFA-00-1223 ........................................................... 137
202 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

Implementation Support for the Medicare 

Participating Centers of Excellence 

Demonstration

500-00-0037/02 ........................................................... 109

Implementing Culturally and Linguistically 

Competent Assessment

25-P-91772/08-01 ....................................................... 164

Implementing the HEDIS Medicare Health 

Outcomes Survey

500-00-0055 ................................................................ 171

Improving Diabetes Outcomes Using the 

Care Model in an Urban Network

18-P-91850/05-01 ....................................................... 142

Improving Health Care, Child Care, 

Nutrition, and Income for Massachusetts

18-P-91849/01-01 ......................................................... 74

Improving Medication Safety in Outpatients 

Through Improved Packaging

18-C-91678/05 ............................................................ 125

Improving Nursing Home Enforcement

500-00-0035/02 ........................................................... 120

Improving Nursing Home Enforcement—

Phase 2

500-00-0026/03 ........................................................... 120

Improving Protocols for Home Health 

Agency Assessment in the Survey Process

500-00-0026/01 ........................................................... 122

Improving the Accurancy and Consistency 

of the Nursing Home Survey Project

500-00-0032/07 ........................................................... 121

Increasing Access to Health Care for Bucks 

County Residents

18-C-91506/03-02 ....................................................... 149

Increasing Access to Health Care for Bucks 

County Residents

18-P-91506/03............................................................. 149

Increasing Mammography Screening Among 

African American Females in Rural Areas: 

An Educational Intervention Program

20-P-91423/04............................................................. 164

Independence Plus Initiative

18-P-92019/08-01 ......................................................... 41

Independence Plus Initiative

18-P-92047/08-01 ......................................................... 42

Independence Plus Initiative

18-P-92054/05-01 ......................................................... 42

Independence Plus Initiative

18-P-92062/07-01 ......................................................... 42

Independence Plus Initiative

18-P-92066/01-01 ......................................................... 42

Independence Plus Initiative

18-P-92069/00-01 ......................................................... 41

Independence Plus Initiative

18-P-92071/06-01 ......................................................... 41

Independence Plus Initiative

18-P-92079/01-01 ......................................................... 41

Independence Plus Initiative

18-P-92088/04-01 ......................................................... 41

Independence Plus Initiative

18-P-92116/05-01 ......................................................... 42

Independence Plus Initiative

18-P-92119/01-01 ......................................................... 42

Independence Plus Initiative

18-P-92126/04-01 ......................................................... 41

Informatics for Diabetes Education and 

Telemedicine (IDEATel) Demonstration

95-C-90998/02 ............................................................ 140

Innovations in Health Care

18-C-91677/04 ............................................................ 139

Innovative Management of Dental Decay 

for Young Children Enrolled in Medicaid 

and/or the State Children’s Health Insurance 

Program (SCHIP)

11-P-91256/09-02 ......................................................... 86

Institute for End-of-Life Care

18-P-91855/08-01 ......................................................... 75

Integrated Chronic Disease Quality 

Performance Measurement at the Physician 

Level

500-00-0035/01 ........................................................... 131

Integrated Payment Option Support Contract

500-00-0024/06 ........................................................... 110
Active Projects Report—2004 Edition 203

Alphabetical Index of Research 

and Demonstration Projects

Indices

International Comparative Data and 

Analysis of Health Care Financing and 

Delivery Systems—II

500-00-0010 ................................................................ 171

Investigation of Increasing Rates of 

Hospitalization for Ambulatory Care 

Sensitive Conditions Among Medicare 

Benefi ciaries

500-00-0024/09 ............................................................... 6

Iowa Prescription Drug Cooperative

18-C-91369/07-02 ....................................................... 158

Latino Health Care Collaborative (LHCC)

25-P-91914/03-01 ....................................................... 163

Longitudinal Study of Health Coverage 

Transitions Between the Years of 59 and 

67; The Risk of Being Uninsured and 

Underinsured, A

30-P-91700/02-01 ....................................................... 169

Maine 1115 HIV/AIDS

11-W-00128/01 ............................................................. 16

Maintain Independence and Employment 

Demonstration—District of Columbia

11-P-91421/03 ............................................................... 82

Maintain Independence and Employment 

Demonstration—Mississippi

11-P-91175/04 ............................................................... 83

Maintain Independence and Employment 

Demonstration—Rhode Island

11-P-91174/01 ............................................................... 83

Maintain Independence and Employment 

Demonstration—Texas

11-P-91420/06 ............................................................... 83

Maintain Independence and Employment 

Program—Infrastructure Grant—Alabama

11-P-91224/04 ............................................................... 76

Maintain Independence and Employment 

Program—Infrastructure Grant—Alaska

11-P-91230/00 ............................................................... 76

Maintain Independence and Employment 

Program—Infrastructure Grant—California

11-P-91494/09 ............................................................... 76

Maintain Independence and Employment 

Program—Infrastructure Grant—

Connecticut

11-P-91231/01 ............................................................... 76

Maintain Independence and Employment 

Program—Infrastructure Grant—Delaware

11-P-91482/03 ............................................................... 77

Maintain Independence and Employment 

Program—Infrastructure Grant—District of 

Columbia

11-P-91241/03 ............................................................... 77

Maintain Independence and Employment 

Program—Infrastructure Grant—Georgia

11-P-91240/04 ............................................................... 77

Maintain Independence and Employment 

Program—Infrastructure Grant—Idaho

11-P-91235/00 ............................................................... 77

Maintain Independence and Employment 

Program—Infrastructure Grant—Illinois

11-P-91238/05 ............................................................... 77

Maintain Independence and Employment 

Program—Infrastructure Grant—Illinois

11-P-91484/05 ............................................................... 78

Maintain Independence and Employment 

Program—Infrastructure Grant—Iowa

11-P-91491/07 ............................................................... 77

Maintain Independence and Employment 

Program—Infrastructure Grant—Kansas

11-P-91226/07 ............................................................... 78

Maintain Independence and Employment 

Program—Infrastructure Grant—Louisiana

11-P-91487/06 ............................................................... 78

Maintain Independence and Employment 

Program—Infrastructure Grant—Maine

11-P-91223/01 ............................................................... 78

Maintain Independence and Employment 

Program—Infrastructure Grant—Minnesota

11-P-91228/05 ............................................................... 78

Maintain Independence and Employment 

Program—Infrastructure Grant—Mississippi

11-P-91782 .................................................................... 78
204 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

Maintain Independence and Employment 

Program—Infrastructure Grant—Missouri

11-P-91489/07 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—Nebraska

11-P-91220/07 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—Nebraska

11-P-91480/07 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—Nevada

11-P-91233/09 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—New 

Hampshire

11-P-91216/01 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—New 

Jersey

11-P-91218/02 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—New 

Mexico

11-P-91221/06 ............................................................... 80

Maintain Independence and Employment 

Program—Infrastructure Grant—New York

11-P-91490/02 ............................................................... 80

Maintain Independence and Employment 

Program—Infrastructure Grant—North 

Dakota

11-P-91493/08 ............................................................... 80

Maintain Independence and Employment 

Program—Infrastructure Grant—Oklahoma

11-P-91477/06 ............................................................... 80

Maintain Independence and Employment 

Program—Infrastructure Grant—Oregon

11-P-91219/00 ............................................................... 80

Maintain Independence and Employment 

Program—Infrastructure Grant—

Pennsylvania

11-P-91483/03 ............................................................... 80

Maintain Independence and Employment 

Program—Infrastructure Grant—Rhode 

Island

11-P-91229/01 ............................................................... 81

Maintain Independence and Employment 

Program—Infrastructure Grant—South 

Dakota

11-P-91485/08 ............................................................... 81

Maintain Independence and Employment 

Program—Infrastructure Grant—Texas

11-P-91488/07 ............................................................... 81

Maintain Independence and Employment 

Program—Infrastructure Grant—Utah

11-P-91217/08 ............................................................... 81

Maintain Independence and Employment 

Program—Infrastructure Grant—Vermont

11-P-91237/01 ............................................................... 81

Maintain Independence and Employment 

Program—Infrastructure Grant—Virginia

11-P-91478/03 ............................................................... 81

Maintain Independence and Employment 

Program—Infrastructure Grant—

Washington

11-P-91232/00 ............................................................... 82

Maintain Independence and Employment 

Program—Infrastructure Grant—West 

Virginia

11-P-91215/03 ............................................................... 82

Maintain Independence and Employment 

Program—Infrastructure Grant—Wisconsin

11-P-91227/05 ............................................................... 82

Maintain Independence and Employment 

Program—Infrastructure Grant—Wyoming

11-P-91492/08 ............................................................... 82

Managing Medical Care for Nursing Home 

Residents (EverCare)

95-C-90174 ................................................................... 25

Market Area Selection Criteria and Data 

Development for Medicare Fee-for-Service 

Reform

500-00-0022/01 ........................................................... 171

Massachusetts Welfare Reform, 1995

11-W-00065/01 ............................................................. 27
Active Projects Report—2004 Edition 205

Alphabetical Index of Research 

and Demonstration Projects

Indices

Master Drug Data Base—III

CMS-02-00126 ........................................................... 156

Mauli Ola (Spirit of Life) Project

18-P-91142/09 ............................................................. 132

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Alabama

95-P-92265/04-01 ......................................................... 67

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Arizona

95-P-92274/09-01 ......................................................... 67

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Arkansas

95-P-92273/06-01 ......................................................... 67

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Delaware

95-P-92264/03-01 ......................................................... 67

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Idaho

95-P-92268/00-01 ......................................................... 67

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Iowa

95-P-92258/07-01 ......................................................... 67

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Louisiana

95-P-91684/06-03 ......................................................... 68

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—

Massachusetts

95-P-92269/01-01 ......................................................... 68

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—New Mexico

95-P-92275/06-01 ......................................................... 68

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—North 

Carolina

95-P-91680/04-03 ......................................................... 68

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—North Dakota

95-P-91686/08-03 ......................................................... 68

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Oklahoma

95-P-91808/06-02 ......................................................... 68

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—San Diego

95-P-92270/08-01 ......................................................... 69

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Texas

95-P-91683/06-03 ......................................................... 69

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Utah

95-P-92261/08-01 ......................................................... 69

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Washington

95-P-91681/00-03 ......................................................... 69

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—West Virginia

95-P-92266/03-01 ......................................................... 69

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Wyoming

95-P-91679/08-03 ......................................................... 69

Medicaid and Medicare Drug Pricing—

Development and Implementation of 

Strategy To Determine Market Prices

500-00-0049/01 ........................................................... 157

Medicaid Buy-In Outcomes Work Incentives 

Systems—TWWIIA

500-00-0047/03 ............................................................. 84

Medicaid Demonstration Project for Los 

Angeles County

11-W-00076/09 ............................................................. 14

Medicaid Payment Accuracy Measurement 

(PAM) Project—California

95-P-92267/09-01 ......................................................... 70

Medicaid Payment Accuracy Measurement 

(PAM) Project—Colorado

95-P-92260/08-01 ......................................................... 70

Medicaid Payment Accuracy Measurement 

(PAM) Project—District of Columbia

95-P-92263/03-01 ......................................................... 70

Medicaid Payment Accuracy Measurement 

(PAM) Project—Florida

95-P-91806/04-02 ......................................................... 70

Medicaid Payment Accuracy Measurement 

(PAM) Project—Indiana

95-P-91804/05-01 ......................................................... 70
206 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

Medicaid Payment Accuracy Measurement 

(PAM) Project—Kentucky

95-P-92259/04-01 ......................................................... 71

Medicaid Payment Accuracy Measurement 

(PAM) Project—Louisiana

95-P-91684/06-02 ......................................................... 71

Medicaid Payment Accuracy Measurement 

(PAM) Project—Minnesota

95-P-91685/05-02 ......................................................... 71

Medicaid Payment Accuracy Measurement 

(PAM) Project—Mississippi

95-P-91682/04-02 ......................................................... 71

Medicaid Payment Accuracy Measurement 

(PAM) Project—Nebraska

95-P-91807/07-01 ......................................................... 71

Medicaid Payment Accuracy Measurement 

(PAM) Project—New York

95-P-91687/02-02 ......................................................... 71

Medicaid Payment Accuracy Measurement 

(PAM) Project—North Carolina

95-P-91680/04-02 ......................................................... 72

Medicaid Payment Accuracy Measurement 

(PAM) Project—North Dakota

95-P-91686/08-02 ......................................................... 72

Medicaid Payment Accuracy Measurement 

(PAM) Project—Oklahoma

95-P-91808/06-01 ......................................................... 72

Medicaid Payment Accuracy Measurement 

(PAM) Project—South Carolina

95-P-92262/04-01 ......................................................... 72

Medicaid Payment Accuracy Measurement 

(PAM) Project—Texas

95-P-91683/06-02 ......................................................... 72

Medicaid Payment Accuracy Measurement 

(PAM) Project—Virginia

95-P-92271/03-01 ......................................................... 73

Medicaid Payment Accuracy Measurement 

(PAM) Project—Washington

95-P-91681/00-02 ......................................................... 73

Medicaid Payment Accuracy Measurement 

(PAM) Project—Wyoming

95-P-91679/08-02 ......................................................... 73

Medicaid Payment Accuracy Measurement 

Project

500-00-0051/01 ............................................................. 73

Medicaid Statistical Information 

System(MSIS) Expansion and Data Quality 

Support

500-00-0047/04 ............................................................. 12

Medicare+Choice Alternative Payment 

(“Phase I”) Demonstration

95-W-00104/09 ............................................................. 95

Medicare+Choice Alternative Payment 

(“Phase I”) Demonstration

95-W-00105/04 ............................................................. 95

Medicare+Choice Alternative Payment 

(“Phase I”) Demonstration

95-W-00107/03 ............................................................. 95

Medicare Case Management Demonstration 

for Congestive Heart Failure (CHF) and 

Diabetes Mellitus (DM)

95-W-00078/06 ........................................................... 141

Medicare Choices Demonstration: 

Verifi cation of Encounter Data

500-95-0050/02 ............................................................. 89

Medicare Current Benefi ciary Survey—III

500-99-0001 ................................................................ 174

Medicare Health Maintenance Organizations 

Withdrawals and Modifi cations

30-P-91703/05-01 ....................................................... 167

Medicare Lifestyle Modifi cation Program 

Demonstration – Continuous Quality 

Monitoring and Review

500-99-IA41 ................................................................ 147

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical 

Institute

95-W-00146/01 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical 

Institute

95-W-00147/03 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical 

Institute

95-W-00148/03 ........................................................... 145
Active Projects Report—2004 Edition 207

Alphabetical Index of Research 

and Demonstration Projects

Indices

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical 

Institute

95-W-00149/10 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical 

Institute

95-W-00150/01 ........................................................... 146

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00131/03 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00132/03 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00133/03 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00134/03 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00135/03 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00136/07 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00137/03 ........................................................... 144

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00138/03 ........................................................... 144

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00139/03 ........................................................... 144

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00140/03 ........................................................... 144

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00141/03 ........................................................... 144

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00142/03 ........................................................... 144

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00143/07 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00144/03 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00145/05 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00151/03 ........................................................... 146

Medicare Lifestyle Modifi cation Program 

Demonstration Continuous Quality 

Monitoring

500-99-MD02/SS05 .................................................... 146

Medicare Lifestyle Modifi cation Program 

Demonstration Evaluation

500-95-0060/02 ........................................................... 146

Medicare Post-Acute Care: Evaluation of 

BBA Payment Policies and Related Changes

500-96-0006/04 ........................................................... 104

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00109/05 ............................................................. 92

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00110/01 ............................................................. 92
208 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00111/05 ............................................................. 92

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00112/04 ............................................................. 94

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00113/07 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00114/07 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00115/03 ............................................................. 94

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00117/02 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00118/09 ............................................................. 91

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00119/09 ............................................................. 92

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00120/02 ............................................................. 94

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00121/04 ............................................................. 94

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00122/02 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00123/04 ............................................................. 92

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00124/02 ............................................................. 94

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00125/05 ............................................................. 92

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00126/09 ............................................................. 91

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00127/09 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00128/06 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00129/05 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00130/03 ............................................................. 94

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

W-95-00116/03 ............................................................. 94

Medication Analysis in Mexican American 

Aged

25-P-91467/06............................................................. 162

Mercy Medical Skilled Nursing Home 

Payment Demonstration

95-W-00083/04 ........................................................... 105

Minnesota Prepaid Medical Assistance 

Project Assistance Plus (PMAP+)

11-W-00039/05 ............................................................. 17

Minnesota Senior Health Options/Minnesota 

Disability Health Options

11-W-00024/05 ............................................................. 23

Missouri Managed Care Plus (MC+)

11-W-00122/07 ............................................................. 17

Model Waiver Evaluation—HIFA

500-00-0045/02 ............................................................. 15

Modeling M+C Standardized Benefi t 

Packages in Local Markets

500-95-0057/06a ......................................................... 100

Money Follows the Person

11-P-92010/05-01 ......................................................... 44

Money Follows the Person

11-P-92023/01-01 ......................................................... 43
Active Projects Report—2004 Edition 209

Alphabetical Index of Research 

and Demonstration Projects

Indices

Money Follows the Person

11-P-92041/00-01 ......................................................... 44

Money Follows the Person

11-P-92044/09-01 ......................................................... 43

Money Follows the Person

11-P-92045/00-01 ......................................................... 43

Money Follows the Person

11-P-92077/09-01 ......................................................... 43

Money Follows the Person

11-P-92115/05-01 ......................................................... 43

Money Follows the Person

11-P-92123/03-01 ......................................................... 44

Montana Welfare Reform: Families 

Achieving Independence in Montana 

(FAIM)

11-W-00040/08 ............................................................. 27

Moving Toward Elimination of Lead 

Poisioning in High-Risk Children

500-96-0012/02 ............................................................. 85

Multistate Dual Eligible Data Base and 

Analysis Development

500-95-0047/03 ............................................................. 25

Multistate Evaluation of Dual Eligibles 

Demonstrations

500-96-0008/03 ............................................................. 24

Municipal Health Services Program: 

Baltimore

95-P-51000/03............................................................. 112

Municipal Health Services Program: 

Cincinnati

95-P-51000/05a ........................................................... 112

Municipal Health Services Program: 

Milwaukee

95-P-51000/05............................................................. 112

Municipal Health Services Program: San 

Jose

95-P-51000/09............................................................. 112

National Drug Data File—III

CMS-02-00137 ........................................................... 156

National Pediatric Care Education Initiative

18-P-91848/05-01 ......................................................... 75

National Resource Center on Home and 

Community-Based Services—Quality Under 

Home and Community-Based Waiver

500-96-0006/02 ............................................................. 44

National State-to-State Technical Assistance 

Program for Community Living

11-P-92015/02-01 ......................................................... 45

National Technical Assistance Exchange for 

Community Living—ILRU

11-P-91554/06 ............................................................... 45

National Technical Assistance Exchange for 

Community Living—Rutgers

11-P-91512/02 ............................................................... 46

Navigating the U.S. Health Care System

250-P-91910/04-01 ..................................................... 163

New Freedom Initiative Research

500-00-0021/02 ............................................................. 63

New Jersey Cash and Counseling 

Demonstration

11-W-00118/02 ............................................................. 66

New Jersey Managed Charity Care

11-W-00120/02 ............................................................. 18

New Mexico Health Care Reform 

Demonstration

11-W-00124/06 ............................................................. 18

New York Cash and Counseling 

Demonstration: “Personal Preference 

Program”

11-W-00119/02 ............................................................. 66

New York Graduate Medical Education 

(GME) Demonstration: Brooklyn Hospital 

Center

95-W-00042/02 ........................................................... 113

New York Graduate Medical Education 

(GME) Demonstration: Lincoln Medical and 

Mental Health Center

95-W-00033/02 ........................................................... 113

New York Graduate Medical Education 

(GME) Demonstration: Metropolitan 

Hospital Center

95-W-00036/02 ........................................................... 113
210 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

New York Graduate Medical Education 

(GME) Demonstration: North Central Bronx 

Hospital Joint Project

95-W-00030/02 ........................................................... 113

New York Graduate Medical Education 

Demonstration (GME): Interfaith Medical 

Center

95-W-00035/02 ........................................................... 113

New York Graduate Medical Education 

Demonstration: Harlem Hospital Center

95-W-00029/02 ........................................................... 113

New York Graduate Medical Education 

Demonstration: Mount Sinai Consortium

95-W-00038/02 ........................................................... 114

Northern New England Vascular Surgery 

Quality Improvement Initiative

18-C-91674/01-02 ....................................................... 125

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91513/05-01 ......................................................... 57

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91528/03-01 ......................................................... 57

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91551/05............................................................... 58

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91580/06............................................................... 58

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91582/09-01 ......................................................... 57

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91626/08-01 ......................................................... 58

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91637/02-01 ......................................................... 58

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91650/04............................................................... 57

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91656/04............................................................... 57

Nursing Facility Transitions, State Program

18-P-91518/00............................................................... 61

Nursing Facility Transitions, State Program

18-P-91520/07-01 ......................................................... 60

Nursing Facility Transitions, State Program

18-P-91524/03............................................................... 60

Nursing Facility Transitions, State Program

18-P-91534/03-01 ......................................................... 59

Nursing Facility Transitions, State Program

18-P-91544/01............................................................... 59

Nursing Facility Transitions, State Program

18-P-91552/04-01 ......................................................... 61

Nursing Facility Transitions, State Program

18-P-91559/02-01 ......................................................... 61

Nursing Facility Transitions, State Program

18-P-91569/04-01 ......................................................... 58

Nursing Facility Transitions, State Program

18-P-91575/08-01 ......................................................... 62

Nursing Facility Transitions, State Program

18-P-91576/06-01 ......................................................... 60

Nursing Facility Transitions, State Program

18-P-91583/06-01 ......................................................... 59

Nursing Facility Transitions, State Program

18-P-91585/00............................................................... 59

Nursing Facility Transitions, State Program

18-P-91591/01............................................................... 60

Nursing Facility Transitions, State Program

18-P-91623/03............................................................... 62

Nursing Facility Transitions, State Program

18-P-91638/04............................................................... 59

Nursing Facility Transitions, State Program

18-P-91639/01............................................................... 61

Nursing Facility Transitions, State Program

18-P-91642/01-01 ......................................................... 61

Nursing Facility Transitions, State Program

18-P-91649/04-01 ......................................................... 61
Active Projects Report—2004 Edition 211

Alphabetical Index of Research 

and Demonstration Projects

Indices

Nursing Facility Transitions, State Program

18-P-91651/08............................................................... 59

Nursing Facility Transitions, State Program

18-P-91655/05............................................................... 60

Nursing Facility Transitions, State Program

18-P-91667/05............................................................... 60

Nursing Facility Transitions, State Program

18-P-91672/05............................................................... 62

Nursing Home Transition 2000 Program 

Grant: Partnership for Community Living

11-P-91208/04 ............................................................... 62

Nursing Home Transition Grant—Arkansas 

Passages

11-P-91210/06 ............................................................... 62

Oakland Enhanced Enterprise Community 

(EEC), Community Building Team (CBT) 

Program

11-W-00072/09 ............................................................. 15

Oklahoma SoonerCare Demonstration

11-W-00048/06 ............................................................. 19

Oregon 1115 Independent Choices

11-W-00130/00 ............................................................. 19

Outcome and Assessment Information Set 

(OASIS) Technical Analysis and Support 

Contract

500-00-0026/02 ........................................................... 122

Partnership Plan, The 

11-W-00114/02 ............................................................. 18

Patterns of Injury in Medicare and Medicaid 

Benefi ciaries

500-95-0060/04 ............................................................... 9

Payment Development, Implementation, 

and Monitoring Support for the Medicare, 

Medicaid, and SCHIP Benefi ts Improvement 

and Protection Act (BIPA) Disease 

Management Demonstrations

500-00-0036/01 ........................................................... 137

Pennsylvania Nursing Home Transition 

Grant 2000

11-P-91191/03 ............................................................... 63

Performance Assessment of Web Sites

500-95-0057/05 ............................................................... 7

Pilot Test and Analysis of the Medicare 

Health Survey for Program for All-Inclusive 

Care for the Elderly (PACE) and EverCare 

(MHSPE)

500-00-0030/03 ............................................................. 97

Practice Expense Methodology

500-95-0059/06 ........................................................... 107

Premier Hospital Quality Incentive 

Demonstration

95-W-00103/04 ........................................................... 116

Preparation of Analytic Data for National, 

State, and Age Accounts Data Analysis

CMS-03-01070 ........................................................... 172

Preparation of Analytic Data for the 

National, State, and Age Health Accounts 

Data Analysis

CMS-01-01137 ............................................................ 172

Prescription Drug Benefi t Questionnaire 

Item Development and Cognitive Testing

500-00-0024/02c ......................................................... 157

Prescription Drug Utilization in Medicaid: 

Using Medicaid Claims Data To Develop 

Prescription Drug Monitoring and Analysis

500-00-0047/02 ........................................................... 158

Program for All-Inclusive Care for Children 

and Their Families

95-P-91718/03-02 ......................................................... 75

Program of All-Inclusive Care for 

Children—Florida

11-P-91167/04 ............................................................... 75

Program of All-Inclusive Care for the 

Elderly (PACE) Quality Assurance

500-96-0004/02 ............................................................. 96

Programming Support for Data To Study 

Drug Utilization of Medicare-Aged Merged 

Information From Medicare and Federal 

BC/BS Retirees

500-02-0006/02 ........................................................... 156

Programming Support for Development of 

the SEER-Medicare Database

500-96-0516/09 ........................................................... 172
212 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

Programming Support for the Development 

of the SEER-Medicare Database To 

Examine the Hospice Benefi t Among Aged 

Medicare Benefi ciaries

500-96-0516/10 ........................................................... 173

Programming, Analytical, and Data 

Presentation Support for Future of Medicare 

Related Issues

500-96-0516/06 ........................................................... 179

Project Planning Templates and 

Development of XML Data Files

CMS-03-00330 ........................................................... 187

Promoting Health in the African American 

Community (PHAAC): Implementing 

Relaxation Techniques To Reduce 

Cardiovascular Risk Factors

20-P-91884/04-01 ....................................................... 166

Promoting State Interest in Identifying 

PACE Markets

500-03-0048 .................................................................. 96

Providing Technical Assistance to Consumer 

Task Forces

11-P-92073/07-01 ......................................................... 46

Psychiatric Inpatient Routine Cost Analysis

500-95-0058/13 ........................................................... 106

Public-Private Partnership To Promote 

Reverse Mortgages for Long-Term Care, A

18-P-91844/03-01 ....................................................... 150

Public Reporting and Provider and Health 

Plan Quality of Care

500-00-0024/14 ............................................................... 8

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92006/07-01 ....................................................... 128

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92009/09-01 ....................................................... 127

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92024/01-01 ....................................................... 128

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92027/06-01 ....................................................... 130

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92036/4-01 ......................................................... 130

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92048/03-01 ....................................................... 128

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92050/04-01 ....................................................... 129

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92057/05-01 ....................................................... 129

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92078/04-01 ....................................................... 129

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92080/01-01 ....................................................... 127

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92083/05-01 ....................................................... 128

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92085/005-01 ..................................................... 130

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92092/08-01 ....................................................... 127

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92095/05-01 ....................................................... 128

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92111/04-01 ........................................................ 128

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92114/03-01 ....................................................... 130

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92120/03-01 ....................................................... 129

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92122/00-01 ....................................................... 129
Active Projects Report—2004 Edition 213

Alphabetical Index of Research 

and Demonstration Projects

Indices

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92136/02-01 ....................................................... 129

Quality Monitoring for the Medicare 

Participating Centers of Excellence 

Demonstration

500-00-0032/01 ........................................................... 109

Racial Disparities in Health Services Among 

Medicaid Pregnant Women, (Multistate) 

Analysis

500-96-0018/02 ........................................................... 153

Rationalize Graduate Medical Education 

Funding

18-C-91117/08 ............................................................ 114

Real Choice Systems Change

18-P-91525/00-01 ......................................................... 53

Real Choice Systems Change

18-P-91539/08-01 ......................................................... 53

Real Choice Systems Change

18-P-91543/06-01 ......................................................... 52

Real Choice Systems Change

18-P-91561/03............................................................... 52

Real Choice Systems Change

18-P-91574/09-01 ......................................................... 50

Real Choice Systems Change

18-P-91579/04-01 ......................................................... 48

Real Choice Systems Change

18-P-91587/05-01 ......................................................... 53

Real Choice Systems Change

18-P-91594/01-01 ......................................................... 52

Real Choice Systems Change

18-P-91609/08............................................................... 50

Real Choice Systems Change

18-P-91611/05-01 ......................................................... 51

Real Choice Systems Change

18-P-91621/03............................................................... 53

Real Choice Systems Change

18-P-91659/06-01 ......................................................... 51

Real Choice Systems Change

18-P-91664/02............................................................... 51

Real Choice Systems Change—Alabama

18-P-91592/04............................................................... 47

Real Choice Systems Change—Arkansas

18-P-91598/06............................................................... 47

Real Choice Systems Change—Delaware

18-P-91557/03............................................................... 47

Real Choice Systems Change—Florida

18-P-91636/04............................................................... 48

Real Choice Systems Change—Guam

18-P-91629/00............................................................... 48

Real Choice Systems Change—Hawaii

18-P-91620/09............................................................... 48

Real Choice Systems Change—Idaho

18-P-91537/00............................................................... 48

Real Choice Systems Change—Illinois

18-P-91511/05 ............................................................... 48

Real Choice Systems Change—Iowa

18-P-91596/07............................................................... 49

Real Choice Systems Change—Kentucky

18-P-91602/04............................................................... 49

Real Choice Systems Change—Maine

18-P-91540/01............................................................... 49

Real Choice Systems Change—Maryland

18-P-91593/03............................................................... 49

Real Choice Systems Change—

Massachusetts

18-P-91632/01............................................................... 49

Real Choice Systems Change—Michigan

18-P-91663/05............................................................... 49

Real Choice Systems Change—Minnesota

18-P-91547/05............................................................... 50

Real Choice Systems Change—Missouri

18-P-91535/07............................................................... 50

Real Choice Systems Change—Nebraska

18-P-91568/07............................................................... 50

Real Choice Systems Change—New 

Hampshire

18-P-91516/01............................................................... 50

Real Choice Systems Change—New Jersey

18-P-91556/02............................................................... 51
214 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

Real Choice Systems Change—New Mexico

18-P-91644/06............................................................... 51

Real Choice Systems Change—North 

Carolina

18-P-91661/04............................................................... 51

Real Choice Systems Change—Oregon

18-P-91670/00............................................................... 52

Real Choice Systems Change—South 

Carolina

18-P-91555/04............................................................... 52

Real Choice Systems Change—Tennessee

18-P-91515/04............................................................... 52

Real Choice Systems Change—Vermont

18-P-91565/01............................................................... 53

Real Choice Systems Change—Virginia

18-P-91599/05............................................................... 53

Real Choice Systems Change “Starter 

Grant”

10-P-91385/07............................................................... 46

Real Choice Systems Change “Starter 

Grant”

10-P-91401/09............................................................... 47

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

11-P-92018/05-01 ......................................................... 54

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

11-P-92022/01-01 ......................................................... 54

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

11-P-92097/09-01 ......................................................... 54

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

11-P-92134/02-01 ......................................................... 54

Real Choice Systems Change Grant for 

Community Living—Respite for Children

11-P-92004/04-01 ......................................................... 55

Real Choice Systems Change Grant for 

Community Living—Respite for Children

11-P-92014/01-01 ......................................................... 55

Real Choice Systems Change Grant for 

Community Living—Respite for Children

11-P-92033/05-01 ......................................................... 55

Real Choice Systems Change Grant for 

Community Living—Respite for Children

11-P-92128/06-01 ......................................................... 55

Real Choice Systems Change Grant for 

Community Living—Respite for Children

18-P-92002/03-01 ......................................................... 55

Real Choice Systems Change Grant for 

Community Living—Respite for Children

18-P-92133/00-01 ......................................................... 55

Refi nement of Risk Adjustment for Special 

Populations

500-99-0038 ................................................................ 100

Refi nements to Medicare Diagnostic Cost 

Group (DCG) Risk-Adjustment Models

500-00-0030/04 ........................................................... 100

Relationships Between Nursing Staff and 

Resident Quality of Care and Quality of Life

30-P-91706/05-01 ....................................................... 168

Research and Demonstrations Projects 

Searchable Database: Stage Two, 

Improvement, Enhancements, and 

Implementation

500-00-0059/03 ........................................................... 188

Research Data Assistance Center 

(ResDAC)—II

500-01-0043 ................................................................ 161

Research on System Change for Community 

Living

500-00-0044/02 ............................................................. 56

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations—RTI

500-00-0046 ................................................................ 183

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations—RTI

500-00-0044 ................................................................ 183
Active Projects Report—2004 Edition 215

Alphabetical Index of Research 

and Demonstration Projects

Indices

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D—

Medstat

500-00-0050 ................................................................ 182

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—Abt

500-00-0049 ................................................................ 179

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—

C.N.A.

500-00-0053 ................................................................ 181

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—

CHSR

500-00-0052 ................................................................ 180

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—

Lewin

500-00-0051 ................................................................ 181

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—

MPR

500-00-0047 ................................................................ 182

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—

RAND

500-00-0048 ................................................................ 182

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—UI

500-00-0045 ................................................................ 183

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations—Brandeis

500-00-0031 ................................................................ 180

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations—C.N.A.

500-00-0035 ................................................................ 181

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations—Medstat

500-00-0034 ................................................................ 181

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations—URREA

500-00-0028 ................................................................ 184

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—

ARC

500-00-0036 ................................................................ 179

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—

BearingPoint

500-00-0037 ................................................................ 180

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—

CHSR

500-00-0026 ................................................................ 180

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—

MPR

500-00-0033 ................................................................ 182

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—RTI

500-00-0024 ................................................................ 183

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—UI

500-00-0025 ................................................................ 184

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—

Wisconsin

500-00-0029 ................................................................ 184

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—Abt

500-00-0015 ................................................................ 184
216 Active Projects Report—2004 Edition

Alphabetical Index of Research 

and Demonstration Projects

Indices

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—ARC

500-00-0016 ................................................................ 185

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—BearingPoint

500-00-0017 ................................................................ 185

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—Brandeis

500-00-0018 ................................................................ 185

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—C.N.A.

500-00-0019 ................................................................ 185

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—Medstat

500-00-0021 ................................................................ 186

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—MPR

500-00-0020 ................................................................ 186

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—RTI

500-00-0022 ................................................................ 186

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—UI

500-00-0023 ................................................................ 186

SacAdvantage Health Insurance Subsidy 

Program

18-P-91851/09-01 ......................................................... 88

Second Generation Social Health 

Maintenance Organization Demonstration: 

Nevada

95-W-90503/09 ............................................................. 97

Shared Integrated Management Information 

System

18-P-91723/05-02 ....................................................... 124

Social Health Maintenance Organization 

Project for Long-Term Care: Elderplan, 

Inc. (Formerly, Social Health Maintenance 

Organization Project for Long-Term Care)

95-P-09101/02............................................................... 97

Social Health Maintenance Organization 

Project for Long-Term Care: Kaiser 

Permanente Center for Health Research

95-P-09103/00............................................................... 98

Social Health Maintenance Organization 

Project for Long-Term Care: SCAN Health 

Plan

95-P-09104/09............................................................... 98

South Carolina Welfare Reform: Family 

Independence Act

11-W-00081/04 ............................................................. 28

START Program: Success Through 

Anti-Retroviral Therapy—III

15-P-91118/09 ............................................................. 154

Strategies To Improve Prostate Cancer 

Screening Rates Among African American 

Men in the Baltimore Metro Area

20-P-91448/03............................................................. 165

Studies in Home Health Case Mix

500-00-0032/03 ........................................................... 104

Study of the Impact of Boren Amendment 

Repeal on Nursing Facility Services for 

Medicaid Eligibles

500-95-0060/03 ............................................................. 11

Study on Medicare Coverage of Routine 

Thyroid Screening

500-01-0055 ................................................................ 132

Studying Migrant and Seasonal Farm 

Workers

25-P-91468/05............................................................. 163

Sub-Zero Premium (BIPA 606) M+C Plan 

Evaluaton

500-95-0057/06c ........................................................... 89

Support for Research and Analytic 

Activities—IQ Solutions

500-00-0059 ................................................................ 186

Survey of Renal Dialysis Centers

500-00-0028/01 ........................................................... 126
Active Projects Report—2004 Edition 217

Alphabetical Index of Research 

and Demonstration Projects

Indices

Survey Result from the Retail Method of 

Payment Database—II

HCFA-01-0142 ........................................................... 173

Sustaining Culture Change in LTC Facilities 

for the Elderly

18-P-91857/03-01 ......................................................... 65

Tennessee “Families First” Demonstration

11-W-00104/04 ............................................................. 28

Understanding the Role of Culture in the 

Access and Utilization of Telemedicine 

Health Services Among Hispanic, Native 

Americans, and White non-Hispanic 

Populations

25-P-91143/09 ............................................................. 161

United Mine Workers of America 

Demonstration: An Integrated Care 

Coordination/Management Program for an 

Elderly, Chronically-Ill Population

95-C-99643/03 .............................................................. 22

United States Renal Data System—

Economic Studies Center

HCFA-IA-01-047 ............................................................ 4

Use of the PACE Health Survey for Dual 

Eligible Demonstration in Wisconsin, 

Minnesota, and Massachusetts, The 

500-00-0024/11 ............................................................. 25

Using Risk Sharing and Risk Adjustment 

Strategies for Dealing With the Tradeoff 

Between Selection and Effi ciency

30-P-91713/01-01 ....................................................... 168

Vermont Health Access Plan (VHAP)

11-W-00051/01 ............................................................. 20

Violence Prevention as a Public Health 

Strategy to Reducing Health Care Costs 

Associated With Medicaid

20-P-91761/03-01 ....................................................... 167

Wisconsin Partnership Program

11-W-00123/05 ............................................................. 24

Active Projects Report—2004 Edition 219

Index of Contract and Grant Numbers

Indices

Real Choice Systems Change “Starter 

Grant”

10-P-91385/07............................................................... 46

Real Choice Systems Change “Starter 

Grant”

10-P-91401/09............................................................... 47

Aging and Disability Resource Center Grant

11-C-91930/03-01 ......................................................... 32

Aging and Disability Resource Center Grant

11-C-91933/01-01 ......................................................... 32

Aging and Disability Resource Center Grant

11-C-91934/01-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91939/01-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91940/05-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91942/03-01 ......................................................... 30

Aging and Disability Resource Center Grant

11-C-91944/08-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91945/02-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91949/03-01 ......................................................... 31

Aging and Disability Resource Center Grant

11-C-91950/04-01 ......................................................... 32

Aging and Disability Resource Center Grant

11-C-91953/01-01 ......................................................... 30

Aging and Disability Resource Center Grant

11-C-91959/06-01 ......................................................... 30

Program of All-Inclusive Care for 

Children—Florida

11-P-91167/04 ............................................................... 75

Maintain Independence and Employment 

Demonstration—Rhode Island

11-P-91174/01 ............................................................... 83

Maintain Independence and Employment 

Demonstration—Mississippi

11-P-91175/04 ............................................................... 83

Pennsylvania Nursing Home Transition 

Grant 2000

11-P-91191/03 ............................................................... 63

Nursing Home Transition 2000 Program 

Grant: Partnership for Community Living

11-P-91208/04 ............................................................... 62

Nursing Home Transition Grant—Arkansas 

Passages

11-P-91210/06 ............................................................... 62

Maintain Independence and Employment 

Program—Infrastructure Grant—West 

Virginia

11-P-91215/03 ............................................................... 82

Maintain Independence and Employment 

Program—Infrastructure Grant—New 

Hampshire

11-P-91216/01 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—Utah

11-P-91217/08 ............................................................... 81

Maintain Independence and Employment 

Program—Infrastructure Grant—New 

Jersey

11-P-91218/02 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—Oregon

11-P-91219/00 ............................................................... 80

Maintain Independence and Employment 

Program—Infrastructure Grant—Nebraska

11-P-91220/07 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—New 

Mexico

11-P-91221/06 ............................................................... 80

Index of Contract and Grant Numbers
220 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

Maintain Independence and Employment 

Program—Infrastructure Grant—Maine

11-P-91223/01 ............................................................... 78

Maintain Independence and Employment 

Program—Infrastructure Grant—Alabama

11-P-91224/04 ............................................................... 76

Maintain Independence and Employment 

Program—Infrastructure Grant—Kansas

11-P-91226/07 ............................................................... 78

Maintain Independence and Employment 

Program—Infrastructure Grant—Wisconsin

11-P-91227/05 ............................................................... 82

Maintain Independence and Employment 

Program—Infrastructure Grant—Minnesota

11-P-91228/05 ............................................................... 78

Maintain Independence and Employment 

Program—Infrastructure Grant—Rhode 

Island

11-P-91229/01 ............................................................... 81

Maintain Independence and Employment 

Program—Infrastructure Grant—Alaska

11-P-91230/00 ............................................................... 76

Maintain Independence and Employment 

Program—Infrastructure Grant—

Connecticut

11-P-91231/01 ............................................................... 76

Maintain Independence and Employment 

Program—Infrastructure Grant—

Washington

11-P-91232/00 ............................................................... 82

Maintain Independence and Employment 

Program—Infrastructure Grant—Nevada

11-P-91233/09 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—Idaho

11-P-91235/00 ............................................................... 77

Maintain Independence and Employment 

Program—Infrastructure Grant—Vermont

11-P-91237/01 ............................................................... 81

Maintain Independence and Employment 

Program—Infrastructure Grant—Illinois

11-P-91238/05 ............................................................... 77

Maintain Independence and Employment 

Program—Infrastructure Grant—Georgia

11-P-91240/04 ............................................................... 77

Maintain Independence and Employment 

Program—Infrastructure Grant—District of 

Columbia

11-P-91241/03 ............................................................... 77

Development and Evaluation of Medical 

Intervention for Early Childhood Caries

11-P-91251/04-03 ......................................................... 86

Innovative Management of Dental Decay 

for Young Children Enrolled in Medicaid 

and/or the State Children’s Health Insurance 

Program (SCHIP)

11-P-91256/09-02 ......................................................... 86

Maintain Independence and Employment 

Demonstration—Texas

11-P-91420/06 ............................................................... 83

Maintain Independence and Employment 

Demonstration—District of Columbia

11-P-91421/03 ............................................................... 82

Maintain Independence and Employment 

Program—Infrastructure Grant—Oklahoma

11-P-91477/06 ............................................................... 80

Maintain Independence and Employment 

Program—Infrastructure Grant—Virginia

11-P-91478/03 ............................................................... 81

Maintain Independence and Employment 

Program—Infrastructure Grant—Nebraska

11-P-91480/07 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—Delaware

11-P-91482/03 ............................................................... 77

Maintain Independence and Employment 

Program—Infrastructure Grant—

Pennsylvania

11-P-91483/03 ............................................................... 80

Maintain Independence and Employment 

Program—Infrastructure Grant—Illinois

11-P-91484/05 ............................................................... 78

Maintain Independence and Employment 

Program—Infrastructure Grant—South 

Dakota

11-P-91485/08 ............................................................... 81
Active Projects Report—2004 Edition 221

Index of Contract and Grant Numbers

Indices

Maintain Independence and Employment 

Program—Infrastructure Grant—Louisiana

11-P-91487/06 ............................................................... 78

Maintain Independence and Employment 

Program—Infrastructure Grant—Texas

11-P-91488/07 ............................................................... 81

Maintain Independence and Employment 

Program—Infrastructure Grant—Missouri

11-P-91489/07 ............................................................... 79

Maintain Independence and Employment 

Program—Infrastructure Grant—New York

11-P-91490/02 ............................................................... 80

Maintain Independence and Employment 

Program—Infrastructure Grant—Iowa

11-P-91491/07 ............................................................... 77

Maintain Independence and Employment 

Program—Infrastructure Grant—Wyoming

11-P-91492/08 ............................................................... 82

Maintain Independence and Employment 

Program—Infrastructure Grant—North 

Dakota

11-P-91493/08 ............................................................... 80

Maintain Independence and Employment 

Program—Infrastructure Grant—California

11-P-91494/09 ............................................................... 76

National Technical Assistance Exchange for 

Community Living—Rutgers

11-P-91512/02 ............................................................... 46

National Technical Assistance Exchange for 

Community Living—ILRU

11-P-91554/06 ............................................................... 45

Community-Integrated Personal Assistance 

Services and Supports

11-P-91619/09-01 ......................................................... 35

Maintain Independence and Employment 

Program—Infrastructure Grant—Mississippi

11-P-91782 .................................................................... 78

Real Choice Systems Change Grant for 

Community Living—Respite for Children

11-P-92004/04-01 ......................................................... 55

Community-Integrated Personal Assistance 

Services and Supports

11-P-92005/01-01 ......................................................... 35

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92006/07-01 ....................................................... 128

Community-Based Treatment Alternatives 

for Children

11-P-92008/04-01 ......................................................... 33

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92009/09-01 ....................................................... 127

Money Follows the Person

11-P-92010/05-01 ......................................................... 44

Real Choice Systems Change Grant for 

Community Living—Respite for Children

11-P-92014/01-01 ......................................................... 55

National State-to-State Technical Assistance 

Program for Community Living

11-P-92015/02-01 ......................................................... 45

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

11-P-92018/05-01 ......................................................... 54

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

11-P-92022/01-01 ......................................................... 54

Money Follows the Person

11-P-92023/01-01 ......................................................... 43

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92024/01-01 ....................................................... 128

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92027/06-01 ....................................................... 130

Community-Integrated Personal Assistance 

Services and Supports

11-P-92029/03-01 ......................................................... 38

Community-Based Treatment Alternatives 

for Children

11-P-92030/05-01 ......................................................... 33

Real Choice Systems Change Grant for 

Community Living—Respite for Children

11-P-92033/05-01 ......................................................... 55
222 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92036/4-01 ......................................................... 130

Money Follows the Person

11-P-92041/00-01 ......................................................... 44

Money Follows the Person

11-P-92044/09-01 ......................................................... 43

Money Follows the Person

11-P-92045/00-01 ......................................................... 43

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92048/03-01 ....................................................... 128

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92050/04-01 ....................................................... 129

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92057/05-01 ....................................................... 129

Community-Integrated Personal Assistance 

Services and Supports

11-P-92058/01-01 ......................................................... 36

Community-Integrated Personal Assistance 

Services and Supports

11-P-92065/09 ............................................................... 34

Providing Technical Assistance to Consumer 

Task Forces

11-P-92073/07-01 ......................................................... 46

Money Follows the Person

11-P-92077/09-01 ......................................................... 43

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92078/04-01 ....................................................... 129

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92080/01-01 ....................................................... 127

Community-Integrated Personal Assistance 

Services and Supports

11-P-92081/07-01 ......................................................... 36

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92083/05-01 ....................................................... 128

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92085/005-01 ..................................................... 130

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92092/08-01 ....................................................... 127

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92095/05-01 ....................................................... 128

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

11-P-92097/09-01 ......................................................... 54

Community-Integrated Personal Assistance 

Services and Supports

11-P-92099/06-01 ......................................................... 35

Community-Integrated Personal Assistance 

Services and Supports

11-P-92100/06-01 ......................................................... 38

Community-Based Treatment Alternatives 

for Children

11-P-92104/01-01 ......................................................... 33

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92111/04-01 ........................................................ 128

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92114/03-01 ....................................................... 130

Money Follows the Person

11-P-92115/05-01 ......................................................... 43

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92120/03-01 ....................................................... 129

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92122/00-01 ....................................................... 129

Money Follows the Person

11-P-92123/03-01 ......................................................... 44

Real Choice Systems Change Grant for 

Community Living—Respite for Children

11-P-92128/06-01 ......................................................... 55

Real Choice Systems Change Grant for 

Community Living—Respite for Adults

11-P-92134/02-01 ......................................................... 54
Active Projects Report—2004 Edition 223

Index of Contract and Grant Numbers

Indices

Quality Assurance and Quality Improvement 

in Home and Community-Based Services

11-P-92136/02-01 ....................................................... 129

Community-Integrated Personal Assistance 

Services and Supports

11-P-92140/00-01 ......................................................... 37

Demonstration To Improve Direct Service 

Community Workforce

11-P-92187/01-01 ......................................................... 29

Demonstration To Improve Direct Service 

Community Workforce

11-P-92189/06-01 ......................................................... 29

Minnesota Senior Health Options/Minnesota 

Disability Health Options

11-W-00024/05 ............................................................. 23

Arizona Health Care Cost Containment 

System

11-W-00032/09 ............................................................. 13

Minnesota Prepaid Medical Assistance 

Project Assistance Plus (PMAP+)

11-W-00039/05 ............................................................. 17

Montana Welfare Reform: Families 

Achieving Independence in Montana 

(FAIM)

11-W-00040/08 ............................................................. 27

Oklahoma SoonerCare Demonstration

11-W-00048/06 ............................................................. 19

Vermont Health Access Plan (VHAP)

11-W-00051/01 ............................................................. 20

Better Chance Welfare Reform Project, A

11-W-00056/03 ............................................................. 28

Arizona Welfare Reform: Employing 

and Moving People Off Welfare and 

Encouraging Responsibility Program 

(EMPOWER)

11-W-00058/09 ............................................................. 27

Massachusetts Welfare Reform, 1995

11-W-00065/01 ............................................................. 27

Oakland Enhanced Enterprise Community 

(EEC), Community Building Team (CBT) 

Program

11-W-00072/09 ............................................................. 15

Medicaid Demonstration Project for Los 

Angeles County

11-W-00076/09 ............................................................. 14

South Carolina Welfare Reform: Family 

Independence Act

11-W-00081/04 ............................................................. 28

Tennessee “Families First” Demonstration

11-W-00104/04 ............................................................. 28

Partnership Plan, The 

11-W-00114/02 ............................................................. 18

ARKids B

11-W-00115/06 ............................................................. 14

Arkansas 1115

11-W-00116/06 ............................................................. 13

Cash and Counseling Demonstration: 

Florida

11-W-00117/04 ............................................................. 65

New Jersey Cash and Counseling 

Demonstration

11-W-00118/02 ............................................................. 66

New York Cash and Counseling 

Demonstration: “Personal Preference 

Program”

11-W-00119/02 ............................................................. 66

New Jersey Managed Charity Care

11-W-00120/02 ............................................................. 18

Missouri Managed Care Plus (MC+)

11-W-00122/07 ............................................................. 17

Wisconsin Partnership Program

11-W-00123/05 ............................................................. 24

New Mexico Health Care Reform 

Demonstration

11-W-00124/06 ............................................................. 18

Maine 1115 HIV/AIDS

11-W-00128/01 ............................................................. 16

Oregon 1115 Independent Choices

11-W-00130/00 ............................................................. 19

Arkansas TEFRA-like Demonstration

11-W-00163/06 ............................................................. 14
224 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

START Program: Success Through AntiRetroviral Therapy—III

15-P-91118/09 ............................................................. 154

Aging in Place: A New Model for LongTerm Care

18-C-91036/07 ............................................................ 150

Rationalize Graduate Medical Education 

Funding

18-C-91117/08 ............................................................ 114

Community Health Advocate Program

18-C-91140/01 .............................................................. 85

Health Loop Information Project

18-C-91171/04 .............................................................. 85

Clinical and Economic Effectiveness 

of a Technology-Driven Heart Failure 

Monitoring System

18-C-91172/03 ............................................................ 118

Iowa Prescription Drug Cooperative

18-C-91369/07-02 ....................................................... 158

Asthma Champion Initiative

18-C-91370/05-02 ......................................................... 87

Increasing Access to Health Care for Bucks 

County Residents

18-C-91506/03-02 ....................................................... 149

Assessment of State Database Capacity and 

Development of Prototype Performance 

Monitoring System

18-C-91507/00 ............................................................ 126

Heart Failure Home Care

18-C-91509/03 ............................................................ 141

Heart Failure Home Care

18-C-91509/03-02 ....................................................... 141

Northern New England Vascular Surgery 

Quality Improvement Initiative

18-C-91674/01-02 ....................................................... 125

Innovations in Health Care

18-C-91677/04 ............................................................ 139

Improving Medication Safety in Outpatients 

Through Improved Packaging

18-C-91678/05 ............................................................ 125

Mauli Ola (Spirit of Life) Project

18-P-91142/09 ............................................................. 132

Impact of Alternative Low Vision 

Intervention on Quality, The 

18-P-91372/03............................................................. 126

Increasing Access to Health Care for Bucks 

County Residents

18-P-91506/03............................................................. 149

Real Choice Systems Change—Illinois

18-P-91511/05 ............................................................... 48

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91513/05-01 ......................................................... 57

Real Choice Systems Change—Tennessee

18-P-91515/04............................................................... 52

Real Choice Systems Change—New 

Hampshire

18-P-91516/01............................................................... 50

Nursing Facility Transitions, State Program

18-P-91518/00............................................................... 61

Community-Integrated Personal Assistance 

Services and Supports

18-P-91519/01............................................................... 37

Nursing Facility Transitions, State Program

18-P-91520/07-01 ......................................................... 60

Nursing Facility Transitions, State Program

18-P-91524/03............................................................... 60

Real Choice Systems Change

18-P-91525/00-01 ......................................................... 53

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91528/03-01 ......................................................... 57

Nursing Facility Transitions, State Program

18-P-91534/03-01 ......................................................... 59

Real Choice Systems Change—Missouri

18-P-91535/07............................................................... 50

Real Choice Systems Change—Idaho

18-P-91537/00............................................................... 48

Community-Integrated Personal Assistance 

Services and Supports

18-P-91538/04-01 ......................................................... 37

Real Choice Systems Change

18-P-91539/08-01 ......................................................... 53
Active Projects Report—2004 Edition 225

Index of Contract and Grant Numbers

Indices

Real Choice Systems Change—Maine

18-P-91540/01............................................................... 49

Real Choice Systems Change

18-P-91543/06-01 ......................................................... 52

Nursing Facility Transitions, State Program

18-P-91544/01............................................................... 59

Community-Integrated Personal Assistance 

Services and Supports

18-P-91546/05............................................................... 36

Real Choice Systems Change—Minnesota

18-P-91547/05............................................................... 50

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91551/05............................................................... 58

Nursing Facility Transitions, State Program

18-P-91552/04-01 ......................................................... 61

Real Choice Systems Change—South 

Carolina

18-P-91555/04............................................................... 52

Real Choice Systems Change—New Jersey

18-P-91556/02............................................................... 51

Real Choice Systems Change—Delaware

18-P-91557/03............................................................... 47

Nursing Facility Transitions, State Program

18-P-91559/02-01 ......................................................... 61

Real Choice Systems Change

18-P-91561/03............................................................... 52

Community-Integrated Personal Assistance 

Services and Supports

18-P-91563/07-01 ......................................................... 35

Real Choice Systems Change—Vermont

18-P-91565/01............................................................... 53

Community-Integrated Personal Assistance 

Services and Supports

18-P-91567/06............................................................... 34

Real Choice Systems Change—Nebraska

18-P-91568/07............................................................... 50

Nursing Facility Transitions, State Program

18-P-91569/04-01 ......................................................... 58

Community-Integrated Personal Assistance 

Services and Supports

18-P-91570/09............................................................... 37

Real Choice Systems Change

18-P-91574/09-01 ......................................................... 50

Nursing Facility Transitions, State Program

18-P-91575/08-01 ......................................................... 62

Nursing Facility Transitions, State Program

18-P-91576/06-01 ......................................................... 60

Real Choice Systems Change

18-P-91579/04-01 ......................................................... 48

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91580/06............................................................... 58

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91582/09-01 ......................................................... 57

Nursing Facility Transitions, State Program

18-P-91583/06-01 ......................................................... 59

Nursing Facility Transitions, State Program

18-P-91585/00............................................................... 59

Real Choice Systems Change

18-P-91587/05-01 ......................................................... 53

Nursing Facility Transitions, State Program

18-P-91591/01............................................................... 60

Real Choice Systems Change—Alabama

18-P-91592/04............................................................... 47

Real Choice Systems Change—Maryland

18-P-91593/03............................................................... 49

Real Choice Systems Change

18-P-91594/01-01 ......................................................... 52

Real Choice Systems Change—Iowa

18-P-91596/07............................................................... 49

Real Choice Systems Change—Arkansas

18-P-91598/06............................................................... 47
226 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

Real Choice Systems Change—Virginia

18-P-91599/05............................................................... 53

Real Choice Systems Change—Kentucky

18-P-91602/04............................................................... 49

Real Choice Systems Change

18-P-91609/08............................................................... 50

Real Choice Systems Change

18-P-91611/05-01 ......................................................... 51

Community-Integrated Personal Assistance 

Services and Supports

18-P-91613/01............................................................... 37

Real Choice Systems Change—Hawaii

18-P-91620/09............................................................... 48

Real Choice Systems Change

18-P-91621/03............................................................... 53

Community-Integrated Personal Assistance 

Services and Supports

18-P-91622/03-01 ......................................................... 38

Nursing Facility Transitions, State Program

18-P-91623/03............................................................... 62

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91626/08-01 ......................................................... 58

Real Choice Systems Change—Guam

18-P-91629/00............................................................... 48

Community-Integrated Personal Assistance 

Services and Supports

18-P-91630/08-01 ......................................................... 34

Real Choice Systems Change—

Massachusetts

18-P-91632/01............................................................... 49

Community-Integrated Personal Assistance 

Services and Supports

18-P-91634/05............................................................... 36

Real Choice Systems Change—Florida

18-P-91636/04............................................................... 48

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91637/02-01 ......................................................... 58

Nursing Facility Transitions, State Program

18-P-91638/04............................................................... 59

Nursing Facility Transitions, State Program

18-P-91639/01............................................................... 61

Nursing Facility Transitions, State Program

18-P-91642/01-01 ......................................................... 61

Real Choice Systems Change—New Mexico

18-P-91644/06............................................................... 51

Community-Integrated Personal Assistance 

Services and Supports

18-P-91647/00............................................................... 35

Nursing Facility Transitions, State Program

18-P-91649/04-01 ......................................................... 61

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91650/04............................................................... 57

Nursing Facility Transitions, State Program

18-P-91651/08............................................................... 59

Community-Integrated Personal Assistance 

Services and Supports

18-P-91654/05-01 ......................................................... 35

Nursing Facility Transitions, State Program

18-P-91655/05............................................................... 60

Nursing Facility Transitions, Independent 

Living Partnership

18-P-91656/04............................................................... 57

Community-Integrated Personal Assistance 

Services and Supports

18-P-91657/08............................................................... 36

Community-Integrated Personal Assistance 

Services and Supports

18-P-91658/06............................................................... 37

Real Choice Systems Change

18-P-91659/06-01 ......................................................... 51

Real Choice Systems Change—North 

Carolina

18-P-91661/04............................................................... 51

Community-Integrated Personal Assistance 

Services and Supports

18-P-91662/00............................................................... 34
Active Projects Report—2004 Edition 227

Index of Contract and Grant Numbers

Indices

Real Choice Systems Change—Michigan

18-P-91663/05............................................................... 49

Real Choice Systems Change

18-P-91664/02............................................................... 51

Nursing Facility Transitions, State Program

18-P-91667/05............................................................... 60

Community-Integrated Personal Assistance 

Services and Supports

18-P-91668/04-01 ......................................................... 36

Real Choice Systems Change—Oregon

18-P-91670/00............................................................... 52

Nursing Facility Transitions, State Program

18-P-91672/05............................................................... 62

Shared Integrated Management Information 

System

18-P-91723/05-02 ....................................................... 124

Public-Private Partnership To Promote 

Reverse Mortgages for Long-Term Care, A

18-P-91844/03-01 ....................................................... 150

National Pediatric Care Education Initiative

18-P-91848/05-01 ......................................................... 75

Improving Health Care, Child Care, 

Nutrition, and Income for Massachusetts

18-P-91849/01-01 ......................................................... 74

Improving Diabetes Outcomes Using the 

Care Model in an Urban Network

18-P-91850/05-01 ....................................................... 142

SacAdvantage Health Insurance Subsidy 

Program

18-P-91851/09-01 ......................................................... 88

Impact of Advanced Illness Coordinated 

Care (AICC) Nurse Practitioner, The 

18-P-91853/03-01 ....................................................... 142

Daycare, Respite Care, Emergency Services, 

and Social Services to HIV-Infected 

Children

18-P-91854/04-01 ....................................................... 154

Institute for End-of-Life Care

18-P-91855/08-01 ......................................................... 75

Sustaining Culture Change in LTC Facilities 

for the Elderly

18-P-91857/03-01 ......................................................... 65

Airway Clearance for Prevention of Chronic 

Obstructive Pulmonary Disease (COPD) 

Exacerbations

18-P-91858/03-01 ....................................................... 133

Expanding Capacity for the Medical Care 

for Children Partnership

18-P-91859/03-01 ......................................................... 74

Comprehensive Model of Practical and 

Emotional Support Service, A

18-P-91860/09-01 ....................................................... 147

Community-Based Treatment Alternatives 

for Children

18-P-92001/03-01 ......................................................... 33

Real Choice Systems Change Grant for 

Community Living—Respite for Children

18-P-92002/03-01 ......................................................... 55

Community-Based Treatment Alternatives 

for Children

18-P-92003/06-01 ......................................................... 34

Independence Plus Initiative

18-P-92019/08-01 ......................................................... 41

Community-Based Treatment Alternatives 

for Children

18-P-92043/07-01 ......................................................... 33

Independence Plus Initiative

18-P-92047/08-01 ......................................................... 42

Independence Plus Initiative

18-P-92054/05-01 ......................................................... 42

Independence Plus Initiative

18-P-92062/07-01 ......................................................... 42

Independence Plus Initiative

18-P-92066/01-01 ......................................................... 42

Independence Plus Initiative

18-P-92069/00-01 ......................................................... 41

Independence Plus Initiative

18-P-92071/06-01 ......................................................... 41
228 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

Independence Plus Initiative

18-P-92079/01-01 ......................................................... 41

Independence Plus Initiative

18-P-92088/04-01 ......................................................... 41

Independence Plus Initiative

18-P-92116/05-01 ......................................................... 42

Independence Plus Initiative

18-P-92119/01-01 ......................................................... 42

Independence Plus Initiative

18-P-92126/04-01 ......................................................... 41

Real Choice Systems Change Grant for 

Community Living—Respite for Children

18-P-92133/00-01 ......................................................... 55

Increasing Mammography Screening Among 

African American Females in Rural Areas: 

An Educational Intervention Program

20-P-91423/04............................................................. 164

Diabetes: Factors Infl uencing Self-Care 

Among African Americans in Rural and 

Urban Populations

20-P-91430/03............................................................. 165

Strategies To Improve Prostate Cancer 

Screening Rates Among African American 

Men in the Baltimore Metro Area

20-P-91448/03............................................................. 165

HIV Prevention Intervention for Homeless 

Mentally Ill African American Adult Males, 

An

20-P-91751/04-01 ....................................................... 166

Violence Prevention as a Public Health 

Strategy to Reducing Health Care Costs 

Associated With Medicaid

20-P-91761/03-01 ....................................................... 167

Church-Based Educational Intervention 

Program on Prostate Cancer Screening for 

African American Males, A

20-P-91879/04-01 ....................................................... 166

Promoting Health in the African American 

Community (PHAAC): Implementing 

Relaxation Techniques To Reduce 

Cardiovascular Risk Factors

20-P-91884/04-01 ....................................................... 166

Navigating the U.S. Health Care System

250-P-91910/04-01 ..................................................... 163

Understanding the Role of Culture in the 

Access and Utilization of Telemedicine 

Health Services Among Hispanic, Native 

Americans, and White non-Hispanic 

Populations

25-P-91143/09 ............................................................. 161

Identifi cation of Risk Factors, Barriers, and 

Severity for Emergency Room Asthma in 

Puerto Rico

25-P-91151/02 ............................................................. 162

Effectiveness of Insuring Uninsured Latino 

Children Using Community-Based CaseManagers: A Randomized Trial, The 

25-P-91458/01............................................................. 162

Medication Analysis in Mexican American 

Aged

25-P-91467/06............................................................. 162

Studying Migrant and Seasonal Farm 

Workers

25-P-91468/05............................................................. 163

Cancer Prevention for Post-Reproductive 

Age Hispanic Women Along the U.S.-

Mexico Border

25-P-91768/09-01 ....................................................... 164

Implementing Culturally and Linguistically 

Competent Assessment

25-P-91772/08-01 ....................................................... 164

Latino Health Care Collaborative (LHCC)

25-P-91914/03-01 ....................................................... 163

Longitudinal Study of Health Coverage 

Transitions Between the Years of 59 and 

67; The Risk of Being Uninsured and 

Underinsured, A

30-P-91700/02-01 ....................................................... 169

Medicare Health Maintenance Organizations 

Withdrawals and Modifi cations

30-P-91703/05-01 ....................................................... 167

Relationships Between Nursing Staff and 

Resident Quality of Care and Quality of Life

30-P-91706/05-01 ....................................................... 168
Active Projects Report—2004 Edition 229

Index of Contract and Grant Numbers

Indices

Caregiving from the Care Recipient 

Perspective: Infl uence of Caregiving on 

Health and Use of Health Services

30-P-91709/03-01 ....................................................... 169

Using Risk Sharing and Risk Adjustment 

Strategies for Dealing With the Tradeoff 

Between Selection and Effi ciency

30-P-91713/01-01 ....................................................... 168

Evaluating Health System Performance: 

Access and Quality of Care for Acute 

Cardiac Events in the Rural Medicare 

Population

30-P-91715/05-01 ....................................................... 168

Effects of State Medicaid Policies on 

Elderly Persons/Savings Patterns and LongTerm Care

30-P-91716/04-01 ....................................................... 167

Managing Medical Care for Nursing Home 

Residents (EverCare)

95-C-90174 ................................................................... 25

End Stage Renal Disease (ESRD) Managed 

Care Demonstration: Health Options

95-C-90692/04 .............................................................. 99

Consumer Driven Durable Medical 

Equipment Acquisition Program

95-C-90916/03 ............................................................ 149

Consumer Directed Durable Medical 

Equipment Demonstration for People With 

Physical Disabilities

95-C-90917/01 ............................................................ 148

Consumer Directed Durable Medical 

Equipment Demonstration for Benefi ciaries 

With Disabilities

95-C-90921/01 ............................................................ 148

Consumer Directed Durable Medical 

Equipment Demonstration Project

95-C-90922/06 ............................................................ 148

Informatics for Diabetes Education and 

Telemedicine (IDEATel) Demonstration

95-C-90998/02 ............................................................ 140

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Maine

95-C-91314/01 ............................................................ 135

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Mahomet, Illinois

95-C-91315/05 ............................................................ 134

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Arizona

95-C-91318/09 ............................................................ 133

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Richmond, Virginia

95-C-91319/03 ............................................................ 136

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Florida

95-C-91325/03 ............................................................ 134

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Iowa

95-C-91340/07 ............................................................ 134

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Missouri

95-C-91345/01 ............................................................ 135

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Baltimore, Maryland

95-C-91348/03 ............................................................ 133

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—University of Maryland

95-C-91349/03 ............................................................ 136

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Houston, Texas

95-C-91351/05 ............................................................ 134

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Northern California

95-C-91352/02 ............................................................ 135

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—New York, NY

95-C-91357/02 ............................................................ 135
230 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Pennsylvania

95-C-91360/03 ............................................................ 136

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—South Dakota

95-C-91362/08 ............................................................ 136

Coordinated Care To Improve Quality 

of Care for Chronically Ill Medicare 

Benefi ciaries—Washington, DC

95-C-91367/03 ............................................................ 137

Access Health: A Three-Share Model—I 

Community Health and Coverage Project

95-C-91721/05 .............................................................. 87

United Mine Workers of America 

Demonstration: An Integrated Care 

Coordination/Management Program for an 

Elderly, Chronically-Ill Population

95-C-99643/03 .............................................................. 22

Social Health Maintenance Organization 

Project for Long-Term Care: Elderplan, 

Inc. (Formerly, Social Health Maintenance 

Organization Project for Long-Term Care)

95-P-09101/02............................................................... 97

Social Health Maintenance Organization 

Project for Long-Term Care: Kaiser 

Permanente Center for Health Research

95-P-09103/00............................................................... 98

Social Health Maintenance Organization 

Project for Long-Term Care: SCAN Health 

Plan

95-P-09104/09............................................................... 98

Municipal Health Services Program: 

Baltimore

95-P-51000/03............................................................. 112

Municipal Health Services Program: 

Milwaukee

95-P-51000/05............................................................. 112

Municipal Health Services Program: 

Cincinnati

95-P-51000/05a ........................................................... 112

Municipal Health Services Program: San 

Jose

95-P-51000/09............................................................. 112

Medicaid Payment Accuracy Measurement 

(PAM) Project—Wyoming

95-P-91679/08-02 ......................................................... 73

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Wyoming

95-P-91679/08-03 ......................................................... 69

Medicaid Payment Accuracy Measurement 

(PAM) Project—North Carolina

95-P-91680/04-02 ......................................................... 72

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—North 

Carolina

95-P-91680/04-03 ......................................................... 68

Medicaid Payment Accuracy Measurement 

(PAM) Project—Washington

95-P-91681/00-02 ......................................................... 73

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Washington

95-P-91681/00-03 ......................................................... 69

Medicaid Payment Accuracy Measurement 

(PAM) Project—Mississippi

95-P-91682/04-02 ......................................................... 71

Medicaid Payment Accuracy Measurement 

(PAM) Project—Texas

95-P-91683/06-02 ......................................................... 72

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Texas

95-P-91683/06-03 ......................................................... 69

Medicaid Payment Accuracy Measurement 

(PAM) Project—Louisiana

95-P-91684/06-02 ......................................................... 71

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Louisiana

95-P-91684/06-03 ......................................................... 68

Medicaid Payment Accuracy Measurement 

(PAM) Project—Minnesota

95-P-91685/05-02 ......................................................... 71

Medicaid Payment Accuracy Measurement 

(PAM) Project—North Dakota

95-P-91686/08-02 ......................................................... 72

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—North Dakota

95-P-91686/08-03 ......................................................... 68
Active Projects Report—2004 Edition 231

Index of Contract and Grant Numbers

Indices

Medicaid Payment Accuracy Measurement 

(PAM) Project—New York

95-P-91687/02-02 ......................................................... 71

Program for All-Inclusive Care for Children 

and Their Families

95-P-91718/03-02 ......................................................... 75

Medicaid Payment Accuracy Measurement 

(PAM) Project—Indiana

95-P-91804/05-01 ......................................................... 70

Medicaid Payment Accuracy Measurement 

(PAM) Project—Florida

95-P-91806/04-02 ......................................................... 70

Medicaid Payment Accuracy Measurement 

(PAM) Project—Nebraska

95-P-91807/07-01 ......................................................... 71

Medicaid Payment Accuracy Measurement 

(PAM) Project—Oklahoma

95-P-91808/06-01 ......................................................... 72

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Oklahoma

95-P-91808/06-02 ......................................................... 68

Family-to-Family Health Care Information 

and Education Centers

95-P-92020/08-01 ......................................................... 39

Family-to-Family Health Care Information 

and Education Centers

95-P-92038/03-01 ......................................................... 40

Family-to-Family Health Care Information 

and Education Centers

95-P-92042/02-01 ......................................................... 40

Family-to-Family Health Care Information 

and Education Centers

95-P-92056/05-01 ......................................................... 40

Family-to-Family Health Care Information 

and Education Centers

95-P-92063/08-01 ......................................................... 39

Family-to-Family Health Care Information 

and Education Centers

95-P-92093/05-01 ......................................................... 39

Family-to-Family Health Care Information 

and Education Centers

95-P-92108/08-01 ......................................................... 40

Family-to-Family Health Care Information 

and Education Centers

95-P-92112/07-01 ......................................................... 40

Family-to-Family Health Care Information 

and Education Centers

95-P-92139/00-01 ......................................................... 39

Demonstration To Improve Direct Service 

Community Workforce

95-P-92168/03-01 ......................................................... 29

Demonstration To Improve Direct Service 

Community Workforce

95-P-92214/04-01 ......................................................... 29

Demonstration To Improve Direct Service 

Community Workforce

95-P-92225/03-01 ......................................................... 30

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Iowa

95-P-92258/07-01 ......................................................... 67

Medicaid Payment Accuracy Measurement 

(PAM) Project—Kentucky

95-P-92259/04-01 ......................................................... 71

Medicaid Payment Accuracy Measurement 

(PAM) Project—Colorado

95-P-92260/08-01 ......................................................... 70

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Utah

95-P-92261/08-01 ......................................................... 69

Medicaid Payment Accuracy Measurement 

(PAM) Project—South Carolina

95-P-92262/04-01 ......................................................... 72

Medicaid Payment Accuracy Measurement 

(PAM) Project—District of Columbia

95-P-92263/03-01 ......................................................... 70

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Delaware

95-P-92264/03-01 ......................................................... 67

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Alabama

95-P-92265/04-01 ......................................................... 67

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—West Virginia

95-P-92266/03-01 ......................................................... 69
232 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

Medicaid Payment Accuracy Measurement 

(PAM) Project—California

95-P-92267/09-01 ......................................................... 70

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Idaho

95-P-92268/00-01 ......................................................... 67

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—

Massachusetts

95-P-92269/01-01 ......................................................... 68

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—San Diego

95-P-92270/08-01 ......................................................... 69

Medicaid Payment Accuracy Measurement 

(PAM) Project—Virginia

95-P-92271/03-01 ......................................................... 73

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Arkansas

95-P-92273/06-01 ......................................................... 67

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—Arizona

95-P-92274/09-01 ......................................................... 67

Medicaid and SCHIP Payment Accuracy 

Measurement (PAM) Project—New Mexico

95-P-92275/06-01 ......................................................... 68

New York Graduate Medical Education 

Demonstration: Harlem Hospital Center

95-W-00029/02 ........................................................... 113

New York Graduate Medical Education 

(GME) Demonstration: North Central Bronx 

Hospital Joint Project

95-W-00030/02 ........................................................... 113

New York Graduate Medical Education 

(GME) Demonstration: Lincoln Medical and 

Mental Health Center

95-W-00033/02 ........................................................... 113

New York Graduate Medical Education 

Demonstration (GME): Interfaith Medical 

Center

95-W-00035/02 ........................................................... 113

New York Graduate Medical Education 

(GME) Demonstration: Metropolitan 

Hospital Center

95-W-00036/02 ........................................................... 113

New York Graduate Medical Education 

Demonstration: Mount Sinai Consortium

95-W-00038/02 ........................................................... 114

New York Graduate Medical Education 

(GME) Demonstration: Brooklyn Hospital 

Center

95-W-00042/02 ........................................................... 113

Medicare Case Management Demonstration 

for Congestive Heart Failure (CHF) and 

Diabetes Mellitus (DM)

95-W-00078/06 ........................................................... 141

Mercy Medical Skilled Nursing Home 

Payment Demonstration

95-W-00083/04 ........................................................... 105

Demonstration of HHA Settlement for Dual 

Eligibles

95-W-00084/02 ............................................................. 26

Demonstration of HHA Settlement for Dual 

Eligibles

95-W-00085/01 ............................................................. 26

Demonstration of HHA Settlement for Dual 

Eligibles

95-W-00086/01 ............................................................. 26

Premier Hospital Quality Incentive 

Demonstration

95-W-00103/04 ........................................................... 116

Medicare+Choice Alternative Payment 

(“Phase I”) Demonstration

95-W-00104/09 ............................................................. 95

Medicare+Choice Alternative Payment 

(“Phase I”) Demonstration

95-W-00105/04 ............................................................. 95

Medicare+Choice Alternative Payment 

(“Phase I”) Demonstration

95-W-00107/03 ............................................................. 95

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00109/05 ............................................................. 92

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00110/01 ............................................................. 92
Active Projects Report—2004 Edition 233

Index of Contract and Grant Numbers

Indices

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00111/05 ............................................................. 92

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00112/04 ............................................................. 94

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00113/07 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00114/07 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00115/03 ............................................................. 94

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00117/02 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00118/09 ............................................................. 91

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00119/09 ............................................................. 92

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00120/02 ............................................................. 94

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00121/04 ............................................................. 94

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00122/02 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00123/04 ............................................................. 92

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00124/02 ............................................................. 94

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00125/05 ............................................................. 92

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00126/09 ............................................................. 91

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00127/09 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00128/06 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00129/05 ............................................................. 93

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

95-W-00130/03 ............................................................. 94

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00131/03 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00132/03 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00133/03 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00134/03 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00135/03 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00136/07 ........................................................... 143

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00137/03 ........................................................... 144
234 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00138/03 ........................................................... 144

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00139/03 ........................................................... 144

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00140/03 ........................................................... 144

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00141/03 ........................................................... 144

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00142/03 ........................................................... 144

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00143/07 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00144/03 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00145/05 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical 

Institute

95-W-00146/01 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical 

Institute

95-W-00147/03 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical 

Institute

95-W-00148/03 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical 

Institute

95-W-00149/10 ........................................................... 145

Medicare Lifestyle Modifi cation Program 

Demonstration—Mind/Body Medical 

Institute

95-W-00150/01 ........................................................... 146

Medicare Lifestyle Modifi cation Program 

Demonstration—Preventive Medicine 

Research Institute

95-W-00151/03 ........................................................... 146

Second Generation Social Health 

Maintenance Organization Demonstration: 

Nevada

95-W-90503/09 ............................................................. 97

International Comparative Data and 

Analysis of Health Care Financing and 

Delivery Systems—II

500-00-0010 ................................................................ 171

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—Abt

500-00-0015 ................................................................ 184

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—ARC

500-00-0016 ................................................................ 185

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—BearingPoint

500-00-0017 ................................................................ 185

5 Year Review of Malpractice Relative 

Value Units

500-00-0017/01 ........................................................... 108

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—Brandeis

500-00-0018 ................................................................ 185

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—C.N.A.

500-00-0019 ................................................................ 185
Active Projects Report—2004 Edition 235

Index of Contract and Grant Numbers

Indices

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—MPR

500-00-0020 ................................................................ 186

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—Medstat

500-00-0021 ................................................................ 186

ADA and Quality Initiatives

500-00-0021/01 ............................................................. 64

New Freedom Initiative Research

500-00-0021/02 ............................................................. 63

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—RTI

500-00-0022 ................................................................ 186

Market Area Selection Criteria and Data 

Development for Medicare Fee-for-Service 

Reform

500-00-0022/01 ........................................................... 171

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Policy 

Analysis—UI

500-00-0023 ................................................................ 186

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—RTI

500-00-0024 ................................................................ 183

Benefi ciary Knowledge: Questionaire Item 

Development and Cognitive Testing Using 

Item Response Theory

500-00-0024/02a ............................................................. 7

Development and Cognitive Testing of 

Questions Relating to Prescription Drug 

Discount Cards

500-00-0024/02b ......................................................... 155

Prescription Drug Benefi t Questionnaire 

Item Development and Cognitive Testing

500-00-0024/02c ......................................................... 157

Analysis of Medicare Current Benefi ciary 

Survey (MCBS) Data: Phase III

500-00-0024/03 ........................................................... 173

Development of Quality Indicators for 

Inpatient Rehabilitation Facilities

500-00-0024/04 ........................................................... 116

Evaluation of the Medicare Preferred 

Provider Organization (PPO) Demonstration

500-00-0024/05 ............................................................. 91

Integrated Payment Option Support Contract

500-00-0024/06 ........................................................... 110

Evaluation of the Dialysis Facility Compare 

Web Site

500-00-0024/07 ............................................................... 8

Health Disparities: Measuring Health 

Care Use and Access for Racial/Ethnic 

Populations

500-00-0024/08 ........................................................... 152

Investigation of Increasing Rates of 

Hospitalization for Ambulatory Care 

Sensitive Conditions Among Medicare 

Benefi ciaries

500-00-0024/09 ............................................................... 6

Evaluation of the Use of Bedside 

Technology To Improve Quality of Care in 

Nursing Facilities

500-00-0024/10 ........................................................... 124

Use of the PACE Health Survey for Dual 

Eligible Demonstration in Wisconsin, 

Minnesota, and Massachusetts, The 

500-00-0024/11 ............................................................. 25

Evaluation of Physician Group Practice 

Demonstration

500-00-0024/12 ........................................................... 117

Public Reporting and Provider and Health 

Plan Quality of Care

500-00-0024/14 ............................................................... 8

Evaluation of the New Jersey Hospital 

Association Demonstration of Performance 

Based Incentives: Part 2.

500-00-0024/15 ........................................................... 110

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—UI

500-00-0025 ................................................................ 184
236 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

Assessment, Refi nement, and Analysis of 

the Existing Prospective Payment System 

for Skilled Nursing Facilities

500-00-0025/02 ........................................................... 105

Examining Long-Term Care Episodes and 

Care History for Medicare Benefi ciaries

500-00-0025/03 ............................................................... 4

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—

CHSR

500-00-0026 ................................................................ 180

Improving Protocols for Home Health 

Agency Assessment in the Survey Process

500-00-0026/01 ........................................................... 122

Outcome and Assessment Information Set 

(OASIS) Technical Analysis and Support 

Contract

500-00-0026/02 ........................................................... 122

Improving Nursing Home Enforcement—

Phase 2

500-00-0026/03 ........................................................... 120

Development and Validation of MDS 3.0

500-00-0027/02 ........................................................... 122

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations—URREA

500-00-0028 ................................................................ 184

Survey of Renal Dialysis Centers

500-00-0028/01 ........................................................... 126

Evaluation of End Stage Renal Disease 

(ESRD) Disease Management (DM)

500-00-0028/02 ........................................................... 138

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—

Wisconsin

500-00-0029 ................................................................ 184

Environmental Scan for Selective 

Contracting Practices With Effi cient 

(Qualifi ed) Physicians and Physician 

Group Practices; Profi ling Techniques; 

Incentive Payments and Barriers to Selective 

Contracting

500-00-0030/01 ........................................................... 109

Evaluation of Balanced Budget Act 

(BBA) Impacts on Medicare Delivery and 

Utilization of Inpatient and Outpatient 

Rehabilitation Therapy Services

500-00-0030/02 ............................................................... 5

Pilot Test and Analysis of the Medicare 

Health Survey for Program for All-Inclusive 

Care for the Elderly (PACE) and EverCare 

(MHSPE)

500-00-0030/03 ............................................................. 97

Refi nements to Medicare Diagnostic Cost 

Group (DCG) Risk-Adjustment Models

500-00-0030/04 ........................................................... 100

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations—Brandeis

500-00-0031 ................................................................ 180

Cancer Prevention and Treatment 

Demonstration for Ethnic and Racial 

Minorities Project

500-00-0031/01 ........................................................... 151

Evaluation of the Illinois and Wisconsin 

State Pharmacy Assistance Programs

500-00-0031/02 ........................................................... 156

Quality Monitoring for the Medicare 

Participating Centers of Excellence 

Demonstration

500-00-0032/01 ........................................................... 109

Evaluation of Private Fee-for-Service Plans 

in the Medicare+Choice Program

500-00-0032/02 ............................................................... 1

Studies in Home Health Case Mix

500-00-0032/03 ........................................................... 104

Impact of Prescription Drug Coverage on 

Medicare Program Expenditures: A Case 

Study of the Evaluation of the United Mine 

Workers (UMW) Demonstration, The 

500-00-0032/04 ........................................................... 155

Implementation of the READII Survey

500-00-0032/05 ........................................................... 152
Active Projects Report—2004 Edition 237

Index of Contract and Grant Numbers

Indices

Evaluation of Wheel Chair Purchasing in 

the Consumer-Directed Durable Medical 

Equipment (CD-DME) Demonstration and 

Other Fee-for-Service and Managed Care 

Settings

500-00-0032/06 ........................................................... 149

Improving the Accurancy and Consistency 

of the Nursing Home Survey Project

500-00-0032/07 ........................................................... 121

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—

MPR

500-00-0033 ................................................................ 182

Evaluation of the Program of All-Inclusive 

Care for the Elderly (PACE) as a Permanent 

Program and of a For-Profi t Demonstration

500-00-0033/01 ............................................................. 96

Evaluation of Programs of Disease 

Management (Phase I and Phase II)

500-00-0033/02 ........................................................... 139

Evaluation of Disease Management 

Demonstration

500-00-0033/03 ........................................................... 137

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations—Medstat

500-00-0034 ................................................................ 181

Healthy Aging: Senior Risk Reduction 

Demonstration

500-00-0034/01 ........................................................... 132

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations—C.N.A.

500-00-0035 ................................................................ 181

Integrated Chronic Disease Quality 

Performance Measurement at the Physician 

Level

500-00-0035/01 ........................................................... 131

Improving Nursing Home Enforcement

500-00-0035/02 ........................................................... 120

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—

ARC

500-00-0036 ................................................................ 179

Payment Development, Implementation, 

and Monitoring Support for the Medicare, 

Medicaid, and SCHIP Benefi ts Improvement 

and Protection Act (BIPA) Disease 

Management Demonstrations

500-00-0036/01 ........................................................... 137

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicare 

Research and Demonstrations (R&D)—

BearingPoint

500-00-0037 ................................................................ 180

Implementation Support for the Medicare 

Participating Centers of Excellence 

Demonstration

500-00-0037/02 ........................................................... 109

Assessment of Medicare & You Education 

Program

500-00-0037/03 ............................................................... 8

Evaluation of the Impact on Benefi ciaries of 

the Medicare+Choice Lock-in Provision

500-00-0037/04 ............................................................... 1

American Indian/Alaska Native (AI/AN) 

Eligibility and Enrollment in Medicaid, the 

State Children’s Health Insurance (SCHIP), 

and Medicare

500-00-0037/05 ........................................................... 150

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations—RTI

500-00-0044 ................................................................ 183

Evaluation of the Badgercare Medicaid 

Demonstration

500-00-0044/01 ............................................................. 21

Research on System Change for Community 

Living

500-00-0044/02 ............................................................. 56

Design of Evaluation Options of the 

Systems Change Grants

500-00-0044/03 ............................................................. 38
238 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

Disproportionate Share Hospital (DSH) 

Funds Under Section 1115 Demos

500-00-0044/04 ............................................................. 22

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—UI

500-00-0045 ................................................................ 183

Evaluation of the Development and Early 

Implementation of Health Insurance 

Flexibility and Accountability (HIFA) 

Demonstration Initiative

500-00-0045/01 ............................................................. 16

Model Waiver Evaluation—HIFA

500-00-0045/02 ............................................................. 15

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations—RTI

500-00-0046 ................................................................ 183

Diabetes Care Across the Life Span for 

Medicaid Benefi ciaries: Gender and Racial 

Differences

500-00-0046/01 ........................................................... 151

Evaluation of the Demonstration To 

Maintain Independence and Employment 

(DMIE) and Other Related Disease-Specifi c 

1115 Waiver Programs

500-00-0046/02 ............................................................. 84

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—

MPR

500-00-0047 ................................................................ 182

Disabled and Special Needs Populations: 

Examining Enrollment, Utilization, and 

Expenditures

500-00-0047/01 ............................................................... 9

Prescription Drug Utilization in Medicaid: 

Using Medicaid Claims Data To Develop 

Prescription Drug Monitoring and Analysis

500-00-0047/02 ........................................................... 158

Medicaid Buy-In Outcomes Work Incentives 

Systems—TWWIIA

500-00-0047/03 ............................................................. 84

Medicaid Statistical Information 

System(MSIS) Expansion and Data Quality 

Support

500-00-0047/04 ............................................................. 12

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—

RAND

500-00-0048 ................................................................ 182

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—Abt

500-00-0049 ................................................................ 179

Medicaid and Medicare Drug Pricing—

Development and Implementation of 

Strategy To Determine Market Prices

500-00-0049/01 ........................................................... 157

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D—

Medstat

500-00-0050 ................................................................ 182

Development of a Software Program to 

Support CMS’s Consumer Experience 

Survey (CES)—Home Care Survey Tool

500-00-0050/01 ........................................................... 169

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—

Lewin

500-00-0051 ................................................................ 181

Medicaid Payment Accuracy Measurement 

Project

500-00-0051/01 ............................................................. 73

Assertive Community Treatment (ACT) 

and Other Community-Based Services for 

Persons with Mental Illness or Persons with 

Co-Occurring Mental Illness and Substance 

Abuse Disorders

500-00-0051/02 ............................................................. 20

Evaluation of Demonstration To Improve the 

Direct Service Community Workforce

500-00-0051/03 ............................................................. 30
Active Projects Report—2004 Edition 239

Index of Contract and Grant Numbers

Indices

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—

CHSR

500-00-0052 ................................................................ 180

Research, Analysis, Demonstration, and 

Survey Task Order Contract—Medicaid 

Research and Demonstrations (R&D)—

C.N.A.

500-00-0053 ................................................................ 181

Collection and Analysis of Information 

and Analysis of State and Federal Policies 

Concerning the Use of Annuities To Shelter 

Assets in State Medicaid Programs

500-00-0053/02 ............................................................. 12

Evaluation of Medicaid Family Planning 

Demonstrations

500-00-0053/03 ............................................................. 20

Implementing the HEDIS Medicare Health 

Outcomes Survey

500-00-0055 ................................................................ 171

Support for Research and Analytic 

Activities—IQ Solutions

500-00-0059 ................................................................ 186

Annual Production

500-00-0059/02 ........................................................... 188

Research and Demonstrations Projects 

Searchable Database: Stage Two, 

Improvement, Enhancements, and 

Implementation

500-00-0059/03 ........................................................... 188

Convert CMS Research Results to 

Consistent Standardized Architecture To 

Support Web-Based Dissemination (With 

Two Options)

500-00-0059/04 ........................................................... 187

Econometric Forecasting and Economic 

Services—II

500-01-0010 ................................................................ 170

Design and Conduct of Survey Task Order 

Contracts—Hope

500-01-0017 ................................................................ 178

Design and Conduct of Survey Task Order 

Contracts—RTI

500-01-0018 ................................................................ 178

Implementation of the Medicare Managed 

Care Version of the Consumer Assessment 

of Health Plans (MMC-CAHPS) Survey

500-01-0018/01 ............................................................... 3

Design and Conduct of Survey Task Order 

Contracts—NORC

500-01-0019 ................................................................ 178

Design and Conduct of Survey Task Order 

Contracts—Westat

500-01-0020 ................................................................ 179

Develop, Conduct, and Analyze Surveys 

of Providers That Work With Quality 

Improvement Organizations (QIO)

500-01-0020/01 ........................................................... 118

Implementation of the Medicare Managed 

Care Version of the Consumer Assessment 

of Health Plans (MMC-CAHPS) Survey 

500-01-0020/02 ............................................................... 2

Implementation of NMEP Evaluation 

Studies/Surveys

500-01-0020/03 ............................................................... 9

Design and Conduct of Survey Task Order 

Contracts—Abt

500-01-0021 ................................................................ 177

Design and Conduct of Survey Task Order 

Contracts—Gallup

500-01-0022 ................................................................ 177

Design and Conduct of Survey Task Order 

Contracts—AIR

500-01-0023 ................................................................ 177

Design and Conduct of Survey Task Order 

Contracts—RAND

500-01-0024 ................................................................ 178

Design and Conduct of Survey Task Order 

Contracts—MPR

500-01-0025 ................................................................ 178

Design and Implementation of a Targeted 

Benefi ciary Survey on Access to Physician 

Services Among Medicare Benefi ciaries

500-01-0025/01 ............................................................... 2

Design and Conduct of Survey Task Order 

Contracts—ANASYS

500-01-0026 ................................................................ 177
240 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

Impact of Nonresponse of MCBS Estimates

500-01-0027/01 ........................................................... 187

Design and Conduct of Survey Task Order 

Contracts—Jing Xing

500-01-0028 ................................................................ 178

Design and Conduct of Survey Task Order 

Contracts—Analytical Science

500-01-0029 ................................................................ 177

Analysis of Large Data Sets Task Order 

Contract—Acumen

500-01-0031 ................................................................ 175

Analysis of Large Data Sets Task Order 

Contract—ARC

500-01-0033 ................................................................ 175

Analysis of Large Data Sets Task Order 

Contract—McDonald

500-01-0034 ................................................................ 176

Analysis of Large Data Sets Task Order 

Contract—JEN

500-01-0035 ................................................................ 176

Analysis of Large Data Sets Task Order 

Contract—QRS

500-01-0036 ................................................................ 176

Analysis of Large Data Sets Task Order 

Contract—ANASYS

500-01-0037 ................................................................ 175

Analysis of Large Data Sets Task Order 

Contract—Klemm

500-01-0038 ................................................................ 176

Analysis of Large Data Sets Task Order 

Contract—Econometrica

500-01-0039 ................................................................ 176

Analysis of Large Data Sets Task Order 

Contract—Jing Xing

500-01-0040 ................................................................ 176

Research Data Assistance Center 

(ResDAC)—II

500-01-0043 ................................................................ 161

Study on Medicare Coverage of Routine 

Thyroid Screening

500-01-0055 ................................................................ 132

ADP Services Supporting Research, 

Analysis and Demonstration Activities—

Base Contract

500-02-0006 ................................................................ 174

Construction of Analytic Files for Study of 

the Cardiac Rehabilitation Benefi t Among 

Medicare Benefi ciaries

500-02-0006/01 ........................................................... 124

Programming Support for Data To Study 

Drug Utilization of Medicare-Aged Merged 

Information From Medicare and Federal 

BC/BS Retirees

500-02-0006/02 ........................................................... 156

Actuarial Research Contract—Part II 

(Special Modeling Activity)

500-03-0021 ................................................................ 169

Promoting State Interest in Identifying 

PACE Markets

500-03-0048 .................................................................. 96

Evaluation of the Diamond State Health 

Plan

500-92-0033/04 ............................................................. 21

Design and Implementation of Medicare 

Home Health Quality Assurance 

Demonstration

500-94-0054 ................................................................ 116

Evaluation of the State Medicaid Reform 

Demonstrations, II

500-95-0040 .................................................................. 22

Multistate Dual Eligible Data Base and 

Analysis Development

500-95-0047/03 ............................................................. 25

Evaluation of Programs of Coordinated Care 

and Disease Management

500-95-0047/09 ........................................................... 138

Evaluation of Group-Specifi c Volume 

Performance Standards Demonstration

500-95-0048/04 ........................................................... 117

Evaluation of the Ohio Behavioral Health 

Program

500-95-0048/05 ............................................................. 16

Medicare Choices Demonstration: 

Verifi cation of Encounter Data

500-95-0050/02 ............................................................. 89
Active Projects Report—2004 Edition 241

Index of Contract and Grant Numbers

Indices

Evaluation of the Informatics, Telemedicine, 

and Education Demonstration

500-95-0055/05 ........................................................... 140

Design, Development, Implementation, 

Monitoring, and Refi nement of a 

Prospective Payment System for Inpatient 

Rehabilitation

500-95-0056/08 ........................................................... 106

HCFA On-Line: Market Research for 

Benefi ciaries—I

500-95-0057/02 ............................................................... 6

Implementation of the Medicare Managed 

Care Version of the Consumer Assessment 

of Health Plans (MMC-CAHPS) Survey

500-95-0057/04 ............................................................... 3

Performance Assessment of Web Sites

500-95-0057/05 ............................................................... 7

Evaluation of the Medical Savings Account 

Demonstration

500-95-0057/06 ........................................................... 100

Modeling M+C Standardized Benefi t 

Packages in Local Markets

500-95-0057/06a ......................................................... 100

Evaluation of the M+C Alternative Payment 

Demonstration

500-95-0057/06b ........................................................... 90

Sub-Zero Premium (BIPA 606) M+C Plan 

Evaluaton

500-95-0057/06c ........................................................... 89

HCFA On-Line: Market Research for 

Benefi ciaries—II

500-95-0057/07 ............................................................... 7

Evaluation of QMB and SLMB Programs

500-95-0058/08 ............................................................. 10

Evaluation of the New York Medicare 

Graduate Medical Education Payment 

Demonstration and Related Provisions

500-95-0058/10 ........................................................... 114

Health Disparities: Longitudinal Study 

of Ischemic Heart Disease Among Aged 

Medicare Benefi ciaries

500-95-0058/12 ........................................................... 152

Psychiatric Inpatient Routine Cost Analysis

500-95-0058/13 ........................................................... 106

Development and Production of the 

Medicare Quality Monitoring System

500-95-0058/16 ........................................................... 115

Practice Expense Methodology

500-95-0059/06 ........................................................... 107

Medicare Lifestyle Modifi cation Program 

Demonstration Evaluation

500-95-0060/02 ........................................................... 146

Study of the Impact of Boren Amendment 

Repeal on Nursing Facility Services for 

Medicaid Eligibles

500-95-0060/03 ............................................................. 11

Patterns of Injury in Medicare and Medicaid 

Benefi ciaries

500-95-0060/04 ............................................................... 9

Evaluation of Competitive Bidding 

Demonstration for DME and POS

500-95-0061/03 ............................................................111

Implementation of the Medicare Managed 

Care Version of the Consumer Assessment 

of Health Plans (MMC-CAHPS) Survey

500-95-0061/05 ............................................................... 3

Actuarial Assessment of PACE Enrollment 

Characteristics in Developing Capitated 

Payments

500-95-0061/09 ............................................................. 95

Community Nursing Organization 

Demonstrations: Final Report to Congress

500-95-0062/10 ............................................................. 90

Implementation of Quality Improvement 

Organization Sixth Scope of Work 

Pneumococcal Pneumonia and Infl uenza 

Immunization Remeasurement Survey

500-95-0062/11 ........................................................... 117

Program of All-Inclusive Care for the 

Elderly (PACE) Quality Assurance

500-96-0004/02 ............................................................. 96

Data Collection for Second Generation 

S/HMO

500-96-0005/02 ............................................................. 99
242 Active Projects Report—2004 Edition

Index of Contract and Grant Numbers

Indices

Evaluation of the Home and CommunityBased Waiver Program

500-96-0005/03 ............................................................. 10

Developing and Evaluating the Use of a 

Quality Indicator Format in the End Stage 

Renal Disease Survey Process

500-96-0005/04 ........................................................... 119

National Resource Center on Home and 

Community-Based Services—Quality Under 

Home and Community-Based Waiver

500-96-0006/02 ............................................................. 44

Medicare Post-Acute Care: Evaluation of 

BBA Payment Policies and Related Changes

500-96-0006/04 ........................................................... 104

Multistate Evaluation of Dual Eligibles 

Demonstrations

500-96-0008/03 ............................................................. 24

Evaluating the Use of Quality Indicators in 

the Long-Term Care Survey Process

500-96-0010/03 ........................................................... 119

Moving Toward Elimination of Lead 

Poisioning in High-Risk Children

500-96-0012/02 ............................................................. 85

Evaluation of the State Child Health 

Insurance Program

500-96-0016/03 ............................................................. 11

Racial Disparities in Health Services Among 

Medicaid Pregnant Women, (Multistate) 

Analysis

500-96-0018/02 ........................................................... 153

ADP Services Supporting Research and 

Demonstration Activities—Jing Xing

500-96-0026 ................................................................ 174

Evaluation of Issues Related to Prospective 

Payment System Under Consolidated 

Bidding for Skilled Nursing Facilities and 

Home Health Agencies

500-96-0026/14 ........................................................... 105

Programming, Analytical, and Data 

Presentation Support for Future of Medicare 

Related Issues

500-96-0516/06 ........................................................... 179

Programming Support for Development of 

the SEER-Medicare Database

500-96-0516/09 ........................................................... 172

Programming Support for the Development 

of the SEER-Medicare Database To 

Examine the Hospice Benefi t Among Aged 

Medicare Benefi ciaries

500-96-0516/10 ........................................................... 173

Hospital Cost Monitoring

500-97-0001 ................................................................ 170

Expansion of Special Policy Analysis Model 

(SPAM)—II

500-97-0003 ................................................................ 170

Evaluation of Independent Informal Dispute 

Resolution (IDR) Process

500-97-0440/18 ........................................................... 120

Healthy Aging/Smoking Cessation

500-98-0281 ................................................................ 131

Medicare Current Benefi ciary Survey—III

500-99-0001 ................................................................ 174

Refi nement of Risk Adjustment for Special 

Populations

500-99-0038 ................................................................ 100

Medicare Lifestyle Modifi cation Program 

Demonstration – Continuous Quality 

Monitoring and Review

500-99-IA41 ................................................................ 147

Evaluation of the Medicare Health 

Outcomes Survey Program, An

500-99-MD02 ............................................................... 32

Medicare Lifestyle Modifi cation Program 

Demonstration Continuous Quality 

Monitoring

500-99-MD02/SS05 .................................................... 146

Preparation of Analytic Data for the 

National, State, and Age Health Accounts 

Data Analysis

CMS-01-01137 ............................................................ 172

Master Drug Data Base—III

CMS-02-00126 ........................................................... 156

National Drug Data File—III

CMS-02-00137 ........................................................... 156
Active Projects Report—2004 Edition 243

Index of Contract and Grant Numbers

Indices

Project Planning Templates and 

Development of XML Data Files

CMS-03-00330 ........................................................... 187

Preparation of Analytic Data for National, 

State, and Age Accounts Data Analysis

CMS-03-01070 ........................................................... 172

Environmental Factors That Increase the 

Risk of Asthma in Medicaid Recipients

CMS-IA-01-128 ............................................................ 86

Direct and Indirect Effects of the Changes 

in Home Health Policy and an Analysis of 

the Skill Mix of Medicare Home Health 

Services Before and After the Balanced 

Budget Act of 1997

HCFA-00-0108 ........................................................... 103

Home Health Data Link

HCFA-00-1157 ................................................................ 5

Implementation Support for the Medicare 

Coordinated Care Demonstration

HCFA-00-1223 ........................................................... 137

Survey Result from the Retail Method of 

Payment Database—II

HCFA-01-0142 ........................................................... 173

Data from National Rx Audit Databases—II

HCFA-01-0176 ........................................................... 159

Assessing the Impact of Requiring Parity for 

Mental Health

HCFA-IA-00-100 ............................................................ 5

United States Renal Data System—

Economic Studies Center

HCFA-IA-01-047 ............................................................ 4

Medicare Preferred Provider Organization 

(PPO) Demonstration (Phase II)

W-95-00116/03 ............................................................. 94

Active Projects Report—2004 Edition 245

Awardee Organizations

Indices

Ability Resources Inc. ................................................. 148

Abt Associates, Inc. .................... 1, 85, 90, 104, 109, 117, 

 121, 149, 152, 155, 157, 177, 179, 184

Actuarial Research Corporation ................. 137, 169, 170,

 175, 179, 185

Acumen, LLC ............................................................. 175

Advanced Renal Options .............................................. 99

Advantage Health Solutions, Inc. ................................. 92

Aetna Health Inc. .......................................................... 92

AIDS Healthcare Foundation ...................................... 154

Alabama Department of Mental Health 

and Mental Retardation .............................................. 55

Alabama Department of Public Health 

Children’s Health Insurance Program ........................ 67

Alabama Medicaid Agency ............................... 47, 58, 76

Alabama Medicaid Agency Long-Term 

Care Division ............................................................. 76

Alaska Department of Administration .................... 34, 59

Alaska Governor’s Council on Disabilities 

and Special Education ................................................ 76

Alegent Bergan Mercy Medical Center ...................... ...................... 143

Allegheny General Hospital ........................................ 143

Alpha One Center for Independent Living ................. 148

American Hospital Association ................................... 170

American Institute for Research ................................. 177

Analytical Science ...................................................... 177

ANASYS ............................................................ 175, 177

Anthem Health Plans of KY, Inc., 

Community Insurance Company ................................ 92

ARCIL, Inc. .................................................................. 58

Arizona Board of Regents, University of Arizona ...... 164

Arizona Department of Economic Security .................. 27

Arizona Department of Economic Security, 

Division of Developmental Disabilities ..................... 34

Arizona Health Care Cost Containment System ..... 13, 67

Arkansas Department of Human Services ............. 13, 14,

 34, 47, 55, 59, 67

Avera McKennan Hospital .......................................... 136

BearingPoint ....................................................... ....................................................... 180, 185

Bon Secours—Maryview Hospital ............................. 145

Bon Secours—St. Mary’s Hospital ............................. 145

Boston Medical Center Corporation ........................... 162

Brandeis University, Heller Graduate 

School, Institute for Health Policy ..................... 11, 180

Breast Cancer Fund, The ............................................ 147

Brooklyn Hospital Center .................................... ....................................113, 114

Bucks County Health Improvement Project, Inc. ....... 149

C.N.A. Corporation ..................................... 120, 131, 181

California Department of Health Services ............. 14, 15,

 43, 47, 70, 76, 86

California Department of Health Services, 

Offi ce of Long-Term Care .......................................... 43

California Department of Mental Health 

System of Care—Adult Programs .............................. 54

Care New England Wellness Center ........................... ........................... 145

Cariten Insurance Company .......................................... 94

Carle Foundation Hospital .......................................... 134

Center for Health Services Research, 

University of Colorado ............................................... 96

Center for Independent Living of Southwest 

Pennsylvania ............................................................ 149

Center for Living and Working ................................... 148

CenVaNet .................................................................... .................................................................... 136

Cerebral Palsy of Colorado, Family 

Voices of Colorado ..................................................... 39

Charleston Area Medical Center ................................. ................................. 144

CHD Research Associates .......................... 124, 156, 172,

 173, 174, 179

Children’s Hospice International .................................. 75

Children Health Care, Inc. ............................................ 75

City of Baltimore ........................................................ 112

City of Cincinnati ........................................................ 112

City of Milwaukee ...................................................... 112

City of San Jose .......................................................... 112

Colorado Department of Health Care 

Policy and Financing ...................................... 34, 59, 70

Colorado Department of Human Services .................. 127

Colorado DHCPF/Program Integrity 

Quality Improvement ................................................. ................................................. 41

Columbia University ................................................... 140

Commonwealth of Massachusetts 

Division of Medical Assistance .................................. 33

Commonwealth of Pennsylvania 

Department of Aging .................................................. 31

Commonwealth of Pennsylvania 

Department of Public Welfare .................................... 44

Community Catalyst, Inc. ............................................. 74

Community Resources for Independence ..................... 57

Connecticut Department of Mental Retardation ........... 41

Connecticut Department of Social Services .......... 26, 35, 

 59, 76

Cook County Illinois Bureau of Health Services 

Ambulatory Community Health Network .................. .................. 87

CorSolutions Medical, Inc. ......................................... 134

Council of Latino Agencies ........................................ 163

Awardee Organizations
246 Active Projects Report—2004 Edition

Awardee Organizations

Indices

County of Sacramento Department of Health 

and Human Resources ................................................ 88

Coventry Health and Life Insurance Company ...... 93, 94

Coventry Health Care, Inc. ........................................... 95

Curators of the University of Missouri, 

Offi ce of Sponsored Program Administration, 

University of Missouri–Columbia Sinclair 

School of Nursing .................................................... 150

Dartmouth University ................................................. 125

Delaware Health and Social Services ......... 28, 47, 59, 67

Delaware Health and Social Services 

(Dover) ................................................................. 47, 59

Delaware Health and Social Services 

(New Castle) ............................................................... 28

Delaware Health Care Commission .............................. 77

Delmarva Foundation for Medical Care ....... 32, 146, 147

Department of Aging and Disabilities ........................... 81

Department of Behavioral and 

Development Services of Maine .......................... 42, 43

Department of Economics, Graduate 

School of Arts and Sciences, Boston University ...... 168

Department of Health and Family Services, 

Division of Supportive Living ................................... 62

DisABILITY LINK ....................................................... ....................................................... 57

District of Columbia Department of Health, 

Medical Assistance Administration ................ 70, 77, 82

Division of Health Services Research and 

Policy, School of Public Health, University 

of Minnesota ............................................................. 161

Division of Medical Assistance, 

Massachusetts Executive Offi ce of 

Health and Human Services ....................................... 26

DuBois Regional Medical Center ............................... ............................... 143

Duke University Health System .................................. 139

Econometrica, Inc. ...................................................... 176

Elderplan, Inc. ............................................................... 97

Employers Health Insurance Company ........................ 95

Erickson Retirement Communities, Inc. ..................... 133

EverCare ................................................................. 25, 97

Executive Offi ce of Health and Social Services ........... 27

Facts & Comparisons .................................................. 156

Family TIES of Nevada, Inc., Family 

Voices of Nevada ........................................................ 40

Family Voices of Wisconsin .......................................... 40

First Data Bank ................................................... ................................................... 156, 158

Florida Agency for Health Care 

Administration .......................................... 62, 65, 70, 75

Florida Department of Children and Families .............. 41

Florida Department of Management Services .............. 48

Fu Associates .......................................................... 5, 172

Gallup Organization, The ........................................... 177

Georgetown University ....................................... 103, 137

Georgia Department of Community Health ............ 59, 77

Georgia Department of Human Resources ..... 41, 48, 128

Global Insight Incorporated ........................................ ........................................ 170

Good Samaritan Health Systems ................................ 145

Granite State Independent Living ................................. 37

Great Rivers Independent Living Services, Inc. ......... 58

Group Health Inc. . ....................................................... 93

Guam Department of Integrated Services 

for Individuals with Disabilities ................................. 35

Guam Department of Public Health and 

Social Services ........................................................... 48

Hamot Medical Center ........................................ ........................................ 142, 146

Harlem Hospital Center .............................................. .............................................. 113

Hawaii Department of Human Services ....................... 48

HealthNow New York, Inc. ......................................... 94

Health Assurance Pennsylvania, Inc. .......................... 94

Health Net Life Insurance Company ...................... 91, 92

Health Quality Partners ............................................... 136

Health Spring Inc. ......................................................... 94

Hope House Daycare .................................................. 154

Horizon Healthcare of New Jersey, Inc. ....................... 93

Hospice of Metro Denver .............................................. .............................................. 75

Hospice of the Valley .................................................. 133

Howard Long Wellness Center at 

Wheeling Hospital .................................................... 143

Howard University Offi ce of Research 

Administration .......................................................... 167

Humana Insurance Company ........................................ 92

Idaho Department of Health and Welfare ......... 48, 67, 77

Idaho Department of Health and Welfare, 

Division of Family and Community Services ...... 41, 43

Illinois Department of Human Services .................. 33, 48

Illinois Department of Public Aid ........................... ........................... 77, 78

Illinois Primary Health Care Association ................... 124

IMS America ....................................................... 159, 173

Independent Living Research Utilization ............... 45, 46

Independent Resources Inc ........................................... 57

Indiana Family and Social Services 

Administration ...................................................... 35, 60

Indiana Offi ce of Medicaid Policy and 

Planning (OMPP) ....................................................... 70

Interfaith Medical Center ............................................ ............................................ 113

Iowa Department of Human Services ............... 49, 67, 77

Iowa Department of Public Health ............................. 158

IQ Solutions, Inc. ........................................ 186, 187, 188

Jameson Health System .............................................. 144

Jefferson Area Board for Aging .................................... 65

JEN Associates, Inc. .................................................... 176

Jewish Home and Hospital for the Aged, The ........... 135

Jing Xing Technologies ....................... 105, 174, 176, 178

Johns Hopkins University ........................................... 169

Johns Hopkins University School of Medicine .......... 133
Active Projects Report—2004 Edition 247

Awardee Organizations

Indices

Kaiser Permanente Center for Health Research ............ 98

Kansas Department of Social and 

Rehabilitation Services ......................................... 46, 78

Kathpal Technologies .................................................. 120

Kentucky Cabinet for Health Services .......................... 49

Kentucky Department for Medicaid Services ............... 71

Klemm Analysis Group, Inc. ...................................... 176

Laguna Research Associates ....................................... 103

Latin American Research and Service 

Agency ..................................................................... 164

Lewin Group .............................................. 10, 20, 30, 73, 

 99, 107, 119, 181

Lincoln Medical and Mental Health 

Center ....................................................................... ....................................................................... 113

Louisiana Department of Health 

and Hospitals ..................................... 41, 60, 68, 71, 78

Louisiana Department of Health and 

Hospitals, Offi ce of Mental Health ............................ 35

Lovelace Health Systems ............................................ 141

Maine Department of Human Services .................. 30, 49,

 78, 128

Maine Department of Human Services, 

Bureau of Medical Services ............................... 16, 128

Managed Health Inc. ..................................................... 94

Maryland ........................ ........................ 2, 11, 14, 30, 33, 40, 44, 49, 55,

 60, 63, 64, 65, 66, 84, 86, 89, 104, 133, 

134, 136, 137, 138, 139, 165, 167, 169, 

178, 181, 182, 186

Maryland Department of Aging .................................... 30

Maryland Department of Health and 

Mental Hygiene .................................................... 33, 55

Maryland Department of Human Resources ................. 60

Massachusetts Department of Mental 

Retardation ........................................................... 36, 60

Massachusetts Department of Mental 

Retardation, Division of Systems Integration ............ 36

Massachusetts Division of Medical Assistance ...... 33, 68

Massachusetts Executive Offi ce of Elder Affairs ......... 31

Mathematica Policy Research (Cambridge) ................. 12

Mathematica Policy Research (DC) ................... 2, 11, 84, 

 138, 139, 178, 182

Mathematica Policy Research (Princeton) ............. 25, 96,

 137, 140, 158, 182, 186

Medical Care Development ........................................ ........................................ 135

Medical Care for Children ............................................ 74

Medical Education Council ......................................... 114

Medstat Group (DC) .......................... 44, 63, 64, 89, 104,

 132, 169, 181, 182, 186

Mercy Medical .................................... 105, 106, 134, 143

Mercy Medical Center—North Iowa .......................... 134

Metropolitan Center for Independent Living ................ 57

Metropolitan Hospital Center ..................................... ..................................... 113

Michigan Department of Community Health ........ 36, 42,

 43, 55, 60

Michigan State University .......................................... 163

Mid Alabama Chapter of the Alabama 

Coalition of Citizens with Disabilities ....................... 57

Mind/Body Medical Institute .............. 142, 145, 146, 147

Minnesota Board on Aging ........................................... 31

Minnesota Department of Human Services ........... 17, 23,

 36, 50, 71, 78

Minot State University .................................................. 80

Mississippi Offi ce of Governor, Division 

of Medicaid ................................................................ ................................................................ 71

Missouri Department of Health and 

Senior Services/DSS&R ........................................... ........................................... 128

Missouri Department of Mental Health .................. 33, 42

Missouri Department of Social Services ................. 50, 79

Missouri Department of Social Services, 

Division of Medical Assistance .................................. 17

Monongahela Valley Hospital ..................................... 143

Montana Department of Public Health 

and Human Services ....................................... 27, 36, 50

Montana Department of Public Health and 

Human Services, Disability Service Division ............ 42

Montana DPHHS-Senior LTC Division, 

State Offi ce on Aging ................................................. 31

Morgan State University ............................................. 165

MultiCare Health System ............................................ 145

Muskegon Community Health Project .......................... .......................... 87

National Aeronautics and Space Administration, 

Goddard Space Flight Center ..................................... ..................................... 86

National Committee for Quality Assurance ................ 171

National Council on the Aging, The .......................... 150

National Institute of Diabetes & Digestive 

& Kidney Diseases ....................................................... 4

National Pace Association ............................................. 96

Nebraska Department of Health and 

Human Services ....................................... 36, 50, 60, 79

Nebraska Department of Health and 

Human Services, Finance and Support ...................... ...................... 71

Nevada Department of Employment, 

Training and Rehabilitation ........................................ 37

Nevada Department of Human Resources ........ 43, 50, 79

New Hampshire Department of Health 

and Human Services ....................................... 50, 61, 79

New Jersey Department of Health 

and Senior Services, Division of Aging 

and Community Services ........................................... 31

New Jersey Department of Health and Senior 

Services, Division of Consumer Support, 

OLTCO, Community Choice Initiative ...................... 61

New Jersey Department of Human Services ......... 18, 51,

 66, 79
248 Active Projects Report—2004 Edition

Awardee Organizations

Indices

New Mexico Department of Health, 

Long-Term Services Division .................................... 29

New Mexico Department of Human 

Services .................................................................... 68

New Mexico Department of Human 

Services, Medical Assistance Division .......... 18, 51, 80

New York Department of Health, DPPG, 

Offi ce of Medicaid Management ............................... ............................... 51

New York Department of Health (Albany) ............. 18, 66

New York State Department of Health ......................... 54

NORC ......................................................................... 178

North Carolina Agricultural and 

Technical State University ....................................... 166

North Carolina Department of Health 

and Human Services ..................... 36, 51, 61, 68, 72, 86

North Carolina DHHS/Division of 

Mental Health DD/Substance Abuse Services ......... 129

North Central Bronx Hospital ..................................... 113

North Dakota ..................................................... 68, 72, 80

North Dakota Department of Human 

Services (Bismarck) ................................................... 68

Offi ce of Medicaid Management, New York 

Department of Health ................................................ 26

Offi ce of Research Services for Department 

of Health Policy and Administration, 

University of North Carolina at Chapel Hill ............ 167

Offi ce of the Assistant Secretary 

for Planning and Evaluation ................... 5, 6, 13, 65, 66

Ohio Department of Aging ............................................ 54

Ohio Department of Job and Family Services .............. 51

Ohio Department of Mental 

Retardation/Development Disability .................. 42, 129

Ohio State University Research Foundation ....... 125, 168

Oklahoma Department of Human Services .................. 37

Oklahoma Department of Human Services, 

Aging Services Division ............................................ 51

Oklahoma Health Care Authority ............... 19, 68, 72, 80

Oregon Department of Human Services .......... 52, 55, 80,

Oregon Department of Human Services

—Seniors and People with Disabilities .................... 129

Oregon Health and Science University ................. 37, 126

Oregon Senior and Disabled Services ........................... 19

Organization for Economic Cooperation 

and Development ..................................................... ..................................................... 171

OSF Health Plans, Inc. .................................................. 92

Pacifi care Health Systems, Inc. ..................................... 95

Pacifi care of Arizona, Inc. ............................................. 91

Pacifi care of Nevada, Inc. ............................................. 93

Parents, Let’s Unite for Kids ......................................... 39

Parents Place of Maryland, Inc., The ........................... 40

Partners for a Healthier Community ............................. 85

Pathways for the Future, Inc. ........................................ 29

Pennsylvania Department of Public Welfare ......... 44, 52,

 63, 80

Ponce School of Medicine .......................................... 162

Premier Healthcare Informatics .................................. 116

Princeton Community Hospital ................................... 144

Project Hope, Center for Health Affairs ..................... 178

QMED ......................................................................... 135

Quality Oncology, Inc. ................................................ 134

Quality Resources Systems ......................................... 176

RAND Corporation ..................... 106, 122, 131, 178, 182

Research Triangle Institute ............ 5, 10, 16, 84, 97, 100,

 106, 109, 114, 115, 151, 152, 153, 187

Research Triangle Institute (DC) .................... 21, 56, 110

Research Triangle Institute (NC) ................. 3, 6, 7, 8, 21,

 22, 25, 38, 91, 110, 116, 117, 119, 

124, 155, 157, 171, 174, 178, 183, 186

Resources for Independent Living Inc. ......................... 58

Rhode Island Department of Elderly Affairs ................ 32

Rhode Island Department of Human Services, 

HCQFP, Center for Adult Health .................. 37, 52, 54,

 61, 81, 83

Rutgers, The State University of New 

Jersey/Center for State Health Policy .................. 45, 46

Shelby County Health Care Corporation d/b/a 

Regional Medical Center at Memphis ........................ 85

South Carolina Department of Disabilities 

and Special Needs .................................................... 129

South Carolina Department of Health and 

Human Services, Bureau of Senior Services ....... 28, 32,

 52, 61, 72

South Dakota Department of Human Services ............. 81

South Dakota Department of Social Services, 

Offi ce of Medical Services ......................................... 69

South Dakota Parent Connection, Inc. .......................... 40

St. Mary’s Medical Center .......................................... .......................................... 144

Statewide Parent Advocacy Network of 

New Jersey, Inc. (SPAN) ............................................ 40

State of California Department of 

Development Services .............................................. 127

State of Hawaii Department of Health .......................... 35

State of Maine/Governor’s Offi ce of 

Health Policy and Finance ......................................... 29

State of Mississippi—Offi ce of the Governor, 

Division of Medicaid .................................................. .................................................. 33

State of Missouri Department of Mental Health ........... 42

Stone Soup Group ......................................................... 39

Swedish American Heart and Vascular Center ........... ........... 145

Syracuse University .................................................... 169

Tenet Choices, Inc. ........................................................ 93

Tennessee Department of Finance and 

Administration .................................................... 37, 130

Tennessee Department of Human Services ................... 28
Active Projects Report—2004 Edition 249

Awardee Organizations

Indices

Tennessee Department of Mental Health 

and Developmental Disabilities ................................. 52

Tennessee State University ......................................... 166

Tennessee State University School of Nursing ........... 166

Texas Department of Human Services .................... 38, 44

Texas Department of Mental Health 

and Mental Retardation ............................................ 130

Texas Health and Human Services 

Commission .................................. 34, 52, 69, 72, 81, 83

Topeka Independent Living Resource Center ............... ............... 46

Tuskegee University ........................................... 164, 165

United Healthcare Insurance Company ........................ 93

United Hospital Center ............................................... ............................................... 144

United Mine Workers of America Health 

and Retirement Funds ................................................ 22

University of Arizona Cancer Center .......................... .......................... 161

University of Colorado Health Sciences Center ......... ......... 120

University of Delaware ................................................. 29

University of Kansas Center for Research, Inc., The .. 35

University of Maryland School of Medicine .............. 136

University of Massachusetts Medical School ......... 42, 49

University of Minnesota ............................................... 24

University of Minnesota School of 

Public Health .................................................... 167, 168

University of New Hampshire Offi ce of 

Sponsored Research ................................................... 31

University of Pennsylvania Heart Failure 

and Cardiac Transplant Program .............................. 118

University of Pittsburgh Offi ce of Research ............... 141

University of South Carolina Research Foundation ... 163

University of Texas Health Science Center 

at San Antonio .......................................................... 162

University of the District of Columbia ....................... 165

University of Wisconsin – Madison .............................111

University of Washington School of Nursing ............... 94

University Renal Research and Education 

Association ............................................... 126, 138, 184

Urban Institute ..................................... 4, 15, 16, 22, 105,

 140, 183, 184, 186

Utah Department of Health ........................................... 81

Utah Department of Health/HCF .................................. 69

Utah Department of Human Services ........................... 53

Utah Independent Living Center Inc. .......................... 58

Vermont Agency of Human Services ...................... 20, 53

Ventera Corp ............................................................... 187

Virginia Commonwealth University 

Partnership for People with Disabilities ..................... 38

Virginia Department of Medical Assistance 

Services .......................................................... 53, 73, 81

Volunteers of America, Inc. .......................................... 30

Waimanalo Health Center ........................................... ........................................... 132

Walter R. McDonald & Associates, Inc. ..................... 176

Washington Aging and Adult Services 

Administration ............................................................ 61

Washington Department of Social and 

Health Services ................................... 44, 53, 69, 73, 82

Washington University Physician Network ................ ................ 135

Wellness Center at City Hospital ................................ 144

Westat Corporation ............................. 2, 9, 118, 174, 179

West Virginia Bureau of Senior Services, 

Program Unit .............................................................. .............................................................. 32

West Virginia Children’s Health Insurance 

Program ...................................................................... 69

West Virginia Department of Health and 

Human Resources, Bureau for Medical Services ....... 62

West Virginia Department of Health and Human 

Resources, Behavioral and Alternative Health Care .. 53

West Virginia Division of Rehabilitation Services ....... 82

West Virginia Research Corporation, 

West Virginia University .......................................... 126

West Virginia University Hospital .............................. 145

West Virginia University Research Corporation 

on behalf of WVU/WVUCED ................................... 38

Windber Medical Center ............................................. ............................................. 143

Wisconsin Department of Health and 

Family Services .............................................. 24, 53, 82

Wisconsin Department of Health and 

Family Services/DDES .............................................. 53

Wisconsin DHFS/Division of Disability and 

Elder Services ..................................................... 44, 130

Wyoming Department of Health ....................... 62, 69, 73

Wyoming Institute for Disabilities, 

University of Wyoming .............................................. 82

Active Projects Report—2004 Edition 251

Principal Investigators

Indices

Adeyemi, Sherry ......................................................... 112

Akina, Charman .......................................................... 132

Akpan, Samuel ............................................................ 112

Alecxih, Lisa Maria ................................................ 10, 99

Alexander, Brenda ...................................................... 145

Anderson, Bruce ........................................................... 35

Anderson, Eloise ........................................................... 15

Anderson, Maggie ................................................... 68, 72

Antonick, Karen ............................................................ 36

Apodaca, Richard ........................................................ ........................................................ 174

Archangelo, Elaine ........................................................ 28

Armstrong, Debbie ........................................................ 51

Armstrong, Ron............................................................. 73

Armstrong-Dailey, Ann ................................................. 75

Atkins, Nancy ............................................................. 130

Autin, Diana MTK ........................................................ ........................................................ 40

Baghelai, Cyrus ........................................................... 176

Bailey, Cliff ................................................................. ................................................................. 174

Bailey, Robert ............................................................. ............................................................. 148

Baird, Peter ................................................................... ................................................................... 81

Baldwin, Kris ................................................................ 59

Ballard-LeFauve, Katherine ........................................ 152

Barta, Sandy ................................................................ 143

Bashaw, Donald .......................................................... .......................................................... 129

Battison, Judith ............................................................. 71

Baul, Bridgitte ............................................................... 14

Baum, Lisa .................................................................... 54

Becker, Alison ............................................................... 60

Becker, Ross .................................................................. 18

Bera, Amerish .............................................................. 88

Berk, Marc ................................................................. 178

Berkman, Nancy ........................................................ 173

Bernard, Shulamit .................................................. 8, 116

Berns, David ................................................................ 27

Bernstein, Mark ............................................................ 29

Bhalotra, Sarita .......................................................... 151

Biczak, Laureen ........................................................... 16

Bindra, Adjit ................................................................. 47

Bir, Anupa .................................................................. 151

Bishop, Christine ......................................................... 11

Blakely, Christy ............................................................ 39

Blouke, Peter ................................................................ 27

Boettcher, Fjellanger Lynn ........................................... 40

Bonito, Arthur ............................................................ 152

Booske, Bridget .............................................................. 3

Borja, Victor ................................................................. 35

Boston, Krista .............................................................. 31

Bouldouc-Musumeci, Denise ....................................... 79

Bowen, Bo .................................................................... 83

Bowen, Claude ........................................... 181, 182, 186

Braaten, Kristie ............................................................ 59

Brantley, Shelly ............................................................ 41

Briefer-French, Jessica ............................................... 171

Briggs, Sharon .............................................................. 61

Brown, Randall S. ...................................................... 182

Buntin, Melinda Beeuwkes ........................................ 106

Burwell, Brian .......................................... 44, 63, 64, 104

Butterworth, Todd ........................................................ 43

Caffrey, Christine ....................................................... 169

Cahill, Kenneth ...................... 1, 6, 7, 100, 109, 180, 185

Calley, Karen ................................................................ 66

Camacho, Peter John .................................................... 48

Cammerer, Daryl ........................................................ 112

Camp, Skip ................................................................. 117

Capitman, John .......................................................... 151

Carlisle, Douglas R. ..................................................... 95

Carter, Grace .............................................................. 106

Casey, Aggie .............................................................. 146

Cernack, Peter ............................................................ 156

Chambless, Catherine .................................................. 81

Chandler, Susan ........................................................... 48

Charlton, Dana ............................................................. 42

Cheh, Valerie ................................................................ 96

Cherry, Keith .............................................................. 3, 8

Chow-Menzer, Margaret ........................................ 36, 60

Chrastek, Jody .............................................................. 75

Clark-Helms, Linda ............................................ 120, 131

Claypool, Henry ........................................................... 46

Clifford, Patricia ........................................................ 128

Coburn, Kenneth ........................................................ 136

Cochran, Cathy ............................................................ 53

Conway, Terrence ......................................................... 87

Cook, Susan ................................................................. 34

Corker, Bob .................................................................. 28

Corrigan, Janet ........................................................... 132

Coughlin, Terri ................................................. 15, 16, 22

Cox, Michael .............................................................. 135

Coyle, Carmela .......................................................... 170

Creager, Eileen ............................................................. 77

Crisler, Kathryn .......................................................... 122

Crisp, Suzanne ............................................................. 62

Cromwell, Jerry ...................................106, 110, 114, 152

Cronenwett, Jack ........................................................ 125

Cummings, Charles P. ................................................... 69

Curtis, Pat ............................................................... 77, 78

Dahlman, Celia H. ...................... 124, 156, 173, 174, 179

Day, Nancy ................................................................... 31

Dean, Mary ................................................................ 145

Principal Investigators
252 Active Projects Report—2004 Edition

Principal Investigators

Indices

DeBaca, Rosario C. .................................................. 164

DeJarnett, Dana .......................................................... 144

DeLillo, Mathew .......................................................... 70

Deutsch, Teri .............................................................. 172

Diette, Gregory .......................................................... 133

Dinnell, Cheryl ............................................................. 40

Ditto, William .................................................. 51, 66, 79

Dobson, Allen ............................................................ 107

Dodds, Suzanne ............................................................ 12

Drake, Dee ................................................................... 55

Dupont, Elizabeth ...................................................... 154

Dyer, Michelle ........................................................... 143

Edwards, Joanna .......................................................... 20

Edwards, W. Sherman ................................................ 179

Elison, Gar ................................................................. 114

Ellington, Fran ............................................................. 77

Ellis, Deborah .............................................................. 13

Enichen, Don ...................................................... 183, 186

Ernst-Becker, Patricia .................................................. 67

Espino, David ............................................................. 162

Evanich, Sharon ........................................................... 54

Fabian, Sally .............................................................. 149

Fair, Christy ................................................................. 52

Faler, Carlis .................................................................. 71

Falvay, Sheri ................................................................ 55

Farley, Donna ............................................................. 178

Faucette, David .......................................................... 178

Feldman, Arthur ......................................................... 141

Feldman, Eli ................................................................. 97

Felt-Lisk, Sue ............................................................. 186

Ferguson, Marilyn ........................................................ 47

Fields, Diane .............................................................. 141

Fields, Stanley .............................................................. 73

Fink, Brenda ........................................................... 36, 49

Firman, James P. ........................................................ 150

Fischman, Michael ..................................................... 181

Fisher, Nancy ............................................................. 133

Fitzgerald, Peter ........................................................... 96

Flora, Jeff ..................................................................... 26

Flores, Glenn .............................................................. 162

Florio, Deborah ...................................................... 37, 55

Fogelfeld, Leon .................................................... 68, 142

Fontaine, Mary ............................................................. 68

Forgione, Julie .............................................................. 26

Forrester-Anderson, Ivis ............................................ 165

Fox, Susan .................................................................... 50

Frakt, Austin ................................................................. 90

Frankel, Debra ............................................................ 149

Franklin, Erica ............................................................ 183

Franklin, Joan ............................................................... 62

Frechtling, Joy ................................................................ 7

Freels, Carol ................................................................. 43

Froeschle, Margaret (Booth) ........................................ 71

Frye, Judith E. ............................................................ 130

Fu, Edward ..................................................................... 5

Gage, Barbara ................................................................ 5

Gallivan, Jane ............................................................... 42

Galvin, Mellissa Mauser .............................................. 58

Gandek, Barbara ........................................................ 171

Garcia, Francisco A.R. ............................................... 164

Garcia, Manual ........................................................... 168

Garfi nkel, Steven ........................................................ 120

Garland, Carey ....................................................... 37, 51

Garnick, Deborah ........................................................... 9

Garrett, Joseph ........................................................... 178

Gatzemeier, Steven ...................................................... 69

Gaumer, Gary ................................................................. 1

Gavin, Norma ....................................................... 21, 153

Giambo, Pamela ................................................. 117, 152

Gianopoulos, Christine .......................................... 30, 78

Gibbs, Laura ................................................................. 29

Gilden, Dan ................................................................ 176

Gillaspie, Cindy ......................................................... 144

Ginder, Jeremy ............................................................. 99

Goddu, David ............................................................... 43

Goetzel, Ron .............................................................. 132

Gold, Marsha .................................................................. 2

Goldstein, Elaina .......................................................... 81

Gonzales, Bernardo ...................................................... 70

Goodwin, Kathryn ...................................................... 148

Gottlieb, Stephen ........................................................ 136

Grad, Oren .................................................................. 109

Green, Kay ................................................................... 42

Green, Teri L. ......................................................... 69, 73

Greene, Angela ........................................................... 119

Greenwald, Leslie ................................................ 91, 124

Gregory, Don .......................................................... 68, 71

Haber, Susan .................................................... 10, 22, 84

Hairston, Steven E. .................................................... 129

Hale, Beth .................................................................. 133

Halford, Nancy ........................................................... 134

Hall, John Michael ....................................................... 20

Halpern, Rachel .......................................................... 167

Hancox, David ............................................................. 57

Hanes, Pamela ............................................................ 126

Harless, Terry A. .......................................................... 69

Harris, Lorna .............................................................. 166

Harris, Patricia ............................................................. 76

Harshbarger, David .................................................... 145

Hartstein, Ann .............................................................. 31

Hartwig, DeAnna ....................................................... 129

Haslett, Joan ................................................................. 53

Haver, Ed ................................................................... 144

Hawley, Timothy .......................................................... 49
Active Projects Report—2004 Edition 253

Principal Investigators

Indices

Haydon, Barbara ........................................................ 145

Head, Michael ........................................................ 42, 43

Hecht, Elizabeth ........................................................... 40

Held, Philip ................................................................ 184

Helms, Edgar J. ............................................................ 31

Heltzel, Robinson Jerri ................................................. 71

Henderson, Larry ......................................................... 57

Hilfi nger, Messias DeAnne Karen ............................. 163

Hill, Gretta ................................................................. 116

Hillegass, Bonnie ......................................................... 97

Himmelstein, Jay .......................................................... 49

Hobart, Sandy .............................................................. 57

Hockenbarger, Karl ...................................................... 46

Hodges, Laura ............................................................ 170

Hoerger, Thomas J. .............................................111, 171

Hogan, Paul .................................................................. 73

Holland, Janice ............................................................. 82

Holt, Barbara .............................................................. 120

Holzworth, Donald ..................................................... 177

Hopkins, Debbie .......................................................... 47

Hornbostel, Roland ...................................................... 51

Horner, Walter ............................................................ 146

Howard, Kenny ............................................................ 78

Howe, Gregory ............................................... 31, 44, 129

Howell, Embry ........................................................... 182

Hunsecker, Lawrence ..................................................... 4

Hurd, Bonnie ................................................................ 59

Hursey, Teresa .............................................................. 67

Husaini, Baqar ............................................................ 166

Irvin, Carol ..................................................................... 9

Ives, Colleen ................................................................ 37

Iwan, Mary Jo .................................................. 36, 60, 79

Jackson, Beth ............................................................. 169

Jackson, Julie ............................................................. 127

Jaynes, Cathy ............................................................. 168

Jeffus, Roy ................................................................... 14

Jessup, Mariell ........................................................... 118

Johnson, Bruce ........................................................... 124

Johnson, Sharon ........................................................... 78

Johnson, Virginia ......................................................... 29

Josephs, Abigail ........................................................... 33

Kane, Robert ................................................................ 24

Karon, Sarita .......................................................111, 184

Kavet, Joel .................................................................... 22

Kayala, Dianne ................................................. 54, 61, 83

Kazis, Lewis ............................................................... 171

Keller, Vicki ............................................................... 128

Kenneally, Cindy .................................................... 38, 44

Kennedy, Cille ................................................................ 5

Kennedy, Mary ............................................................. 17

Kennedy, Ruth .............................................................. 78

Kessler, Daniel ............................................................. 57

Keyes, Joseph B. .......................................................... 47

Kickul, Grady ............................................................... 81

Kidder, David ..................................... 121, 177, 179, 184

King, Angela ................................................................ 30

King-Sutton, Betty ....................................................... 86

Kinzel, Ann ................................................................ 158

Kiser, Gina ................................................................... 71

Klein, Christina ............................................................ 59

Klemm, Rebecca ........................................................ 176

Knable, Steven ........................................................... 178

Knoble-Ivevson, Kathie ............................................... 58

Knott, Betty .................................................................. 48

Kohn, Jolene .............................................................. 128

Komacko, Randall ...................................................... 143

Kotula, Kathryn ............................................................ 81

Kowalczyk, George .................................................... 105

Kozak, Stephen ............................................................ 82

Kuhmerker, Kathryn .................................................. 129

Kuper, David .............................................................. 136

LaCasse, John ............................................................ 135

Laciste, Jane ................................................................. 54

Lacy, Kathi K. ............................................................ 129

Landkamer, Steve ......................................................... 24

Langenfeld, Karen ........................................................ 50

Langwell, Kathryn ..................................................... 150

Laninga, Dale ............................................................... 63

Lara, Don ..................................................................... 25

Larsen, Max ............................................................... 177

Laschober, Mary .......................................... 89, 100, 150

Lawson, Carla ............................................................ 148

LeBrun, Aurora ...................................................... 69, 72

LeClair, Linda .............................................................. 80

Leeds, Mark ................................................................. 49

Levine, Elissa ............................................................... 86

Levy, Robert ................................................................. 12

Lewis, Kara .................................................................. 61

Linkins, Karen ........................................................ 20, 30

Linn, J. Gary .............................................................. 166

Liu, Jiexin .................................................................. 168

Liu, Korbin ................................................................. 105

Lopez, Ana Maria ....................................................... 161

Loux, Donny ................................................................ 37

Lowe, Sandra Stiner ..................................................... 74

Lubalin, James ............................................................. 21

Luzky, Steven ............................................................... 82

Lynch, John ................................................................ 135

Lynch, Judith .................................................................. 3

Lytton Jr., William E. ................................................... 32

Mach Jr., John R. .......................................................... 25

MaCurdy, Thomas ...................................................... 175

Mair, Debra .................................................................. 58

Maley, Mike J. .............................................................. 55
254 Active Projects Report—2004 Edition

Principal Investigators

Indices

Mandell, Marv .............................................................. 32

Marascio, Toni ........................................................... 144

Mardon, Russell ......................................................... 171

Marek, Karen Dorman ............................................... 150

Marinari, Mary ............................................................. 67

Marshall, Denise ........................................................ 137

Martin, Cheryl .............................................................. 52

Maryanski, Bob ............................................................ 75

Matthews, Michael ..................................................... 136

Maxwell, Stephanie ........................................................ 4

Mbanaso, Michael ...................................................... 167

McArthur, Elizabeth ................................................... 127

McBean, Marshall ...................................................... 161

McCall, Nancy ............................................... 6, 115, 171

McCall, Nelda ............................................................ 103

McClellan, Joseph ..................................................R. 142

McClimans, Ellen ...................................................... 128

McClure, Heather ....................................................... 163

McCormack, Lauren ...................................... 7, 155, 157

McDaniel, Lynda .................................................... 36, 51

McDonald, Walter ...................................................... 176

McKusick, David ............................................... 169, 170

McLeod, Thomas ....................................................... 145

McNeill, Sam ............................................................. 105

McPherson, Kimberly .................................................. 34

Meador, Darlene ........................................................... 41

Meltzer, Alfred ........................................................... 176

Mercer, Mary ............................................................... 80

Merrick, Thomas .................................................... 33, 55

Miller, Sharon .............................................................. 67

Mintz, Nancy .............................................................. 135

Mitchell, Janet ........................................ 10, 16, 117, 183

Mohan, Margaret .......................................................... 70

Mohit, Simin A. ......................................................... 145

Montealegre, Frederico .............................................. 162

Moon, Tina ................................................................. 156

Moore, DeeAnn ............................................................ 67

Moore, Dennis .............................................................. 39

Moore, Judy ................................................................. 41

Moser, Jim .................................................... 90, 108, 128

Mowry, MaryAlice ....................................................... 78

Mullin, Lisa .................................................................. 30

Murray, Margaret ......................................................... 18

Murray, Robert ................................................... 181, 185

Nonnenkamp, Lucy ...................................................... 98

Nowell, Robert ....................................................... 68, 72

Nuss, Laura .................................................................. 41

O’Connor, Darlene ....................................................... 42

O’Dowd, Sean ............................................................ 143

O’Leary, James .......................................................... 134

Odom, J. Vernon ........................................................ 126

Olsen, Donna Gore ....................................................... 39

Orefi ce, Adelita ............................................................ 32

Orija, Victor ................................................................. 59

Ott, Cathy ..................................................................... 73

Park, Joshua ....................................................... 175, 177

Parker, Pamela ....................................................... 17, 23

Parks, Kathryn ............................................................ 105

Parrella, David ............................................................. 35

Parsons, Michele .......................................................... 59

Patrick, Carolyn ........................................................... 14

Pelavin, Diane ............................................................ 177

Perrin, Lynne ................................................................ 61

Petty, Richard ............................................................... 45

Pifer, Trina ................................................................. 126

Pinkett, Joyce ............................................................... 77

Pope, Gregory .......................91, 100, 109, 110, 117, 187

Port, Frederich ............................................................ 138

Porter, Amy .................................................................. 76

Powell, Mary Edith .................................................... 164

Power, Gwen ................................................................ 28

Powers, Laurie ............................................................. 37

Propsom, Gail ........................................................ 53, 62

Prunty, Damian L. ........................................................ 69

Quintas, Ileana ................................................... 186, 188

Ragaglia, Kristine ........................................................ 26

Ramage-Tuttle, Rebecca .............................................. 57

Rashap, Arthur W. ........................................................ 65

Reer, Karl ..................................................................... 52

Rehbein, Charles .......................................................... 31

Reid, Pamela ................................................................ 58

Reinhard, Susan ........................................................... 46

Reiser, John .................................................................. 82

Rice, Betty .................................................................... 51

Richard, Teresa ........................................................... 130

Ringlestein, Todd ......................................................... 61

Roberts, Cindy ............................................................. 72

Robinson, Frank ........................................................... 85

Robinson, Helene ......................................................... 60

Robinson, James .......................................................... 95

Rocha, Ronald .............................................................. 58

Rodgers, Anthony ........................................................ 13

Roebuck, Linda ............................................................ 33

Rogers, David ........................................................ 41, 62

Roscoe, Ann ................................................................. 36

Rosenbach, Margo ....................................................... 11

Rosenbaum, Rene Perez ............................................. 163

Rosenstein, Stan ........................................................... 76

Ross, Nancy ................................................................. 70

Rubenstein, Laurence ................................................. 131

Rubin, Robert ............................................................. 119

Ryan, Millie ................................................................. 76

Sack, Sara ..................................................................... 35

Saliba, Debra .............................................................. 122

Saputo, Krista ............................................................... 48

Scally, Sue .............................................................. 32, 52
Active Projects Report—2004 Edition 255

Principal Investigators

Indices

Schaad, Dave ................................................................ 82

Schaefer, Thomas ....................................................... 146

Schafer, Penny ............................................................. 85

Schlenker, Robert ......................................... 16, 122, 180

Schmitz, Robert .......................................................... 137

Schneider, Philip ........................................................ 125

Schneiter, Ellen ............................................................ 29

Schoolfi eld, Kerry ........................................................ 65

Schore, Jennifer .......................................................... 158

Schraeder, Cheryl ....................................................... 134

Schunk, Kristen ............................................................ 35

Schwab, Timothy C. ..................................................... 98

Seigneur, David .......................................................... 143

Shaughnessy, Peter ............................................... 96, 116

Shea, Steven ............................................................... 140

Shelton, Julie .......................................................... 53, 62

Shepard, Donald ................................................. 146, 156

Shropshire, Kelly ............................................. 68, 72, 80

Shuman, Sherry ............................................................ 38

Shure, Kathy ................................................................ 18

Sims, Hywel ............................................................... 147

Slavic, Joe .................................................................. 143

Sloan, Bev .................................................................... 75

Smart, Jayson ............................................................... 39

Smith, Bradley ........................................................... 137

Smith, Doug ................................................................. 70

Smith, Gail ................................................................... 77

Smith, Kenitra ..................................................... 187, 188

Smock, Kristina ............................................................ 61

Snider, Kathleen ........................................................... 72

Soran, Ozlem .............................................................. 141

Speier, Anthony ............................................................ 35

Spinelli, Frank .............................................................. 52

Splinter, Garth .............................................................. 19

Spruill, Frank ............................................................. 105

Stamm, Beth ........................................................... 43, 48

Stanger, Jerry ............................................................... 86

Stanton, William B. .................................................... 146

Starin, Amy .................................................................. 33

Starr, Lila ..................................................................... 49

Stefl , Gail ..................................................................... 80

Stern, Kerry O. ........................................................... 127

Stiles, Gary ................................................................. 139

Stolarick, Robert .......................................................... 85

Stone, Doug .................................................................. 80

Stoner, Dena ................................................................. 83

Strowd, Richard ........................................................... 56

Stuart, Bruce .............................................................. 155

Stucki, Barbara ........................................................... 150

Sue, Sandra ........................................................ 159, 173

Sullivan, Kenneth ......................................................... 33

Sundet, Genevieve ....................................................... 19

Swant, Thomas ............................................................. 44

Talavera, Laura .......................................................... 112

Talbot, Sjan .................................................................. 53

Taylor, Nora ................................................................. 81

Taylor, Sheri ........................................................... 50, 79

Taylor, William .......................................................... 118

Thomas, Joni ................................................................ 50

Thomas, Josie ............................................................... 40

Thornton, Craig ............................................................ 84

Thorpe, Diana .............................................................. 53

Tompkins, Christopher ....................................... 180, 185

Tonore, Mary ................................................................ 30

Trapnell, Gordon ................................................ 179, 185

Tribley, Lloyd ............................................................... 48

Trisolini, Michael ........................................................... 8

Tucek, Jennifer ........................................................... 145

Tyler, Julie .................................................................... 32

Tyrell, Charles .............................................................. 80

Urda, Joyan L. ............................................................ 144

VanDyke, Amy ........................................................... 149

Verseput, David ............................................................ 60

Waidman, Timothy ......................................................... 4

Wall, Michael ............................................................. 134

Walsh, Edith ..................................................... 25, 38, 97

Walsh, Jude .................................................................. 16

Ward, Larry .................................................................. 34

Webster, Connie ......................................................... 165

Weigel, Janet ................................................................ 74

Weinstein, Michael .................................................... 154

Welsh, James .............................................................. 137

West, David ........................................................ 120, 140

West, William ......................................................... 34, 41

Wherry, Mary ............................................................... 79

Whitburn, Gerald ......................................................... 27

White, Arica ................................................................. 67

Whitten, Bruce ............................................................. 55

Wiley, Cindy ................................................................ 72

Williams, Nicole .......................................................... 44

Wilson, Mona ............................................................. 144

Wilson, Tami ........................................................ 37, 130

Wolf, Sheldon .............................................................. 72

Wolff, Jennifer ........................................................... 169

Wolkhamer, Deborah ................................................... 52

Wong, Steward ................................................... 176, 178

Woodbury, Vondie ........................................................ 87

Wooldridge, Judith ..................................................... 140

Workman, Rhoda ......................................................... 60

Wortley, Pascale ......................................................... 152

Wright, Judith ............................................................... 50

Wright, Richard .......................................................... 182

Wrightson, C. William ............................................... 175

Wrobel, Marian .................................................. 104, 155

Wroble, Marian .......................................................... 157

Xlinos, Mary ................................................................ 95
256 Active Projects Report—2004 Edition

Principal Investigators

Indices

Yarrington, Diane ......................................................... 77

Yoder, Tera ................................................................... 38

Zaharia, Ric .................................................................. 34

Zeeck, John .................................................................. 50

Ziv, Ed ........................................................................ 187

Zuckerman, Steven ............................................ 184, 186

Zukas-Lessard, Christine ............................................. 49
Active Projects Report—2004 Edition 257

Awardees by State

Indices

Alabama .......................... 47, 55, 57, 58, 67, 76, 105, 164

Alaska ............................................................... 34, 59, 76

Arizona .......................... 13, 27, 34, 67, 91, 133, 161, 164

Arkansas .............................. 13, 14, 34, 47, 55, 59, 62, 67

California ..................... 14, 15, 43, 47, 54, 57, 70, 76, 86, 

 88, 92, 95, 98, 103, 106, 112, 122, 

127, 131, 147, 154, 156,

158, 175, 176, 178, 182

Colorado ............................. 34, 39, 41, 59, 70, 75, 90, 96,

 116, 120, 122, 127, 164, 180

Connecticut ............................. ............................. 26, 35, 41, 59, 76, 92, 127

Delaware ........................... 28, 29, 47, 57, 59, 67, 77, 128

District of Columbia ................ 2, 4, 5, 11, 15, 16, 21, 22,

 44, 56, 63, 64, 70, 77, 82, 84, 

89, 103, 104, 105, 110, 132, 

137, 138, 139, 140, 150, 158, 

159, 163, 165, 167, 169, 170, 

171, 173, 176, 177, 178, 

181, 182, 183, 184, 186

Florida ................................. 41, 48, 62, 65, 70, 75, 89, 99

Georgia .......................................... 41, 48, 57, 59, 77, 128

Guam ....................................................................... 35, 48

Hawaii ............................................................. 35, 48, 132

Idaho ..................................................... 41, 43, 48, 67, 77

Illinois .................................. 48, 77, 78, 87, 92, 124, 134,

 142, 145, 153, 170, 178

Indiana ................................... 35, 39, 60, 70, 92, 128, 156

Iowa ................................. 4, 5, 6, 49, 67, 77, 86, 134, 158

Kansas ............................................................... 35, 46, 78

Kentucky ..................................................... 49, 71, 92, 95

Louisiana ............................. 30, 35, 41, 60, 68, 71, 78, 93

Maine ................ 16, 29, 30, 42, 43, 49, 78, 128, 135, 148

Maryland ...................... ...................... 2, 4, 9, 30, 32, 33, 40, 49, 55, 60,

 86, 95, 112, 118, 124, 133, 136, 137, 

146, 147, 156, 165, 169, 170, 172, 

173, 174, 175, 176, 177, 178, 179, 

185, 186, 187, 188

Massachusetts .................... 1, 5, 9, 10, 11, 12, 16, 26, 27, 

 31, 33, 36, 42, 49, 60, 68, 74, 84, 

85, 90, 97, 100, 104, 106, 109, 114, 

115, 117, 121, 146, 148, 149, 151, 

152, 155, 156, 157, 162, 168, 176, 

177, 179, 180, 183, 184, 185, 187

Michigan .................... 33, 36, 42, 43, 49, 55, 60, 87, 126,

 128, 138, 163, 184

Minnesota ............... 17, 23, 24, 25, 31, 36, 50, 57, 71, 75, 

 78, 93, 128, 161, 167, 168

Mississippi ............................... 14, 15, 33, 43, 47, 71, 78,

 83, 86, 127, 143

Missouri ................................ 17, 42, 50, 79, 93, 135, 150

Montana ................................................ 27, 31, 36, 42, 50

Nebraska ...................... 19, 36, 37, 50, 52, 55, 60, 71, 79,

 80, 129, 143, 145

Nevada ...................................... 37, 40, 43, 50, 79, 93, 97

New Hampshire ............................ 31, 37, 50, 61, 79, 125

New Jersey ..................... 9, 18, 25, 31, 40, 45, 46, 51, 58,

 61, 66, 79, 93, 96, 135, 137, 140, 

158, 182, 186

New Mexico .................................. 18, 29, 51, 68, 80, 141

New York ............... ............... 18, 26, 51, 54, 66, 71, 80, 89, 93, 94,

 97, 113, 114, 129, 135, 140, 153, 169

North Carolina ..................... 3, 6, 7, 8, 21, 22, 25, 29, 36,

 38, 51, 61, 68, 72, 86, 91, 110, 116, 

117, 119, 124, 129, 139, 152, 153, 

155, 157, 166, 167, 171, 174, 177, 

178, 183, 186

North Dakota ..................................................... 68, 72, 80

Ohio................................... 42, 51, 54, 112, 125, 129, 168

Oklahoma ................................ 19, 37, 51, 68, 72, 80, 148

Oregon ............................. 19, 37, 52, 55, 80, 98, 126, 129

Pennsylvania .................. 31, 44, 52, 63, 80, 94, 118, 129,

 136, 141, 142, 143, 144, 146, 149

Puerto Rico .................................................................. 162

Rhode Island ............... ............... 32, 37, 52, 54, 55, 61, 81, 83, 145

South Carolina ................ 28, 32, 52, 61, 72, 94, 129, 163

South Dakota ............................................. 40, 69, 81, 136

Tennessee ...................... 28, 37, 52, 85, 94, 130, 154, 166

Texas ............................ 34, 38, 44, 45, 52, 58, 69, 72, 81,

 83, 130, 153, 162

Utah ..................................................... 53, 58, 69, 81, 114

Vermont ............................................................. ............................................................. 20, 53, 81

Virginia ........................ 1, 3, 5, 6, 7, 8, 10, 12, 20, 30, 38,

 53, 65, 73, 74, 75, 81, 89, 90, 96, 99, 

100, 105, 107, 108, 109, 119, 120, 

123, 131, 134, 136, 137, 145, 150, 

172, 174, 176, 178, 180, 181, 185, 187

Washington ....................... 44, 53, 61, 69, 73, 82, 94, 145

West Virginia .................................. 32, 38, 53, 62, 69, 82,

 94, 126, 130, 143, 144, 145

Wisconsin ....................... 3, 24, 40, 44, 53, 58, 62, 82, 95,

 111, 112, 130, 153, 184

Wyoming ..................................................... 62, 69, 73, 82

Awardees by State

Active Projects Report—2004 Edition 259

CMS Project Offi cers

Indices

Abbott, Linda

S2-14-26

(410) 786-4662

Labbott@cms.hhs.gov

Center for Medicaid and State Operations ............. 16, 43, 

44, 48, 51

Abel-Steinberg, Benedicta

S1-01-26

(410) 786-3104

BAbelsteinberg@cms.hhs.gov

Center for Benefi ciary Choices ................................... 115

Adamo, Alisa

S2-01-16

(410) 786-6618

AAdamo@cms.hhs.gov

Center for Medicaid and State Operations ........ 15, 22, 28

Adler, Gerald 

C3-16-27

(410) 786-7938

GAdler@cms.hhs.gov

Offi ce of Research, Development & Information ....... 187

Appold, Carey

S2-14-26

(410) 786-2117

CAppold@cms.hhs.gov

Center for Medicaid and State Operations & 

Offi ce of Clinical Standards and Quality ............... 29, 79, 

80, 81

Arday, Susan

S3-02-01

(410) 786-3141

SArday@cms.hhs.gov

Center for Benefi ciary Choices ........................... 117, 152

Austein-Casnoff, Cheryl

S2-01-16

(410) 786-4196

CAusteincasnoff@cms.hhs.gov

Center for Medicaid and State Operations .................... 85

Barbato, Dave

C3-24/07

(410) 786-5145

DBarbato@cms.hhs.gov

Offi ce of Research, Development & Information ...... 156, 

174, 175, 176, 177, 178, 179, 

180, 181, 182, 183, 184, 185, 186

Baugh, David

C3-19-07

(410) 786-7716

DBaugh@cms.hhs.gov

Offi ce of Research, Development & Information ....... 158

Benedict, M. Beth

C3-19-07

(410) 786-7724

BBenedict@cms.hhs.gov

Offi ce of Research, Development & Information .......... 9, 

151, 153

Beyer, James 

C3-24-14

(410) 786-6693

JBeyer@cms.hhs.gov

Offi ce of Research, Development & Information ...... 187, 

188

Blackwell, Steven

S3-02-01

(410) 786-6852

SBlackwell@cms.hhs.gov

Center for Benefi ciary Choices ................................... 158

CMS Project Offi cers

To contact the project offi cers and project directors at the Baltimore headquarters of the Centers for Medicare & 

Medicaid Services, it is best to use telephone or e-mail. Correspondence should be addressed as follows: (Name of 

project offi cer or project director), Centers for Medicare & Medicaid Services, (Name of Center or Offi ce), Mail Stop 

(as listed below the individual’s name), 7500 Security Boulevard, Baltimore, Maryland 21244-1850. For project 

offi cers not in Baltimore, please use the address provided.
260 Active Projects Report—2004 Edition

CMS Project Offi cers

Indices

Blatt, Jody

C4-17-27

(410) 786-6921

JBlatt@cms.hhs.gov

Offi ce of Research, Development & Information ........ 95, 

109

Boben, Paul

C3-24-07

(410) 786-6629

PBoben@cms.hhs.gov

Offi ce of Research, Development & Information ........ 11, 

16, 21, 22, 88

Bosstick, Suzanne

S2-14-26

(410) 786-1301

SBosstick@cms.hhs.gov

Center for Medicaid and State Operations .................. 169

Bragg, Richard

C3-21-06

(410) 786-7250

RBragg@cms.hhs.gov

Offi ce of Research, Development & Information ...... 161,

 162, 163, 164, 165, 166, 167

Brocato, Teresa

S2-01-16

(410) 786-3289

TGardnerbrocato@cms.hhs.gov

Center for Medicaid and State Operations .................... 86

Brocato-Simons, Patricia

C1-09-06

(410) 786-0261

PBrocatosimons@cms.hhs.gov

Offi ce of Clinical Standards and Quality .................... 140

Buczko, William

C3-19-26

(410) 786-6593

WBuczko@cms.hhs.gov

Offi ce of Research, Development & Information ... 4, 114

Burner, Sally

N3-01-21

(410) 786-5999

SBurner@cms.hhs.gov

Offi ce of the Actuary ................................................... 170

Cheetham, Pamela

S3-02-01

(410) 786-2259

PCheetham@cms.hhs.gov

Offi ce of the Administrator ......................................... ......................................... 122

Clark, Peggy

S2-14-26

(410) 786-5321

PClark@cms.hhs.gov

Center for Medicaid and State Operations .............. 20, 33

Clark, William

C3-20-17

(410) 786-1484

WClark1@cms.hhs.gov

Offi ce of Research, Development & Information ........ 21, 

25, 124, 149, 156, 158

Clarkson, Mary

S2-14-26

(410) 786-5918

MClarkson@cms.hhs.gov

Center for Medicaid and State Operations ............. 43, 51,

 58, 60, 61, 62, 65

Close, Jean

S2-14-26

(410) 786-2804

JClose@cms.hhs.gov

Center for Medicaid and State Operations ............. 16, 30,

 31, 32, 43, 44, 154

Coan, James

S1-16-15

(410) 786-9168

JCoan@cms.hhs.gov

Offi ce of Research, Development & Information ....... 131

Collins, Barbara

S2-14-26

(410) 786-3364

BCollins@cms.hhs.gov

Center for Medicaid and State Operations ........ 30, 31, 32

Connolly, Mavis

S2-12-25

(410) 786-6707

MConnolly@cms.hhs.gov

Center for Medicaid and State Operations .................. 122
Active Projects Report—2004 Edition 261

CMS Project Offi cers

Indices

Connolly, Robert

S3-02-01

(410) 786-6882

RConnolly@cms.hhs.gov

Offi ce of Clinical Standards and Quality .................... 122

Cope, Cathy

S2-14-26

(410) 786-8287

CCope@cms.hhs.gov

Center for Medicaid and State Operations ............. 34, 36,

37, 45, 46, 47, 49, 52, 53

Cotterill, Philip

C3-21-28

(410) 786-6598

PCotterill@cms.hhs.gov

Offi ce of Research, Development & Information ... 5, 104

Crawley, Barbara

S1-13-05

(410) 786-6590

BCrawley@cms.hhs.gov

Center for Benefi ciary Choices ....................................... 7

Crisp, Suzanne

N2-14-22

(410) 786-0672

SCrisp@cms.hhs.gov

Center for Medicaid and State Operations .................... 62

Deacon, Ronald

C4-17-27

(410) 786-6622

RDeacon@cms.hhs.gov

Offi ce of Research, Development & Information ....... 112

Deal, Al

C3-24-07

(410) 786-6645

ADeal@cms.hhs.gov

Offi ce of Research, Development & Information ........ 87, 

167, 168, 169

Delozier, Adrienne

S2-14-26

(410) 786-0278

ADelozier@cms.hhs.gov

Center for Medicaid and State Operations ............. 63, 64,

 127, 128, 129

Donovan, Sharon

S2-01-16

(410) 786-2561

SDonovan@cms.hhs.gov

Center for Medicaid and State Operations .................... 27

Dutton, Benson

C3-19-26

(410) 786-6603

BDutton@cms.hhs.gov

Offi ce of Research, Development & Information ...... 109,

 110, 170

Duzor, Deirdre

S2-01-16

(410) 786-4626

DDuzor@cms.hhs.gov

Center for Medicaid and State Operations .................. 157

Duzor, Spike

C3-16-27

(410) 786-1794

SDuzor@cms.hhs.gov

Offi ce of Research, Development & Information ....... 161

Eberly, Jeannine

S2-14-26

(410) 786-5664

JEberly@cms.hhs.gov

Center for Medicaid and State Operations ............. 49, 50,

 76, 80, 81, 82

Ensor, Rick

C4-03-06

(410) 786-5617

REnsor@cms.hhs.gov

Center for Medicare Management .............................. .............................. 108

Eppig, Frank

C3-16-27

(410) 786-7950

FEppig@cms.hhs.gov

Offi ce of Research, Development & Information ....... 174

Farkas, Mary Pat

S2-14-26

(410) 786-5731

MFarkas@cms.hhs.gov

Center for Medicaid and State Operations .............. 29, 30
262 Active Projects Report—2004 Edition

CMS Project Offi cers

Indices

Feuerberg, Marvin

S2-14-26

(410) 786-6520

MFeuerberg@cms.hhs.gov

Center for Medicaid and State Operations .......... 120, 121

Franklin, Julie

S1-13-05

(410) 786-8126

JFranklin@cms.hhs.gov

Center for Benefi ciary Choices ................................... 6, 7

Gagnon, Maurice

S2-01-16

(410) 786-0619

MGagnon@cms.hhs.gov

Center for Medicaid and State Operations .................... 18

Goody, Brigid

C3-20-17

(410) 786-6640

BGoody@cms.hhs.gov

Offi ce of Research, Development & Information ....... 173

Greenberg, David

S2-01-16

(410) 786-2637

DGreenberg@cms.hhs.gov

Center for Medicaid and State Operations 86, 87, 142

Greenberg, Linda

C3-19-07

(410) 786-0677

LGreenberg@cms.hhs.gov

Offi ce of Research, Development & Information ...... 150, 

152, 173

Greer, Joel

C3-19-07

(410) 786-6695

JGreer3@cms.hhs.gov

Offi ce of Research, Development & Information .......... 4, 

126, 138

Guy, Mary

S2-14-26

(410) 786-2772

MGuy@cms.hhs.gov

Center for Medicaid and State Operations ............. 46, 47, 

57, 58, 59, 60, 61, 62

Haffer, Chris

C3-16-27

(410) 786-8764

SHaffer@cms.hhs.gov

Offi ce of Research, Development & Information . 32, 171

Harris, Fred

S2-14-26

(410) 786-5957

FHarris@cms.hhs.gov

Center for Medicaid and State Operations .................... 55

Harris, Melissa

S2-14-26

(410) 786-3397

MHarris1@cms.hhs.gov

Center for Medicaid and State Operations ............. 14, 34,

38, 42, 48, 50, 53, 66, 75

Harris, Monica

S2-01-16

(410) 786-3335

MHarris5@cms.hhs.gov

Center for Medicaid and State Operations .................... 74

Hawthorne, James

C3-20-17

(410) 786-6689

JHawthorne@cms.hhs.gov

Offi ce of Research, Development & Information ..... 9, 24

Headen, Kathy

C4-14-21

(410) 786-6865

KHeaden@cms.hhs.gov

Offi ce of Research, Development & Information ...... 124,

 133, 134, 135, 141

Heller, Amy

S1-13-05

(410) 786-9234

AHeller2@cms.hhs.gov

Center for Benefi ciary Services .................................. 2, 3

Helphenstine, Patricia

S1-16-11

(410) 786-5900

PHelphenstine1@cms.hhs.gov

Center for Medicaid and State Operations ............. 48, 50,

52, 53
Active Projects Report—2004 Edition 263

CMS Project Offi cers

Indices

Henesch, Michael

C4-17-27

(410) 786-6685

MHenesch@cms.hhs.gov

Offi ce of Research, Development & Information ....... 148

Ingber, Melvin

C3-19-26

(410) 786-1913

MIngber@cms.hhs.gov

Offi ce of Research, Development & Information ...... 100,

150

Johnson, Lorraine

C3-19-07

(410) 786-9457

LJohnson@cms.hhs.gov

Offi ce of Research, Development & Information ...... 137, 

139

Jones, Julie

S2-01-16

(410) 786-3039

JJones5@cms.hhs.gov

Center for Medicaid and State Operations .................... 20

Kapp, Mary

C3-19-07

(410) 786-0360

MKapp@cms.hhs.gov

Offi ce of Research, Development & Information .......... 1, 

6, 132

Kapustka, John

S2-14-26

(410) 786-4693

JKapustka@cms.hhs.gov

Center for Medicaid and State Operations .................... 55

Kari, Judith

S2-12-25

(410) 786-6829

JKari@cms.hhs.gov

Center for Medicaid and State Operations .................. 119

Karikari-Martin, Pauline

S3-02-01

(410) 786-1040

PKarikariMartin@cms.hhs.gov

Center for Benefi ciary Choices ................. 9, 99, 116, 131

Kelly, Pamela

C4-17-27

(410) 786-2461

PKelly@cms.hhs.gov

Offi ce of Research, Development & Information ...... 142,

158

Kennedy-Sullivan, Jackie

S3-02-01

(410) 786-2286

JKennedysullivan@cms.hhs.gov

Center for Benefi ciary Services .................................. 125

King, Kathryn

S2-14-26

(410) 786-1283

KKing@cms.hhs.gov

Center for Medicaid and State Operations ............. 30, 49,

51, 52, 54, 60

Knefl ey, Sue

S2-14-26

(410) 786-0488

SKnefl ey@cms.hhs.gov

Center for Medicaid and State Operations ................... 29,

51, 52, 53

Kornfi eld, Tom

C3-20-17

(410) 786-8263

TKornfi eld@cms.hhs.gov

Offi ce of Research, Development & Information ....... 150

Kranacs, Jeanette

C5-06-27

(410) 786-9385

JKranacs@cms.hhs.gov

Center for Medicare Management ...................... ...................... 105, 106

Lambert, Ronald

C4-17-27

(410) 786-6624

RLambert@cms.hhs.gov

Center for Benefi ciary Choices ............................. 97, 100

Laverdure, Mary Frances

S2-14-26

(410) 786-0119

MLaverdure@cms.hhs.gov

Center for Medicaid and State Operations ............. 35, 36,

37, 48, 50, 51, 56, 57, 61
264 Active Projects Report—2004 Edition

CMS Project Offi cers

Indices

Levin, Barry

S2-14-26

(410) 786-4204

BLevin@cms.hhs.gov

Center for Medicaid and State Operations .................... 31

Levy, Jesse

C3-19-26

(410) 786-6600

JLevy@cms.hhs.gov

Offi ce of Research, Development & Information ....... 156

Lew, Elaine

S2-12-25

(410) 786-9353

ELew@cms.hhs.gov

Center for Medicaid and State Operations .................. 120

Long, William

C3-16-27

(410) 786-7927

WLong1@cms.hhs.gov

Offi ce of Research, Development & Information ....... 174

Magee, Carol

C3-19-07

(410) 786-6611

CMagee@cms.hhs.gov

Offi ce of Research, Development & Information ...... 138,

 140, 149

Marmion, Barbara

S2-01-16

(410) 786-3371

BMarmion@cms.hhs.gov

Center for Medicaid and State Operations .................... 85

Marsalek, Ken

C4-10-26

(410) 786-4502

KMarsalek@cms.hhs.gov

Center for Medicare Management .............................. .............................. 107

Martin, Anne

N3-02-02

(410) 786-7786

AMartin@cms.hhs.gov

Offi ce of the Actuary ................................................... 172

Martin, Shannon

N3-03-04

(410) 786-7939

SMartin@cms.hhs.gov

Offi ce of the Actuary ................................................... 170

Mason, Cynthia

C4-17-27

(410) 786-6680

CMason1@cms.hhs.gov

Offi ce of Research, Development & Information ...... 136,

137

Mazumdar, Sid

C4-17-27

(410) 786-6673

SMazumdar@cms.hhs.gov

Offi ce of Research, Development & Information ........ 99,

113, 114, 134, 135, 136

McCarthy, Daniel

S2-01-16

(410) 786-2079

DMccarthy@cms.hhs.gov

Center for Medicaid and State Operations .................... 18

McKay, Hunter

Hubert H. Humphrey Building, 424E.23

Washington, DC 20201

(202) 690-6443

hmckay@OSASPE.DHHS.GOV

Assistant Secretary for Planning and Evaluation .......... 44

McVicker, Victor

C3-20-17

(410) 786-6681

VMcvicker@cms.hhs.gov

Offi ce of Research, Development & Information ........ 89,

90, 91, 100

Meadow, Ann

C3-19-26

(410) 786-6602

AMeadow@cms.hhs.gov

Offi ce of Research, Development & Information .......... 5,

103, 104, 111
Active Projects Report—2004 Edition 265

CMS Project Offi cers

Indices

Meltzer, Arthur

C3-19-07

(410) 786-9974

AMeltzer@cms.hhs.gov

Offi ce of Research, Development & Information ........ 84,

150, 152

Mendelsohn, Paul

S2-23-05

(410) 786-3213

PMendelsohn2@cms.hhs.gov

Center for Benefi ciary Choices ........................... 148, 149

Mentnech, Renee

C3-20-17

(410) 786-6692

RMentnech@cms.hhs.gov

Offi ce of Research, Development & Information ... 2, 124

Merriman, Diane

S3-02-01

(410) 786-7237

DMerriman@cms.hhs.gov

Offi ce of Research, Development & Information ....... 151

Metzler, Shannon

S2-01-16

(410) 786-3267

SMetzler@cms.hhs.gov

Center for Medicaid and State Operations .................. 147

Millstone, Joseph

S2-01-16

(410) 786-2976

JMillstone@cms.hhs.gov

Center for Medicaid and State Operations .................... 17

Miranda, David

S1-13-05

(410) 786-7819

DMiranda@cms.hhs.gov

Center for Benefi ciary Choices ....................................... 8

Molling, Christopher

N3-26-00

(410) 786-6399

cmolling@cms.hhs.gov

Offi ce of the Actuary ................................................... 169

Moore, Tonya

S2-14-26

(410) 786-0019

TMoore1@cms.hhs.gov

Center for Medicaid and State Operations .............. 65, 66

Moseley, Deondra

S2-14-26

(410) 786 4577

DMosley@cms.hhs.gov

Center for Medicaid and State Operations ............. 33, 34,

41, 42, 48

Mummert, Tracey

S2-12-25

(410) 786-3398

TMummert@cms.hhs.gov

Center for Medicaid and State Operations .................. 122

Murphy, Cindy

C4-10-07

(410) 786-5733

CMurphy1@cms.hhs.gov

Center for Medicare Management .............................. .............................. 105

Nakielny, Bob

S2-14-26

(410) 786-4466

RNakielny@cms.hhs.gov

Center for Medicaid and State Operations ........ 30, 31, 32

North, Ronald

S3-18-13

(410) 786-5651

RNorth@cms.hhs.gov

Center for Medicaid and State Operations .................... 12

Nugent, Dennis

C4-12-18

(410) 786-6663

DNugent@cms.hhs.gov

Offi ce of Research, Development & Information ........ 25,

125, 134, 135, 136, 139

Olsen, Nancy

S2-01-16

(410) 786-0617

NOlsen@cms.hhs.gov

Center for Medicaid and State Operations .................... 85
266 Active Projects Report—2004 Edition

CMS Project Offi cers

Indices

Peterson, Joan

S2-01-16

(410) 786-0621

JPeterson2@cms.hhs.gov

Center for Medicaid and State Operations ............. 13, 14,

15, 16, 20, 27, 28

Phipps, Lee

C4-17-27

(410) 786-9321

LPhipps@cms.hhs.gov

Offi ce of Research, Development & Information ......... 22

Pilotte, John

C4-17-27

(410) 786-6558

JPilotte@cms.hhs.gov

Offi ce of Research, Development & Information ...... 117,

118, 134, 135, 137, 141

Pirotte, Katharine

S3-02-01

(410) 786-6774

KPirotte@cms.hhs.gov

Offi ce of Research, Development & Information ...... 116,

132

Prete, Pat

S2-14-26

(410) 786-3246

PPrete@cms.hhs.gov

Center for Medicaid and State Operations .................... 33

Radke, Susan

C3-20-17

(410) 786-4450

SRadke@cms.hhs.gov

Offi ce of Research, Development & Information ........ 10,

11, 23, 25, 38

Rama, Kathy

S2-14-26

(410) 786-6659

KRama@cms.hhs.gov

Center for Medicaid and State Operations .............. 39, 40

Razes, Joseph

S2-14-26

(410) 786-6126

JRazes@cms.hhs.gov

Center for Medicaid and State Operations ............. 78, 79, 

82, 83, 84, 126

Reed, Maria

S2-14-26

(410) 786-2255

MReed@cms.hhs.gov

Center for Medicaid and State Operations ............. 34, 47, 

57, 127, 128, 129, 130

Reed, Mark

S2-12-25

(410) 786-0861

DReed@cms.hhs.gov

Center for Medicaid and State Operations ............. 36, 49, 

127, 128, 129, 130

Riley, Gerald

C3-20-17

(410) 786-6699

GRiley@cms.hhs.gov

Offi ce of Research, Development & Information ....... 172

Rotwein, Suzanne

S1-13-05

(410) 786-6621

SRotwein@cms.hhs.gov

Center for Benefi ciary Choices ....................................... 9

Rudolph, Noemi

C3-20-17

(410) 786-6662

NRudolph@cms.hhs.gov

Offi ce of Research, Development & Information .... 7, 10,

24, 155, 157

Saxonis, Christine

C3-02-16

(410) 786-3722

CSaxonis@cms.hhs.gov

Offi ce of Financial Management .................................. .................................. 68

Schervish, Marguerite

S2-14-26

(410) 786-7200

MSchervish@cms.hhs.gov

Center for Medicaid and State Operations ............. 13, 19,

35, 41

Schmidt, Donna

S2-01-16

(410) 786-5532

DSchmidt@cms.hhs.gov

Center for Medicaid and State Operations .................... 19
Active Projects Report—2004 Edition 267

CMS Project Offi cers

Indices

Schoeneman, Karen

S2-14-26

(410) 786-6855

KSchoeneman@cms.hhs.gov

Center for Medicaid and State Operations .................. 119

Shapiro, Jennifer

C3-20-17

(410) 786-7407

JShapiro@cms.hhs.gov

Offi ce of Research, Development & Information ....... 155

Shapiro, Rita

S3-02-01

(410) 786-2177

RShapiro@cms.hhs.gov

Center for Benefi ciary Choices ................................... 116

Shenk, Thomas

S2-14-26

(410) 786-3295

TShenk@cms.hhs.gov

Center for Medicaid and State Operations ............. 44, 51,

57, 58, 59, 60, 61, 62, 63

Sherwood, J. Donald

C4-17-27

(410) 786-6651

JSherwood@cms.hhs.gov

Offi ce of Research, Development & Information ........ 26, 

105 137

Silanskis, Jeremy

S2-26-17

(410) 786-1592

JSilanskis@cms.hhs.gov

Offi ce of HIPAA Standards ....... 76, 77, 78, 79, 80, 81, 82

Skellan, David

C3-2-17

(410) 786-0699

DSkellan@cms.hhs.gov

Offi ce of Research, Development & Information ....... 171

Slaughter, Wayne

S3-13-15

(410) 786-0038

WSlaughter@cms.hhs.gov

Offi ce of Financial Management ..................... ..................... 67, 68, 69, 

70, 71, 72, 73

Sotirelis, Maria

S2-01-16

(410) 786-0552

MSotirelis@cms.hhs.gov

Center for Medicaid and State Operations .................... 17

Stephens, Sharman

Hubert H. Humphrey Building, 321-D

Washington, DC 20201

(202) 690-8257

SStephens@cms.hhs.gov

Offi ce of Research, Development & Information ....... 179

Stiller, Jean

C4-05-17

(410) 786-0708

JStiller@cms.hhs.gov

Center for Medicare Management ...................... ...................... 159, 173

Stojak, Mary

C1-05-17

(410) 786-6939

MStojak@cms.hhs.gov

Center for Benefi ciary Choices ................................... 126

Tarver-Eaton, Cheryl

S2-14-26

(410) 786-5451

CTarver@cms.hhs.gov

Center for Medicaid and State Operations .............. 14, 18

Taylor, Carl 

Hubert H. Humphrey Building, 321D

Washington, DC 20201

(202) 205-2358

CTaylor5@cms.hhs.gov

Offi ce of Research, Development & Information ........ 88, 

33

Teichman, Lori

S1-13-05

(410) 786-6684

LTeichman@cms.hhs.gov

Center for Benefi ciary Choices ....................................... 8

Theis, Thomas

C4-17-27

(410) 786-6654

TTheis@cms.hhs.gov

Offi ce of Research, Development & Information ........ 97,

98, 99
268 Active Projects Report—2004 Edition

CMS Project Offi cers

Indices

Thomas, Frederick

C3-19-26

(410) 786-6675

FThomas@cms.hhs.gov

Offi ce of Research, Development & Information .......... 5,

95, 96, 106

Thoumaian, Armen

S3-02-01

(410) 786-6672

AThoumaian@cms.hhs.gov

Offi ce of Research, Development & Information ...... 116,

 143, 144, 145, 146, 147

Trudel, Roy

S2-14-26

(410) 786-3417

RTrudel@cms.hhs.gov

Center for Medicaid and State Operations .................... 12

Ukaegbu, Gregg

S2-14-26

(410) 786-5133

GUkaegbu@cms.hhs.gov

Center for Medicaid and State Operations ........ 36, 37, 38

VanHoven, Deborah

C4-17-27

(410) 786-6625

DVanhoven@cms.hhs.gov

Offi ce of Research, Development & Information ........ 91, 

92, 93, 94

Wang, Mei

JFK Federal Building, Room 2325

Boston, MA 02203

(617) 565-3136

MWang@cms.hhs.gov

Boston Regional Offi ce ............................................... 118

Wedgeworth, Raymond

C4-17-27

(410) 786-6676

RWedgeworth@cms.hhs.gov

Offi ce of Research, Development & Information ...... 109, 

110

Wheeler, Mary

S3-02-01

(410) 786-6892

MWheeler@cms.hhs.gov

Center for Benefi ciary Choices ..................................... 96

Young, John

S3-02-01

(410) 786-0505

JYoung5@cms.hhs.gov

Center for Medicaid and State Operations ............. 77, 78, 

79, 80, 81, 82

Yuskauskas, Anita

S2-14-26

(410) 786-0268

Ayuskauskas@cms.hhs.gov

Center for Medicaid and State Operations ............. 37, 38,

41, 42, 128, 130

Zerhusen, Eileen

S3-02-01

(410) 786-7803

EZerhusen@cms.hhs.gov

Offi ce of Clinical Standards and Quality ........................ 8

Zhang, Nancy

C3-20-17

(410) 786-9362

NZhang@cms.hhs.gov

Offi ce of Research, Development & Information ........... 1
Active Projects Report—2004 Edition 269

Facts About The Centers For Medicare & Medicaid Services

Facts About the Centers for

Medicare & Medicaid Services

The Centers for Medicare & Medicaid Services (CMS) administers the Medicare program and works in partnership 

with the States to administer Medicaid, the State Children’s Health Insurance Program (SCHIP), and health insurance 

portability standards. In addition to these programs, CMS has other responsibilities, including the administrative 

simplifi cation standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality 

standards in health care facilities through its survey and certifi cation activity, and clinical laboratory quality standards.

About 83 million benefi ciaries, or more than 1 in 4 Americans, receive health care coverage through Medicare, 

Medicaid, and SCHIP. Medicare covers almost 42 million people, and about 43 million are covered by Medicaid 

(including approximately 6 million who are dually eligible for Medicare and Medicaid). Additionally, more than 

6 million children are covered by SCHIP through separate programs or Medicaid-based expansions.

CMS spends 20 percent of the Federal Government’s dollars. In FY 2005, CMS will spend about $519 billion: 

63 percent for Medicare, 35 percent for Medicaid and Medicaid administration, 1 percent for SCHIP, and 1 percent 

for other administrative costs. Including State spending, these programs spend about 45 percent of the Nation’s health 

care dollars.

THE MEDICARE PROGRAM 

Medicare is a social insurance program enacted in 1965 that is fi nanced by a combination of payroll taxes from workers 

and their employers, benefi ciary premium payments, and general Federal revenues. The program provides health 

insurance to people age 65 and over, those who have permanent kidney failure requiring dialysis or transplant, and 

certain individuals under 65 with disabilities.

THE MEDICARE MODERNIZATION ACT OF 2003

The recently enacted Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) made the 

most signifi cant changes to the program since 1965. The law provides more choices in health care coverage and better 

health care benefi ts. MMA creates a discount drug card until a new Part D outpatient prescription drug benefi t begins 

operation in 2006, allows for competition among health plans to foster innovation and fl exibility in coverage, covers 

new preventive benefi ts, and makes numerous other changes. (For a more complete discussion, see the MMA page on 

the CMS Web site.)

In 2006, the new voluntary Part D outpatient prescription drug benefi t will be available to benefi ciaries from private 

drug plans as well as Medicare Advantage (mainly managed care) plans. Employers who provide retiree drug coverage 

will be eligible for a Federal subsidy. Benefi ciaries with incomes less than 150 percent of the Federal poverty limit will 

be eligible for Medicare subsidies—a fi rst for the program.

ORIGINAL MEDICARE 

The fee-for-service Medicare program has two parts: Hospital Insurance (Part A) and Medical Insurance (Part B). 

Medicare Part A helps pay for inpatient hospital services, skilled nursing facility services, certain home health services, 

and hospice care. Medicare Part B helps pay for doctor services, outpatient hospital services, certain home health 

services, medical equipment and supplies, and other health services and supplies.

Since its inception, Medicare has contracted with insurance companies to administer the program. A Fiscal 

Intermediary is a private company that Medicare contracts with to pay hospitals, skilled nursing facilities, and home 

health agencies for their Part A and some Part B bills. A Carrier is a private company that Medicare contracts with to 
270 Active Projects Report—2004 Edition

Facts About The Centers For Medicare & Medicaid Services

pay physicians and other suppliers for their Part B bills. Under the contracting reform provisions of MMA, CMS will 

begin to contract for these services on a competitive basis.

Original Medicare is a fee-for-service payment model and is available everywhere in the United States. Benefi ciaries 

are free to go to any doctor, specialist, or hospital that accepts Medicare, and most providers participate in Medicare. 

Benefi ciaries and Medicare share the bill. More than 36 million benefi ciaries are in original Medicare.

MEDICARE ADVANTAGE 

MMA replaces the Medicare+Choice program with the Medicare Advantage program under Part C of Medicare. Under 

Medicare Advantage, benefi ciaries can choose from an array of private health plan options, including HMOs, PPOs, 

and private fee-for-service plans (availability varies geographically). MMA changes how private plans will be paid in 

2004 and thereafter. Private plans can use the enhanced payments provided under MMA to offer benefi ciaries more 

generous coverage and to provide additional benefi ts that original Medicare may not.

In 2006, the following changes will be made to Medicare Advantage: new regional PPOs will be available to 

benefi ciaries to increase private plan choices; Medicare and benefi ciary payments to plans will be based on a new 

system of competitive bidding; and benefi ciaries may choose to receive the new Part D prescription drug benefi t from 

their Medicare Advantage plan. Nearly 5 million benefi ciaries are enrolled in Medicare Advantage health plans.

THE MEDICAID PROGRAM 

Medicaid eligibility is limited to individuals who fall into specifi ed categories. The Federal statute identifi es over 

25 different eligibility categories for which Federal funds are available. These categories can be classifi ed into broad 

coverage groups: pregnant women, children and teenagers, and individuals who are aged, blind, or disabled. The rules 

for counting income and resources vary from State to State and from group to group. For instance, there are special 

rules for those who live in nursing homes and for disabled children living at home. Generally, individuals who are 

poor, but who have no dependent children and are not disabled, may not qualify for Medicaid coverage no matter how 

low their income. Exceptions to this rule are some expansion populations in certain States with section 1115 waivers, 

which are meant to demonstrate a new or innovative approach for additions or improvements to the Medicaid program.

Medicaid was originally enacted in 1965 as a jointly funded program in which the Federal Government matches 

State spending to provide medical and health-related services. Although there are broad Federal requirements for 

Medicaid concerning eligibility, benefi ts, and provider payments, States have a wide degree of fl exibility in designing 

their programs. The portion of the Medicaid program that is paid by the Federal Government is known as the Federal 

Medical Assistance Percentage. It is determined annually for each State by a formula that compares the State’s average 

per capita income level with the national average (the Federal Government matches at least half of State spending).

States have the authority to establish eligibility standards, set the rate of payment for services, and determine the type, 

amount, duration, and scope of services. Because States have this fl exibility, there are considerable variations from 

State to State.

The option to have a “medically needy” program allows States to extend Medicaid eligibility to additional qualifi ed 

persons who may have too much income to qualify under the mandatory or optional categorically needy groups. This 

option allows them to spend down to Medicaid eligibility by incurring medical and/or remedial care expenses to offset 

their higher income. Many elderly in nursing homes eventually become eligible for Medicaid through this program.

States have sought waivers of Federal rules to expand health care coverage to low-income, uninsured populations and 

to test innovative approaches in health care service delivery. Although these demonstrations vary greatly, most employ 

a common overall approach: expanding the use of managed care for the Medicaid population. Nearly half of the States 

have comprehensive health care reform demonstrations.
Active Projects Report—2004 Edition 271

Facts About The Centers For Medicare & Medicaid Services

MEDICAID-MEDICARE RELATIONSHIP 

Medicare benefi ciaries who have low income and limited resources may receive help paying for their Medicare 

premiums and out-of-pocket medical expenses through Medicaid. Various benefi ts are available to “dual eligibles,” the 

more than 6 million Medicare benefi ciaries eligible for some type of Medicaid benefi t.

For persons who are eligible for full Medicaid coverage, the Medicaid program supplements Medicare coverage by 

providing services and supplies that are available under their State’s Medicaid program. For services that are covered 

by both programs, Medicare pays fi rst, and Medicaid pays for the benefi ciary’s cost sharing (up to the State’s payment 

limit). Medicaid also covers additional services. For Medicare benefi ciaries with incomes just above the Medicaid 

eligibility levels, limited Medicaid benefi ts are available to pay for out-of-pocket Medicare cost-sharing expenses and 

Medicare Part B premium for certain other Medicare benefi ciaries.

THE STATE CHILDREN’S HEALTH INSURANCE PROGRAM 

The Balanced Budget Act of 1997 created the State Children’s Health Insurance Program (SCHIP), fi nanced jointly by 

the Federal Government and the States. States may initiate and/or expand health insurance to uninsured, low-income 

children by designing a new children’s health insurance program, expanding current Medicaid programs, or using a 

combination of both strategies. The program is the most signifi cant improvement in access to health care for children 

since the creation of Medicaid; SCHIP covers more than 5 million children.

SCHIP is a capped entitlement for States. Congress appropriated $40 billion from FY 1998 through FY 2007 to help 

States expand health insurance to children whose families earn too much to qualify for Medicaid, yet not enough to 

afford private insurance. All States are participating in the program. CMS has worked in concert with many partners in 

the public and private sectors to encourage eligible families to sign up their children for coverage.

QUALITY IMPROVEMENT 

In addition to providing health insurance through our programs, CMS performs a number of quality-focused activities 

that benefi t all Americans. These activities include minimum quality standards through the survey and certifi cation 

of health care facilities. State surveyors visit a certain number of facilities each year to determine compliance with 

CMS quality standards and investigate complaints from the public. CMS also regulates all laboratory testing (whether 

provided to benefi ciaries of the programs or to others) under the Clinical Laboratory Improvement Amendments.

Under the Quality Improvement Organization program, CMS contracts with independent medical organizations to 

ensure that medical care paid under the Medicare program is reasonable and medically necessary, meets professionally 

recognized standards of health care, and is provided in the most economical setting. CMS is further working to 

improve the quality of health care by measuring and improving outcomes of care, educating health care providers 

about quality improvement opportunities, and educating benefi ciaries to make good health care choices. CMS provides 

comparative quality information about nursing homes and home health agencies on our Web site. Comparative quality 

information for hospitals is under development.

THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1996 (HIPAA)

Insurance Reform

The Department of Health and Human Services, the Department of Labor, and the Department of Treasury have roles 

in implementing the insurance reform provisions of HIPAA. CMS works with States to comply with the small group 

and individual market provisions of HIPAA. This part of the law is designed to protect health insurance coverage 

for workers and their families when they change or lose their jobs. For the fi rst time, the Act applies the same rules 

governing portability of health insurance coverage across the large group, small group, and individual insurance 
272 Active Projects Report—2004 Edition

Facts About The Centers For Medicare & Medicaid Services

markets. It limits the application of preexisting condition clauses and imposes requirements concerning mental 

health parity.

Administrative Simplifi cation

HIPAA also contains administrative simplifi cation provisions, which are designed to create national standards for 

electronic health information transactions. CMS implements these provisions. 

Program Integrity

The Health Care Fraud and Abuse Control Program was established by HIPAA to reduce the amount of fraud and 

abuse in CMS programs. In addition to CMS, the Offi ce of the Inspector General in HHS and the Federal Bureau of 

Investigation receive funds to combat health care fraud and abuse. 

CMS—FACTS ABOUT THE AGENCY

CMS’s national headquarters is located in Baltimore, Maryland. The 10 regional offi ces work with the contractors who 

administer the Medicare program and work with the States to administer Medicaid, SCHIP, HIPAA, and survey and 

certifi cation of health care providers. CMS works closely with the Social Security Administration (SSA) to provide 

information about Medicare to benefi ciaries applying for, or currently receiving, retirement or disability benefi ts at 

local SSA district offi ces. 
Research Information on 

the CMS Web Site

The Researchers page on the CMS Web site, 

www.cms.hhs.gov/researchers, contains links 

to information you may find useful, including 

Medicare, Medicaid, and State Children’s Health 

Insurance Program data and statistics.

A list of CMS-sponsored research reports may be 

viewed on our Web site; some reports also are

available for downloading. These reports can be 

accessed from the Researchers page, or you can go 

directly to www.cms.hhs.gov/researchers/projects/

default.asp#Reporting_On_Results.

A searchable database of this Active Projects 

Report is available at www.cms.hhs.gov/

researchers/projects/apr/search. The Active 

Projects Report itself also is available online at 

www.cms.hhs.gov/researchers/projects/apr. 

Other Sources for CMS-Sponsored 

Project Reports and Results

As extramural research projects are completed, 

CMS places the final reports with the National 

Technical Information Service (NTIS) for public 

access. For these reports, the NTIS accession 

number is included in the project write-up 

within this book. Further information may be 

obtained from the National Technical Information 

Service, Document Sales, 5285 Port Royal 

Road, Springfield, VA 22161, (703) 605-6000. 

Information about NTIS reports is available on the 

Internet at www.ntis.gov.

A few reports are published directly by CMS. 

These reports are available for purchase from the 

U.S. Government Printing Office (GPO). Reports 

must be ordered directly from GPO. Again, the 

stock number of a published report is included in 

the project write-up. These reports may be ordered 

by contacting GPO at (202) 512-1800 ext. 1. 

Information about GPO published reports is also 

available on the Internet at bookstore.gpo.gov.

Health Care Financing Review

Both current and archived issues of the Health Care 

Financing Review, CMS’s research journal, are 

available at www.cms.hhs.gov/review.

Wallet Card of CMS Facts and Figures

CMS produces an annual summary of key facts and 

figures about CMS programs. The Agency’s senior 

staff receives a laminated card with this information 

each year. The following 2004 version can be cut 

and folded to a similar format.
U.S. Department of Health and Human Services

Centers for Medicare & Medicaid Services

Office of Research, Development, and Information

7500 Security Boulevard

Baltimore, Maryland 21244-1850

CMS Pub. No. 03456

2004