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NATIONAL CONSORTIUM FOR HEALTH SYSTEMS DEVELOPMENT ...building sustainable partnerships for lasting systems change

The National Consortium for Health Systems Development (NCHSD) is a partnership of states that have joined together to assist other state agencies, legislatures, consumers and advocates in their efforts to build systems that support competitive employment for individuals with disabilities.

The primary means for achieving this goal is through state-to-state information sharing, individualized technical assistance, and the dissemination of best practices to a broad array of involved stakeholders in states around the country.

The NCHSD partnership was made possible through a provision in the Ticket to Work & Work Incentives Improvement Act (TWWIIA) through the Medicaid Infrastructure Grant (MIG) program. State learning and dissemination requirements of the Medicaid Infrastructure Grants are achieved through partnership in the NCHSD technical assistance center.

NCHSD Mission Statement

NCHSD is a freestanding, state-driven forum for information sharing and innovation that improves employment policy by facilitating collaboration between and across local, state, and federal experts.

For further information about the project, visit the NCHSD website.

Online Library

HDA has a wide variety of documents related to disability and employment in our online Materials Library.

Here are some of the valuable resources you'll find there:

Understanding the New Outcome Milestone Ticket Payment System: What Kind of Revenue Can My State Expect?

File format: PDF File (Adobe Acrobat File)
Author: NCHSD, HDA
Date: 08/01/2008
Abstract: This briefing paper will assist MIG grantees in better understanding what is required to receive payment under the Outcome Milestone payment system, which is, by far, the most common payment system chosen by Employment Networks . By understanding of how ENs are paid, MIGs will be better equipped to analyze where Ticket outreach can be most effectively targeted, determine what work incentive infrastructure may be necessary to create a more "Ticket friendly" environment, and estimate reasonable projections of what new revenue a state can expect. Visit NCHSD's new Ticket to Work webpage in the Hot Topics section for more Ticket resources.

Quick Questions for Analyzing Ticket to Work for Your Agency

File format: PDF File (Adobe Acrobat File)
Author: NCHSD, HDA
Date: 08/01/2008
Abstract: This document will help service providers who are Employment Networks estimate how much the new Ticket to Work payment system could impact agency revenue. It contains a short set of questions and a simple chart to make the analysis easy. Visit NCHSD's new Ticket to Work page in the Hot Topics section for more Ticket resources.

Continuing Disability Reviews Process

File format: DOC File (Microsoft Word Document)
Author: HDA
Date: 01/25/2008
Abstract: Recipients of Social Security benefits, including SSI and SSDI, are subject to Continuing Disability Reviews (CDRs) or periodic checks of their medical condition to determine if they continue to meet disability standards. This document explains the CDR process. It describes how and when CDRs are conducted, and lists individuals' rights and protections within the review process.

Web Resources

HDA also maintains a list of Links with many other websites and online resources on disability and employment.