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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:

Impact of Health Care Reform Proposals - High Risk Pools Are Not the Answer for People with Disabilities

File format: PDF File (Adobe Acrobat File)
Author: HDA, NCHSD, Jean Hall, Janice Moore
Date: 11/11/2009
Abstract: This brief explains why high risk pools generally are not an adequate solution to health insurance coverage for people with disabilities and chronic health conditions. Research from the University of Kansas evaluation of the Kansas Demonstration to Maintain Independence and Employment illustrates the limitations of high risk pools.

Impact of Health Care Reform Proposals on Working People with Disabilities and the Medicaid Buy-In

File format: PDF File (Adobe Acrobat File)
Author: Health & Disability Advocates
Date: 10/20/2009
Abstract: Health & Disability Advocates prepared this brief to highlight important issues in the health care reform proposals currently under consideration. The proposals raise concerns about the needs of working individuals with disabilities who rely on Medicaid to provide personal assistance services, mental health services, and other employment supports.

(New) Ticket to Work Regulations At-A-Glance

File format: DOC File (Microsoft Word Document)
Author: NCHSD
Date: 06/01/2009
Abstract: This At-A-Glance brief summarizes changes to the Ticket to Work program made in the new regulations recently released by the Social Security Administration. The new regulations create a payment system based on the attainment of increasing levels of employment over time that is attractive enough to entice Employment Networks to participate. The regulations also modify the interaction of the VR cost reimbursement system with the Ticket system to encourage collaboration among state VR agencies and private ENs. Visit NCHSD's new Ticket to Work webpage in the Hot Topics section for more Ticket resources.

Web Resources

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