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The Henry J. Kaiser Family Foundation

Medicaid 1915(c) Home and Community-Based Service Programs: Annual Data Update

Developing home and community-based service (HCBS) alternatives to institutional care has been a priority for many state Medicaid programs over the last two decades and the focus of Medicaid policy debates recently. While the majority of Medicaid long-term care dollars go toward institutional care, the national percentage of Medicaid spending…

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The Henry J. Kaiser Family Foundation

Profiles of Nursing Home Residents on Medicaid

This report illustrates through case examples the experiences and challenges of low- and modest-income people who rely on Medicaid to pay for nursing home expenses. These case examples were developed through in-person interviews with nursing home residents and their families in three states: Georgia, Kansas and Virginia. The first section…

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The Henry J. Kaiser Family Foundation

Reports Explore Long-Term Care Issues Included in the Deficit Reduction Act

The Deficit Reduction Act (DRA) of 2005, which became law this February, includes several significant changes to Medicaid long-term care policies. The Kaiser Family Foundation's Commission on Medicaid and the Uninsured is releasing five new reports on long-term care issues that were addressed by the DRA changes.Long-term care accounts for…

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The Henry J. Kaiser Family Foundation

Asset Transfer and Nursing Home Use: Empirical Evidence and Policy Significance

Asset Transfer and Nursing Home Use: Empirical Evidence and Policy SignificanceDue to concern that wealthy elderly Americans were transferring assets to gain Medicaid coverage for nursing home care, the Deficit Reduction Act (DRA) of 2005 tightened Medicaid eligibility rules related to asset transfers. About 43 percent of all nursing home…

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The Henry J. Kaiser Family Foundation

Home Transition Programs: Perspectives of Medicaid Care Planners

Home Transition Programs: Perspectives of Medicaid Care PlannersThis report draws on interviews with Medicaid care planners for insight into the issues that arise in establishing programs to move individuals with significant long-term care needs from institutional to community settings. The five states that participated in this study—Florida, Louisiana, New Jersey,…

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The Henry J. Kaiser Family Foundation

Nursing Home Transition Programs: Perspectives of State Medicaid Officials

Nursing Home Transition Programs: Perspectives of State Medicaid OfficialsThis report draws on interviews with state Medicaid program officials for insight into the issues that arise in establishing programs to move individuals with significant long-term care needs from institutional to community settings. The five states that participated in this study—Florida, Louisiana,…

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The Henry J. Kaiser Family Foundation

Beyond Cash and Counseling: An Inventory of Individual Budget-based Community Long-Term Care Programs

Beyond Cash and Counseling: An Inventory of Individual Budget-based Community Long-Term Care ProgramsThis brief describes the evolution of beneficiary-managed home and community-based services since the original demonstration and provides an overview of state activity as of January 2006. The Deficit Reduction Act of 2005 gives states the option to use…

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The Henry J. Kaiser Family Foundation

Medicaid Long-Term Services Reforms in the Deficit Reduction Act

The Deficit Reduction Act of 2005 (DRA) was signed by the President in February 2006 and included major changes to the Medicaid program. This brief provides an overview of the changes to the rules and direction of Medicaid long-term care services as enacted in the DRA.Issue Brief (.pdf)

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The Henry J. Kaiser Family Foundation

Private Long-Term Care Insurance: A Viable Option for Low and Middle-Income Seniors?

In the Deficit Reduction Act of 2005, the federal government made it harder for individuals to qualify for Medicaid nursing home benefits by increasing penalties on individuals who have transferred assets for less than fair market value during the past five years and by making individuals with home equity above…

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The Henry J. Kaiser Family Foundation

Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid Assets Transfer Practices

Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid AssetsTransfer PracticesIn the Deficit Reduction Act of 2005, Congress tightened Medicaid asset transfer rules for individuals qualifying for Medicaid assistance with nursing home bills. Research on asset transfer shows a low incidence of asset transfers and limited cost savings from tightening…

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