Efforts in States to Promote Medicaid Community-Based Services and Supports August 31, 2009 Issue Brief This brief summarizes lessons in offering more home and community-based services from states at the forefront of the effort. It describes current options for state Medicaid programs and draws on interviews with state officials to provide details about specific policies and procedures in states. Brief (.pdf)
Key Issues in Medicaid and Home and Community-Based Services and Support August 31, 2009 Issue Brief These briefs examine current issues in providing more people who need long-term care services and supports access to these Medicaid services in home and community-based settings rather than in institutional ones. The first brief, Advancing Access to Medicaid Home and Community-Based Services: Key Issues Based on a Working Group Discussion…
New Reports Examine Consumer Direction for Personal Assistance Services in Four States’ Medicaid Programs March 1, 2008 Report With a shift towards providing long-term services and supports in the community, policy interest in Medicaid consumer direction of personal assistance services (CD-PAS) has grown. Although overall enrollment in these programs is small, 42 states offered consumer direction in Medicaid in 2006. These programs allow Medicaid beneficiaries control over hiring,…
Changes in Characteristics, Needs, and Payment for Care of Elderly Nursing Home Residents: 1999 to 2004 June 29, 2007 Report The proportion of elderly adults over age 65 in nursing homes has declined over the past two decades, most noticeably in recent years. Reasons suggested for this trend include reductions in disability rates among elderly people, improvements in mechanisms for coping with disability, and changes in the residential and long-term…
Medicaid 1915(c) Home and Community-Based Service Programs: Annual Data Update November 30, 2006 Issue Brief 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…
Profiles of Nursing Home Residents on Medicaid July 1, 2006 Report 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…
Medicaid Long-Term Services Reforms in the Deficit Reduction Act March 31, 2006 Issue Brief 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)
Who Stays and Who Goes Home: Using National Data on Nursing Home Discharges and Long-Stay Residents to Draw Implications for Nursing Home Transition Programs August 30, 2005 Report This report analyzes survey data to describe the characteristics of two groups of nursing home residents who are 65 years or older: those who are discharged back to the community over a one year time period and those who remain in nursing homes for 90 days or longer. Over the…
Medicaid: Current Benefits and Flexibility November 29, 2003 Issue Brief Medicaid: Current Benefits and FlexibilityTwo issue briefs discuss the minimum requirements for states to receive federal Medicaid matching funds and the options states have under federal law and waivers to tailor their Medicaid programs.Medicaid as a Health Insurer: Current Benefits and FlexibilityMedicaid as a Long-term Care Program: Current Benefits and…
Georgia’s Money Follows the Person Program: Helping People Move Back Home December 1, 2011 Issue Brief This brief profiles several Georgia residents who have participated in the state’s Money Follows the Person demonstration program, which helps transition people from institutional long-term care back into their homes or the community. It is part of a larger package of resources examining the Money Follows the Person program. Profiles…