Medicaid State Plan Personal Care Services

Kitchener, Martin James ORCID: https://orcid.org/0000-0001-6249-557X, Ng, Terence and Harrington, Charlene 2007. Medicaid State Plan Personal Care Services. Journal of Aging & Social Policy 19 (3) , pp. 9-26. 10.1300/J031v19n03_02

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Abstract

Policymakers face mounting pressures from consumer demand and the 1999 Olmstead Supreme Court decision to extend formal (paid) programs that deliver personal care to the elderly, chronically ill, and disabled. Despite this, very little is known about the largest program that delivers personal care: the Medicaid State Plan personal care services (PCS) optional benefit. This paper presents the latest available national program (participant and expenditure) trend data (1999–2002) on the Medicaid PCS benefit and findings from a national survey of eligibility and cost control policies in use on the program. The program trends show that, over the study period, the number of states providing the Medicaid PCS benefit grew by four (from 26 to 30), and national program participation, adjusted for population growth, increased by 27%. However, inflation-adjusted program expenditures per participant declined by 3% between 1999 and 2002. Findings from the policy survey reveal that between 1999 and 2002 there was a marked decline in the range of services provided, and by 2004, almost half the programs operated a cap on the hours of services provided.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Business (Including Economics)
Subjects:	H Social Sciences > HD Industries. Land use. Labor H Social Sciences > HJ Public Finance J Political Science > JK Political institutions (United States) R Medicine > RA Public aspects of medicine R Medicine > RT Nursing
Uncontrolled Keywords:	Medicaid; state plan personal care services; formal care; programs; policy
Publisher:	Taylor & Francis
ISSN:	0895-9420
Last Modified:	21 Oct 2022 10:34
URI:	https://orca.cardiff.ac.uk/id/eprint/40598

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