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Assistive technology in medicaid home- and community-based waiver programs

Kitchener, Martin James ORCID:, Ng, Terence, Lee, Hyang Yuol and Harrington, Charlene 2008. Assistive technology in medicaid home- and community-based waiver programs. Gerontologist 48 (2) , pp. 181-189. 10.1093/geront/48.2.181

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Purpose: As consensus emerges concerning the need to extend publicly funded home- and community-based services that support the independence of seniors, studies have reported the efficacy and cost effectiveness of assistive technology (AT). This article presents the latest available national AT expenditure and participation trends (1999–2002) for Medicaid 1915(c) waivers, the largest Medicaid home- and community-based service program. Design and Methods:  We collected annually reported Centers for Medicare and Medicaid Form 372 data from state officials for each waiver providing AT for the period from 1999 to 2002. Descriptive statistics examined trends in national participation and expenditures, interstate variations in participation and expenditures, and differences in provision between elderly persons and persons with developmental disabilities.  Results:  Although we report a rise in the number of waivers providing AT, there has been much slower participant growth compared with the broader waiver program, and there is wide interstate variation in waiver AT provision. Not only do most waivers with AT serve persons with developmental disabilities, AT spending for that target group is almost twice that for aged or disabled waiver participants. Implications:  This study highlights three policy concerns: first, the large interstate variations in AT provision in Medicaid waivers may signal access problems in some states; second, policy choices in some states may favor Medicaid spending on AT for the developmental disability population over that for the elderly population; and third, data limitations prevent a comparable state-by-state analysis of Medicare AT provision.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Business (Including Economics)
Subjects: H Social Sciences > HV Social pathology. Social and public welfare
R Medicine > RT Nursing
Uncontrolled Keywords: Assistive technology; Home- and community-based care; Medicaid waivers.
Publisher: Gerontological Society of America
ISSN: 0016-9013
Last Modified: 18 Oct 2022 14:31

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