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Medicaid Home And Community-Based Services: National Program Trends

Kitchener, Martin James ORCID:, Ng, T., Miller, N. and Harrington, C. 2005. Medicaid Home And Community-Based Services: National Program Trends. Health Affairs 24 (1) , pp. 206-212. 10.1377/hlthaff.24.1.206

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Long-term care (LTC) policymakers face mounting pressures to expand Medicaid home and community-based services while the cost of institutional provision continues to rise and consume the bulk of Medicaid LTC spending. This paper presents the latest program trends in the three Medicaid home and community-based services programs (waivers, home health, and state-plan personal care) and reports a national survey of cost control policies used on waiver programs in 2002. The findings show slowing annual rates of participation growth on individual programs, widespread use of cost controls on waivers including waiting lists, and the persistence of large interstate variations in Medicaid’s provision of these services.

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
H Social Sciences > HV Social pathology. Social and public welfare
J Political Science > JK Political institutions (United States)
R Medicine > RA Public aspects of medicine
Publisher: Project HOPE
ISSN: 0278-2715
Last Modified: 21 Oct 2022 10:33

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