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Medicaid home and community-based services programs: 2013 data update
Medicaid home and community-based services programs: 2013 data update
- Collection:
- Health Policy and Services Research
- Author(s):
- Ng, Terence, author
Harrington, Charlene, author
Musumeci, MaryBeth, author
Ubri, Petry, author - Contributor(s):
- Henry J. Kaiser Family Foundation, issuing body.
Kaiser Commission on Medicaid and the Uninsured, issuing body. - Publication:
- Menlo Park, CA : Henry J. Kaiser Family Foundation, October 2016
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Community Health Services -- economics
Community Health Services -- statistics & numerical data
Home Care Services -- economics
Home Care Services -- statistics & numerical data
Medicaid -- economics
Medicaid -- statistics & numerical data
United States
United States. - Genre(s):
- Technical Report
- Abstract:
- As states continue to implement various aspects of the Affordable Care Act (ACA), developing and expanding home and community-based alternatives to institutional care remains a priority for many state Medicaid programs. 2013 marked the first time that home and community-based services (HCBS) accounted for a majority (51%) of national Medicaid long-term services and supports (LTSS) spending, increasing from 18 percent in 1995. The share of Medicaid LTSS spending devoted to HCBS has continued to rise, reaching 53 percent in 2014. At the same time, state Medicaid programs are operating at a time when state revenues are slowing, forcing more moderate spending growth and, as of 2016, continue to face the competing priorities of implementing the ACA's streamlined eligibility and enrollment processes, determining whether to adopt the ACA's Medicaid expansion, and pursuing a variety of delivery and payment system reforms. This report summarizes the key national trends to emerge from the latest (2013) participant and expenditure data for the three main Medicaid HCBS programs: (1) the mandatory home health services state plan benefit, (2) the optional personal care services state plan benefit, and (3) optional section 1915 (c) HCBS waivers. It also briefly discusses the provision of Medicaid HCBS through section 1115 demonstration waivers and highlights findings from a 2015 survey of Medicaid HCBS participant eligibility, enrollment, and provider reimbursement policies, including those related to the U.S. Department of Labor (DOL) direct care worker rules and the Centers for Medicare and Medicaid Services' (CMS) home and community-based settings rule. States also may provide HCBS through various options offered by the ACA, which are outside the scope of this report.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
- Extent:
- 1 online resource (1 PDF file (49 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 101698991 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/101698991