Medicaid/SCHIP: Long-Term Care - Kaiser Family Foundation

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Medicaid/SCHIP: Long-Term Care

New Reports Examine Consumer Direction for Personal Assistance Services in Four States' Medicaid Programs
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. Two new reports examine Medicaid’s role in providing CD-PAS in four states: California, Colorado, New York and Virginia.

Resources: Nursing Home Reform Twenty Years After Passage of Landmark Law
To mark the 20th anniversary of the passage of legislation to improve the quality of nursing home care, the Foundation released poll results on the public’s views about the quality of long-term care services, a film examining the history surrounding the law and a new report during a briefing on Dec. 7, 2007.

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New Reports Examine Consumer Direction for Personal Assistance Services in Four States' Medicaid Programs -- March 2008
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. Two new reports examine Medicaid’s role in providing CD-PAS in four states: California, Colorado, New York and Virginia.

Consumer Direction of Personal Assistance Services in Medicaid: A Review of Four State Programs -- March 2008

This report examines consumer direction of personal assistance services in four states' Medicaid programs. Its findings are based on interviews with program administrators from California, Colorado, New York and Virginia.

Consumer Direction of Personal Assistance Services Programs in Medicaid: Insights from Enrollees in Four States -- March 2008

This report examines consumer direction of personal assistance services in four states' Medicaid programs. Its findings are based focus group interviews with CD-PAS enrollees from California, Colorado, New York and Virginia.

Medicaid Home and Community-Based Service Programs: Data Update -- December 2007

This report presents a summary of the main trends to emerge for the three Medicaid home and community-based programs and the results of a survey of policies such as eligibility criteria and waiting lists.

New Resources and Briefing Explore Nursing Home Reform Twenty Years After Passage of Landmark Law -- December 2007

Update on the Public’s Views of Nursing Homes and Long-Term Care Services — Toplines -- December 2007
These toplines present the detailed results from the survey Update on the Public’s Views of Nursing Homes and Long-Term Care Services. The survey evaluates the public’s opinion of the current state of long-term care in the United States.

Nursing Home Care Quality: Twenty Years After the Omnibus Budget Reconciliation Act of 1987 -- December 2007
To mark the 20th anniversary of the passage of landmark federal legislation to improve the quality of nursing home care, the Omnibus Budget Reconciliation Act of 1987 (known as OBRA '87), this report explains the key provisions of OBRA ’87 related to nursing home care and examines the progress and problems in quality assurance in nursing homes over the past twenty years.

Nursing Home Reform: Then and Now, December 2007, DVD -- December 2007

To mark the 20th anniversary of the passage of landmark federal legislation to improve the quality of nursing home care, the Omnibus Budget Reconciliation Act of 1987 (known as OBRA 87), this video examines the history surrounding the law. The video includes a look at the state of nursing home care before the law, an overview of the legislative process that brought about the law, and recent developments in nursing home quality. The video features historical clips and new interviews of key individuals from government, the nursing home industry, and consumer advocates who were instrumental in the historical developments related to nursing home reform

Long-Term Service and Supports: The Future Role and Challenges for Medicaid -- October 2007

This report examines the structure and impact of Medicaid’s role in long-term care. Based on a roundtable discussion of policy makers and experts and drawn from a body of health services research, the report highlights policy challenges facing the Medicaid program today and identifies issues in providing long-term care going forward.

Learning From History: Deinstitutionalization of People with Mental Illness As Precursor to Long-Term Care Reform -- August 2007

This report examines what policy lessons can be learned from the deinstitutionalization of people with mental illnesses and applied to the potential long-term care reform for the elderly or those with significant disabilities.

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. Two new reports examine Medicaid’s role in providing CD-PAS in four states: California, Colorado, New York and Virginia.

These toplines present the detailed results from the survey Update on the Public’s Views of Nursing Homes and Long-Term Care Services. The survey evaluates the public’s opinion of the current state of long-term care in the United States.

To mark the 20th anniversary of the passage of landmark federal legislation to improve the quality of nursing home care, the Omnibus Budget Reconciliation Act of 1987 (known as OBRA '87), this report explains the key provisions of OBRA ’87 related to nursing home care and examines the progress and problems in quality assurance in nursing homes over the past twenty years.

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Long-Term Care

Medicaid is the major source of financing for long-term care for the elderly and persons with disabilities, accounting for 42 percent of national spending on long-term care and almost 50 percent of spending on nursing home care. Medicaid provides critical assistance to people with long-term care needs in the community and nursing homes, covering services often excluded from Medicare and private insurance.