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Money Follows the Person: A 2012 Survey of Transitions, Services and Costs
The Affordable Care Act extended the Money Follows the Person (MFP) demonstration grant program through 2016, giving states further options to transition Medicaid beneficiaries living in institutions back to the community. Enacted into law in 2006 as part of the Deficit Reduction Act (DRA), the MFP demonstration provides states with…
Issue Brief Read More Medicaid Eligibility for Individuals with Disabilities
This issue paper updates the July 1999 report and provides a general overview of federal Medicaid eligibility policy for the low-income disabled population. This paper focuses on four broad groups of individuals with disabilities: children under 18; adults under 65 who are not living in institutions; adults under 65 who…
Issue Brief Read More Private Long-Term Care Insurance: Who Should Buy It and What Should They Buy?
Private Long-Term Care Insurance: Who Should Buy It and What Should They Buy?Despite the growing interest in private long-term care insurance (LTCI), there has been little independent examination of how much protection LTCI policies provide consumers or whether LTCI policies are a worthwhile purchase for people of average means. This…
Report Read More Medicaid as a Long-Term Care Program: Current Benefits and Flexibility
This brief focuses on one subset of “flexibility” issues: the current federal benefits and cost-sharing rules that apply with respect to long-term care.Issue Paper (.pdf)
Issue Brief Read More Paying for Nursing Home Care: Asset Transfer and Qualifying for Medicaid
Paying for Nursing Home Care: Asset Transfer and Qualifying for MedicaidThis snapshot presents key facts on who relies on nursing home services and highlights research findings on asset transfer and its impact on Medicaid eligibility.Issue Brief (.pdf)
Issue Brief Read More Beyond Cash and Counseling: The Second Generation of Individual Budget-Based Community Long-Term Care Programs for the Elderly
States are increasingly interested in the individual budget model for older Medicaid beneficiaries as a mechanism to improve responsiveness of benefits to beneficiaries’ needs and preferences and to increase their ability to remain outside or leave nursing homes. Beginning in January 2007, a new provision in the Deficit Reduction Act…
Report Read More Recent Growth in Medicaid Home and Community-Based Service Waivers
Medicaid spending on home and community-based service (HCBS) waivers dominates spending on community-based long-term care services offered through the Medicaid program. This paper examines trends in HCBS waiver enrollment and spending in recent years. Report (.pdf)
Report Read More Long-Term Care: Understanding Medicaid’s Role for the Elderly and Disabled
Long-Term Care: Understanding Medicaid’s Role for the Elderly and DisabledThis updated report provides a review of how Medicaid works for people with long-term care needs and describes the fiscal challenges that states currently face and that Medicaid may face in the future as the population ages.Report (.pdf)Executive Summary (.pdf)
Issue Brief Read More New Reports Explain Medicaid’s Role in Long-Term Care and Track Trends
With short and long-term policy changes to the Medicaid program being discussed, its role in providing long-term care is receiving closer examination. Medicaid is the single largest source of financing for long-term care, accounting for nearly half of all the nation’s spending for long-term care services, and demographic trends are…
Issue Brief Read More Medicaid Long-Term Services and Supports: Key Changes in the Health Reform Law
This issue brief examines new opportunities under the health reform law for states to balance their Medicaid long-term care delivery systems by expanding access to Medicaid home and community-based services (HCBS) programs. The brief outlines key provisions of the new law that expand HCBS benefit options, broaden financial and functional…
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