Beyond Cash and Counseling: An Inventory of Individual Budget-based Community Long-Term Care Programs March 31, 2006 Issue Brief Beyond Cash and Counseling: An Inventory of Individual Budget-based Community Long-Term Care ProgramsThis brief describes the evolution of beneficiary-managed home and community-based services since the original demonstration and provides an overview of state activity as of January 2006. The Deficit Reduction Act of 2005 gives states the option to use…
Medicaid Long-Term Services Reforms in the Deficit Reduction Act March 31, 2006 Issue Brief The Deficit Reduction Act of 2005 (DRA) was signed by the President in February 2006 and included major changes to the Medicaid program. This brief provides an overview of the changes to the rules and direction of Medicaid long-term care services as enacted in the DRA.Issue Brief (.pdf)
Nursing Home Transition Programs: Perspectives of State Medicaid Officials March 31, 2006 Report Nursing Home Transition Programs: Perspectives of State Medicaid OfficialsThis report draws on interviews with state Medicaid program officials for insight into the issues that arise in establishing programs to move individuals with significant long-term care needs from institutional to community settings. The five states that participated in this study—Florida, Louisiana,…
Home Transition Programs: Perspectives of Medicaid Care Planners March 31, 2006 Report Home Transition Programs: Perspectives of Medicaid Care PlannersThis report draws on interviews with Medicaid care planners for insight into the issues that arise in establishing programs to move individuals with significant long-term care needs from institutional to community settings. The five states that participated in this study—Florida, Louisiana, New Jersey,…
Asset Transfer and Nursing Home Use: Empirical Evidence and Policy Significance March 31, 2006 Issue Brief Asset Transfer and Nursing Home Use: Empirical Evidence and Policy SignificanceDue to concern that wealthy elderly Americans were transferring assets to gain Medicaid coverage for nursing home care, the Deficit Reduction Act (DRA) of 2005 tightened Medicaid eligibility rules related to asset transfers. About 43 percent of all nursing home…
Reports Explore Long-Term Care Issues Included in the Deficit Reduction Act March 31, 2006 Issue Brief The Deficit Reduction Act (DRA) of 2005, which became law this February, includes several significant changes to Medicaid long-term care policies. The Kaiser Family Foundation's Commission on Medicaid and the Uninsured is releasing five new reports on long-term care issues that were addressed by the DRA changes.Long-term care accounts for…
Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid Assets Transfer Practices January 31, 2006 Report Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid AssetsTransfer PracticesIn the Deficit Reduction Act of 2005, Congress tightened Medicaid asset transfer rules for individuals qualifying for Medicaid assistance with nursing home bills. Research on asset transfer shows a low incidence of asset transfers and limited cost savings from tightening…
Private Long-Term Care Insurance: A Viable Option for Low and Middle-Income Seniors? January 31, 2006 Issue Brief In the Deficit Reduction Act of 2005, the federal government made it harder for individuals to qualify for Medicaid nursing home benefits by increasing penalties on individuals who have transferred assets for less than fair market value during the past five years and by making individuals with home equity above…
Paying for Nursing Home Care: Asset Transfer and Qualifying for Medicaid December 31, 2005 Issue Brief 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)
New Reports Explain Medicaid’s Role in Long-Term Care and Track Trends October 31, 2005 Issue Brief 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…
