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This paper examines the extent to which states have balanced the delivery of Medicaid-funded LTC services and supports to people in their homes and in institutions. What is unique about this report is its primary focus on older people and adults with physical disabilities separate from other LTC populations, such as people with developmental disabilities. Explore what has been accomplished under current Medicaid law and review how federal policies impact the ability to balance service delivery. 

Kassner, Enid; Reinhard, Susan; Fox-Grage, Wendy; Houser, Ari N.; Accius, Jean C.; Coleman, Barbara; Milne, Dann 

Medicaid; Expenditures; Nursing Facility Transition; Spending; LTC Balancing; System Balance; LTSS; institutional bias; unified global budget; 

Aging Issues, Long-Term Care, Money Follows the Person, Physical Disabilities 

Reports 

AARP Public Policy Institute 

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virgin Islands, Virginia, Washington, West Virginia, Wisconsin, Wyoming, All States/Territories 

07/16/2008 

Wendy Fox-Grage
Strategic Policy Advisor
AARP Public Policy Institute

WFGrage@aarp.org