This report focuses on creating a more balanced delivery system by expanding home and community-based services and reducing reliance on institutional care where possible is a major goal for virtually all states and the Centers for Medicare & Medicaid Services. The paper concludes by summarizing initiatives and drawing implications for the future financing of home and community-based services. 

Wiener PhD, Joshua M.; Anderson PhD, Wayne L 

Medicaid; Independent Living; Community Inclusion; Improve targeting; Structure financial incentives; Provide information and single point of entry systems; Provide a range of lower-cost home and community-based services; more balanced delivery system; Centers for Medicare & Medicaid Services (CMS); Source of Payment; The Deficit Reduction Act of 2005; State-Funded Programs; Private Long Term-Care Insurance; single point of entry systems; range of lower-cost home and community-based services; cabinet model; umbrella model; consolidation model 

Consumer/Participant Direction, Long-Term Care 

Assessments, Proposals, Reports 

Pennsylvania Medicaid Policy Center 

Pennsylvania, All States/Territories 

12/31/2009 

Monica Costlow
130 DeSoto Street, A616
Pittsburgh, PA 15260

costlow@pitt.edu