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Flexible Accounting for Long-Term Care Services: State Budgeting Practices that Increase Access to Home- and Community-Based Services
01/01/2012 | 1163 Requests *Summary
In the context of “rebalancing” efforts, the authors describe flexible accounting as budgeting practices and contractual language that incentivize the use of less expensive noninstitutional programs and use savings to expand lower-cost services to further reduce the state’s use of institutional care. The authors offer recommendations for California and pay special attention to flexible accounting in Medicaid managed LTSS and identify examples of flexible accounting practices.
Author
Hendrickson, Leslie; Mildred, Laurel
Available Files
- Report PDF (435K, 57 pages)
Keywords
Eligibility; Community Inclusion; Medicaid; global budgeting; flexible accounting; Medicaid Managed Care; state scorecard rankings
Topic
Aging Issues, Financing HCBS, Long-Term Care, Money Follows the Person, State/Agency Information, Transition/Diversion from Institutions
Type/Tool
Reports
Source
The SCAN Foundation
State
Arizona, California, Hawaii, Louisiana, Massachusetts, Michigan, Minnesota, New Jersey, Pennsylvania, Tennessee, Texas, Washington, Wisconsin, All States/Territories
Date Created
04/05/2012
Contact
The SCAN Foundation
info@thescanfoundation.org
888-569-7226
info@thescanfoundation.org
888-569-7226
Short URL
Permission to use any element of this document should be obtained by the above named contact person. Always name the originator as the source of this material.
* Reflects requests since January 1, 2007
Options
HCBS / Clearinghouse for the Community Living Exchange Collaborative / (http://www.hcbs.org)