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. This report describes 10 operating individual budget model programs that serve older persons and identifies four areas of program design that are of particular importance to the success of the individual budget model. 

Spillman, Brenda C.; Black, Kirsten J.; Ormond, Barbara A. 

Individualized Budget; 1915c; Long Term Services and Supports; HCBS services; long term care services; Consumer Directed Community Supports CDCS; CMO; Self-directed Supports SDS; Independence Plus waiver; Level and Adequacy of Benefits; Choice Available to Participants; Participant Support Systems; Quality of Care Monitoring; Three Second-Generation Designs; individual budget model; public long term care services 

Aging Issues, Consumer/Participant Direction, Long-Term Care, State/Agency Information, Waiver 

Assessments, Reports 

Kaiser Family Foundation 

Arkansas, Colorado, Florida, Massachusetts, Minnesota, New Jersey, North Carolina, Oregon, South Carolina, Wisconsin, All States/Territories 

01/04/2010 

Elizabeth Maguire
National Resource Center for Participant-Directed Services

elizabeth.maguire.1@bc.edu
617-552-0562