Learn about the status of the public LTC delivery system, and opportunities and obstacles for LTSS reform and rebalancing. The study surveys states’ current HCBS expenditures and utilization, analyzes factors underpinning Medicaid’s institutional bias, looks at federal and state initiatives to improve the ratio between institutional and community-based care, and points to statutory and regulatory “fixes” that could enhance the states’ ability to improve their LTC delivery systems. 

Engquist, Gretchen; Johnson, Cyndy; Johnson, William Courtland 

Personal Assistant; Medicaid; Long Term Services and Supports; Expenditures; Eligibility; Community Inclusion; CLASS Act; Real Choice Systems Change; Money Follows the Person; Consumer-Directed Programs; nursing facilities; assisted living; homemaker companion programs; adult day services; 

Affordable Care Act (ACA), Aging Issues, Long-Term Care, Physical Disabilities, State/Agency Information 

Data, Reports 

Center for Health Care Strategies 

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, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, All States/Territories 

06/14/2010 

Center for Health Care Strategies
200 American Metro Blvd., Suite 119
Hamilton, New Jersey 08619
609-528-8400