Medicaid Home and Community-Based Service Programs: 2009 Data Update.

Ng, T., Harrington, C., Musumeci, M. & Reaves, E. (2012, December). Medicaid Home and Community-Based Service Programs: 2009 Data Update. Washinghton, DC: Kaiser Commission on Medicaid and the Uninsured.

Abstract

Developing home and community-based service (HCBS) alternatives to institutional care has been a priority for many state Medicaid programs over the last three decades. This report summarizes the key trends in expenditures and participation data for the three main Medicaid Home and Community-Based Services (HCBS) programs – (1) the mandatory home health services state plan benefit, (2) the optional personal care services state plan benefit, and (3) optional § 1915(c) HCBS waivers services – as well as the policies shaping the administration of those programs. About 3.25 million people were served by the programs in 2009 at a cost of $50 billion.

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