Home & Community-Based Services: State-Only Funded Programs in Kansas
States may be required to contribute match funding to some federally funded
long-term care (LTC) programs and to different extents. In FY 2003 states spent
21.4% of total state expenditure on Medicaid (NASBO, 2004). Total expenditures
for HCBS are increasing and totaled $16.4 billion in FY 2001, with states paying
between 1.7% and 13.3% of total health care expenditures on HCBS in FY 2001
(Milbank 2003). Medicaid spending grew quickly in the early 2000s, forcing state
legislatures and officials to investigate ways to contain Medicaid costs rather
than expanding services (Coleman et al 2003).
Annual Expenditure: $8,417,658 FY03 ($6,774,547 without copay)
Funding Source: General Revenue, local funds, clients contribute
Number of People Served: 4,248 FY02
Eligibility Criteria: 2 ADLs, 3+ IADLs or combination of ADL/IADLs. Individuals who do not meet the financial &/or functional eligibility requirements of Medicaid &/or individuals waiting placement on Medicaid HCBS program or placement in a nursing home. No income or asset lim
Further Information: Cost cap $1,445/mth. $1332 av. Individual expenditure/yr. No service limits applied. Co-pay on sliding scale related to liquid assets. Quality control: Quality Assurance Division reviews individual care. Consumer direction Can be consumer di
Eligibility Criteria: People with incomes less than 150% FPL who are not Medicaid eligible because of their income level &/or assets, but are at risk of institutionalization because of their functional level & would be able to reside in a community based residence if some serv
Program Name: State Funded Environmental Modification16
Administrative Agency: Dept on Aging
Population Served: Elderly
Annual Expenditure: $64,919 FY00
Funding Source: General revenue
Number of People Served: 336 FY00
Eligibility Criteria:
Further Information:
Abbreviations:
AAAs - Area Agencies on Aging.
ADL - Activities of Daily Living.
AT - Assistive Technology. Dept - Department.
FY - Financial Year.
HCBS - Home & Community-Based Services.
LTC - Long Term Care. Mth - month. Rehab - Rehabilitation.
SCI - Spinal Cord Injury.
SSBG - Soical Services Block Grant.
TBI - Traumatic Brain Injury.
Wk - week.
Yr - year.
Footnotes:
(a) Note that some figures listed are the yearly appropriation, not expenditure.
(b) Sources of funding are listed in the language with which they are reported.
(c) The figures for number of participants are not necessarily figures for
unduplicated participants.
Notes:
(1) The definitions of the services provided in programs may differ between
states.
(2) Unless otherwise stated, programs are statewide.
(3) Programs where it is known that funding may come from a variety of sources,
including non-state only funds (e.g. Older Americans Act) are indicated by
the program name in italics.
(4) The table does not include Mental Health Services programs.
(5) All information is the most up-to-date found from secondary sources noted
in the references.
(6) N/A means the information has not been found (not available).
(7) all programs primarily aim to support people to live in the community,
therefore there may be additional state only funded programs but these are
not directly to support HCBS.
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