Home & Community-Based Services: State-Only Funded Programs in Kentucky
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).
Eligibility Criteria: Individuals who do not meet the financial &/or functional eligibility requirements of Medicaid &/or individuals waiting placement on the Medicaid HCBS program or placement in a nursing home or individuals receiving Medicaid HCBS. Income limit FY02 $1,388/
Further Information: No cost caps. Service limits applied: $500/year repairs. Co-pay - 80% of cost of service. Quality control: case manager contacts monthly.
Administrative Agency: Cabinet for Health Services, Division of Aging Services
Population Served: Adults with severe physical disability
Annual Expenditure: N/A
Funding Source: General Revenue
Number of People Served: N/A
Eligibility Criteria: Individuals at risk of nursing home placement. Need at least 14hrs/wk -40hrs/wk care.
Further Information: Financial subsidy to clients to hire & supervise personal care attendants. Consumer direction Can be consumer directed.
Program Name: Adult Day Care & Alzheimer's Respite Program3,4,17
Administrative Agency: Dept of Medicaid Services
Population Served: Adults with Alzheimer's Disease or dementia.
Annual Expenditure: $2,773,800 FY02 Appropriation
Funding Source: General revenue, clients contribute
Number of People Served: 3,250 (FY02)
Eligibility Criteria: 2 ADLs, 3+ ADLs, diagnosis of dementia or related disorder. No income or asset limit.
Further Information: Co-pay on a sliding scale Supportive & Therapeutic program providing supervision & care to beneficiaries for part of a 24 hour period.
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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