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Home & Community-Based Services: State-Only Funded Programs in Michigan

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).

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Program Name: PAS Reimbursement for Employment¹,²³

Administrative Agency: MI Dept of Career Development (MI Rehab Services)

Population Served: Working, disabled adults

Annual Expenditure: N/A

Funding Source: N/A

Number of People Served: 50 FY01

Eligibility Criteria: N/A

Further Information: Cost control Service limits applied: $1000/mth maximum

Program Name: Physical Disabilities Services Program¹,²³

Administrative Agency: Dept of Community Health

Population Served: All adults, subject to funding availability.

Annual Expenditure: $1,300,000 FY99

Funding Source: N/A

Number of People Served: N/A

Eligibility Criteria: N/A

Further Information:

Program Name: State/Escheat Respite³

Administrative Agency: Office of Services to the Aging

Population Served: Elderly, 60+

Annual Expenditure: $2,442,565 FY03

Funding Source: Blue Cross/ Blue Shield Escheat funds

Number of People Served: N/A

Eligibility Criteria: No functional status requirement.

Further Information: Other information Statewide.

Program Name: Caregiver Respite Program³

Administrative Agency: Office of Services to the Aging

Population Served: Caregivers of adults 18+ with a medical disability

Annual Expenditure: $4,972,401

Funding Source: Tobacco settlement fund

Number of People Served: N/A

Eligibility Criteria: No functional status requirement if over 60

Further Information: Other information Statewide.

Program Name: Personal Care⁴

Administrative Agency: N/A

Population Served: 60+

Annual Expenditure: $2,664,208 FY02 Appropriation

Funding Source: General revenue

Number of People Served: 2967 FY02

Eligibility Criteria: No income or asset limit

Further Information:

Program Name: Homemaker⁴

Administrative Agency: N/A

Population Served: 60+

Annual Expenditure: $3,305,245 FY02 Appropriation

Funding Source: General revenue

Number of People Served: 6,275 FY02

Eligibility Criteria: No income or asset limit

Further Information:

Program Name: Adult Day Care⁴

Administrative Agency: N/A

Population Served: elderly (60+), adults with disabilities

Annual Expenditure: $2,135,372 FY02 Appropriation

Funding Source: Revenue from unclaimed property, tobacco settlement & clients contribute

Number of People Served: 128 FY02

Eligibility Criteria: No income or asset limit

Further Information:

Program Name: In-Home Respite⁴

Administrative Agency: N/A

Population Served: elderly (60+), adults with disabilities

Annual Expenditure: $3,277,041 FY02 Appropriation

Funding Source: Revenue from unclaimed property, tobacco settlement & clients contribute

Number of People Served: 846 FY02

Eligibility Criteria: No income or asset limit

Further Information:

Program Name: Care Management⁴

Administrative Agency: N/A

Population Served: 60+

Annual Expenditure: $7,869,229 FY02 Appropriation

Funding Source: General Revenue

Number of People Served: 12,509 FY02

Eligibility Criteria: No income or asset limit

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.

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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