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

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: WV Family Support Program⁴¹

Administrative Agency: Bureau for Behavioral Health & Health Services.

Population Served: Families with a child or adult with DD

Annual Expenditure: More than $1million

Funding Source: State appropriation, private donation.

Number of People Served: Approx. 2,000 families FY03

Eligibility Criteria: Family Support Council reviews applications & determines how funds will be allocated to families.

Further Information: Other information Av. expenditure per family is $1,000. Funds are limited. 14 regional Family Support Councils, each with a family support coordinator. 80% of state funds & 90% of private donations go to services.

Program Name: Community Care Program⁴

Administrative Agency: N/A

Population Served: 18+ (majority of clients age 60+)

Annual Expenditure: $700,000 FY02 Appropriation

Funding Source: State Lottery & clients contribute

Number of People Served: 491 FY02

Eligibility Criteria: No income or asset limits.

Further Information: Cost control Co-pay on a sliding scale.

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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