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

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: Alternative Care for the Elderly⁴

Administrative Agency: N/A

Population Served: Elderly 60+

Annual Expenditure: $755,389 FY02 Appropriation

Funding Source: General Revenue, dedicated taxes from Bingo

Number of People Served: 484 FY02

Eligibility Criteria: Individuals who do not meet the financial eligibility requirements of Medicaid &/or individuals waiting placement on the Medicaid HCBS program or placement in a nursing home or individuals receiving Medicaid HCBS. No income or asset limit.

Further Information: Cost control: No cost caps. No service limits applied. Co-pay on a sliding fee scale based on self-declared individual income & ability to pay. Quality control: quality assurance standards which are adopted by service providers. Other information There is also a state-funded Eldercare Trust Fund which provides seed money for demonstration projects.32

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