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Medicaid Funds Increasingly Going To Community-Based Services


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Spending on home and community-based services is on the rise as fewer dollars go to institutions, a new federal government report finds.

Nationally, Medicaid funding for long-term services and supports remained largely stagnant in 2012 but increasingly that money is being directed to services in the community.

Of the $140 billion allocated during fiscal year 2012 for long-term services and supports, 49.5 percent went toward community-based offerings, up from 48.7 percent in 2011, according to the report from the Centers for Medicare and Medicaid Services.

The shift is due to a 2.4 percent increase for home and community-based services while funding for institutions declined 2.3 percent.

Long-term care services include those for people with developmental disabilities, older individuals or those with physical disabilities and people with serious mental illness or emotional disturbance.

Overall, 70 percent of funding for programs aimed at people with developmental disabilities was used for home and community-based services, the report found. That’s a significant increase since 1995 when just 30 percent went to such services.

Spending in 2012 ranged dramatically, however, from one state to the next with Arizona, Michigan, Oregon and Maryland devoting all funding for people with developmental disabilities to home and community-based services while Mississippi put just 14 percent toward offerings in the community, the report indicated.

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Comments (5 Responses)

  1. Me says:

    Why the surprise? People need programs that make them feel valued. Meaningfulness is the way to go. How can anyone carry with their life when they have nothing to do but dwell on their disabilities? Hooray and long overdue!

  2. Marilyn BakerSmith says:

    I have a severely disabled son who is in a day program, if not I would no longer be able to work. These services affect many people that are behind the screen. I will care for son and I am grateful that when I can’t he has the option of being in our local community, not a instituto.n

  3. cathy ellorin says:

    Who wants to live in a sterile cold environment being cared for by strangers?

    In home supportive services in California is cost efficient to the state. This 60 years old program
    should be fully funded to benefit the disabled human beings so they may live with dignity and respect.

    This was a government report presenting facts that in home care and community services is on the rise.
    Stop cutting funds that take away from the disabled!!!!

  4. Tabitha Weaver says:

    Our 21 yr old Intellectually Disabled son is receiving HCS Services and lives with us. do to an unfortunate situation with our Justice System he spent 22 months incarcerated in Jail then in two State Facilities before he was Released to return home and live with us. This is something our Court lacks understanding about and also knows that all persons with ID have a right to live in their own home and be cared for by their Parents or Caregivers. It would be most helpful if our Court Judges, County District Attorney Staff and Attorneys were educated about these Services that the State Provides and how the Services are paid for and by whom. I wouldn’t not want our Son living in a State Facility after what we experienced and certainly not a Group Home unless we are no longer able to care for him.

  5. Beth Hart says:

    In the article, “Medicaid Funds Increasingly Going to Community-Based Services, can you provide examples of specific long-term supports and services that would be paid for by Medicaid at home and in the community?

    Thank you.
    Beth Hart

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