Long-Term Care

This paper from NGA includes a number of potential short-run policy changes as well as long-run structural changes to improve the US health care system. The policies outlined do not represent comprehensive reform but instead 5 linking objectives: Reforming Medicaid; Enhancing Quality & Reducing Costs in the Overall Health Care System; Strengthening Employer-Based & Other Forms of Private Health Care Coverage; Slowing the Growth of Medicaid LTC; State Contribution to the Medicare Drug Benefit.

This article raises concerns about the impact of Medicare Part D on persons with chronic illnesses or disabilities. The article looks at benefit design and implementation issues. The article appeared in Care Management Journals, Volume 5, Number 2. Summer 2004

This policy brief is one of five commissioned by the Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation on Medicaid eligibility policies for long-term care benefits. This brief describes the procedures used by the state of Massachusetts in the administration of its Medicaid Estate Recovery program, with a focus on the procedures used by the State in imposing Medicaid liens on real property.

This policy brief is one of five commissioned by the Dept of Health & Human Services, , and presents the fundamentals of Medicaid liens -- what they are, why they are permitted, and how they are applied by state Medicaid programs. Liens are a tool that states may use to ensure their right to recover past Medicaid spending on the property owner’s behalf when he or she, or certain close relatives, no longer needs the property.

This policy brief is one of five commissioned by the Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation on Medicaid eligibility policies for long-term care benefits. This brief outlines the Medicaid rules that affect community spouses of nursing home residents and widows or widowers of deceased nursing home residents.

This policy brief is one of five commissioned by the Dept of Health & Human Services, and provides an overview of state Medicaid Estate Recovery programs, which enable states to recoup public spending for Medicaid long-term care recipients from the estates of those recipients after their death.

This policy brief is one of five commissioned by the Dept of Health & Human Services and provides a synopsis of how the home is treated in determining Medicaid eligibility for recipients of long-term care services and the circumstances under which Medicaid may recover spending from equity held in real property. Broad flexibility is conferred on states to implement generic Federal Medicaid rules, resulting in considerable variations in how homes are treated in specific circumstances.

Financing long-term care for the nearly 10 million Americans who need services and supports to assist them in life’s daily activities continues to challenge the nation. While Medicaid is the nation’s major source of financing for long-term care services, paying for over 40% of total long-term care, its role is not well understood. Misperceptions on who qualifies and what is covered are common. The Kaiser Commission on Medicaid and the Uninsured Q & A’s outlines basic information on Medicaid.

This memorandum presents state-by-state data on Medicaid long term care expenditures in Federal Fiscal Year 2004 (October 2003 through September 2004). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1992 to 2004. A new table this year shows the effect of supplemental nursing facility payments in some states on expenditure data. A separate file ranks states based on the proportion of LTC spending for community services.

This entry presents data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1999-2004. As in previous years, information is classified for each individual HCBS waiver by the target population served in order to present information on the distribution of HCBS waiver expenditures across long term care populations. Tables include waiver spending by target population; growth in spending; expenditures by state; distribution of expenditures.