Long-Term Care

This report provides a thumbnail sketch of long-term care budgets, legislation and planning in the 50 states and the District of Columbia. The goal of the project is to obtain insights into recent state long-term care public policy reforms,as evidenced by their proposed or recently enacted legislation, task forces and budgets.

In these reports, the National Conference of State Legislatures (NCSL) traces the budget issues that states confronted in 2002 & 2003 and examines how they addressed those issues. The report also describes long-term care legislation enacted in 2002 & 2003 and long-term care planning work that is under way in many states.

The data presented in these files is based upon HCFA reports which states submit to the Centers for Medicare and Medicaid Services (CMS). The HCFA 64 report is the form used by the states to claim Federal Financial Participation (FFP) for state Medicaid outlays, and is audited by the Federal government. It is therefore considered one of the more reliable sources of information on state Medicaid spending.

This memorandum presents data on Medicaid long term care expenditures in Federal Fiscal Year 2002 (September 2001 through September 2002). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1990 to 2002.

This report, an extension of the “1992 State LTC Profiles Report,” (November, 1995) updates previous data to 1996 and provides profiles showing state rankings and data regarding the need for long-term care and utilization patterns across States. The main focus of the analysis is on how States are progressing in the provision of home and community based services. The data presented is useful to state administrators, policy makers, agency administrators, and program planners.

These materials are from the national conference sponsored by the Centers for Medicare & Medicaid Services (CMS) and held in Nashville on May 2-3, 2002. The goal of the conference was to provide an opportunity for information exchange among decision-makers in the design and implementation of quality management/improvement. This conference was designed to facilitate communication around quality management among state staff, federal agency staff, providers, and consumers/advocates.

These materials are from the national conference sponsored by the Centers for Medicare & Medicaid Services (CMS) and held in Nashville on May 2-3, 2002. The goal of the conference was to provide an opportunity for information exchange among decision-makers in the design and implementation of quality management/improvement. This conference was designed to facilitate communication around quality management among state staff, federal agency staff, providers, and consumers/advocates.

These materials are from the national conference sponsored by the Centers for Medicare & Medicaid Services (CMS) and held in Nashville on May 2-3, 2002. The goal of the conference was to provide an opportunity for information exchange among decision-makers in the design and implementation of quality management/improvement. This conference was designed to facilitate communication around quality management among state staff, federal agency staff, providers, and consumers/advocates.

Description of LTC system for elders and younger persons with disabilities in Alabama in 2001

Wisconsin launched a new initiative called Family Care that redesigns its long term supports system by concurrently reducing its complexity & increasing participant choice. One of its most groundbreaking features is the way it concretely translates into policy the principle of “money following the person” by creating for program participants an entitlement to both community supports & institutional care. This report looks at how the state uses single point of entry & person centered services.