District of Columbia

Thanks to the steadily increasing demand for home care, the second fastest-growing occupation in the country is that of personal and home care aides (PHCAs). Yet PHCA wages - which were low to begin with - are failing to keep up with inflation nationwide. A new publication looks at the decline in inflation-adjusted wages. Based on data from the Bureau of Labor Statistics, it charts the wages received by personal and home care aides in all 50 states and the nation over a seven-year period.

States are ranked in this report based on the outcomes of Medicaid services provided to people with intellectual and developmental disabilities. The key outcomes measured are the promotion of independence and meaningful employment, tracking quality and safety, keeping families together, and reaching those in need. Each state’s progress is measured by comparing data from the previous year. This report is issued annually with past editions available on the included website.

This comprehensive report provides data and macro level analyses on public and private residential services. The Executive Summary and Section 3 compare Medicaid utilization and expenditures for home and community-based services with services provided in institutional settings. Data are also presented in state-by-state profiles. Past editions of this annual report dating from 2000 are available at the website provided.

This paper examines the extent to which states have balanced the delivery of Medicaid-funded LTC services and supports to people in their homes and in institutions. What is unique about this report is its primary focus on older people and adults with physical disabilities separate from other LTC populations, such as people with developmental disabilities. Explore what has been accomplished under current Medicaid law and review how federal policies impact the ability to balance service delivery.

Find within this resource state-by-state statistics on demographics, Medicaid, Medicare, and health insurance coverage. Of special interest are the data on Medicaid expenditures broken down by recipient type and service environment (HCBS vs. nursing home). Limited data are also given for Puerto Rico and the U.S. Virgin Islands.

This section of the Family Caregiver Alliance website assists people in locating government, nonprofit, and private long-term care support programs in their respective areas. It includes services for family caregivers, as well as resources for older or disabled adults living at home or in a residential facility. It also includes information on government health and disability programs, legal resources, disease-specific organizations and much more.

This annual report by Genworth Financial provides detailed information on the cost of long-term care (LTC) in the U.S. Current costs and historic trends are identified and organized by state, setting of care, and type of service provider. The website includes interactive state maps and further information on private funding options for LTC.

This website, from the Institute for Community Inclusion, generates customized charts of state and national disability employment data. It currently includes data sets from state mental retardation/developmental disabilities agencies, the Rehabilitation Services Administration, Social Security Administration, and US Dept. of Labor. Users can compare up to three states variables or download raw data sets. Posted here is a Data Note detailing state expenditures for integrated employment services.

Find thirteen examples of state level legislation that improve the wages, collective bargaining rights, or insurance of personal care workers and home health aides. The report also includes graphics illustrating workforce trends and a list of potential best practices that were not passed into law in their respective states.

The purpose of this compendium is to establish baseline knowledge of the scope of assistive technology and home modification services that states make available to Medicaid-eligible adults. This study provides federal and state policymakers with basic information to inform planning and policy development. It also provides other stakeholders, including consumers, with valuable information about Medicaid State Plan and HCBS waiver.