Medicaid Home and Community-Based Services: Selected States' Program Structures and Challenges Providing Services

Article Publication Date:

8/30/2018

Summary:

State Medicaid programs are increasingly opting to cover home and community-based services. This report looks at the efforts of various state Medicaid programs, examines their structure, and highlights the challenges encountered. From this review, GAO highlights three main challenges: 1) difficulty recruiting and retaining home care workers, 2) difficulty serving those with complex needs and, 3) limited funding for HCBS services.

Topics:

Financing HCBS; Long Term Services and Supports; Medicaid

Types/Tools:

Reports

Populations:

Developmental/Intellectual Disabilities; Physical Disabilities; Psychiatric Disabilities/Mental Illness

Sources:

U.S. GAO

Programs/Initiatives:

Medicaid Managed Long Term Care

States:

Arizona; Florida; Mississippi; Montana; Oregon