Table of Contents
PPT Slide
PPT Slide
US Medicaid Long Term Care Participants, 2000 Total Participants: 7.37 million
US Medicaid Expenditures, 2002 Total: $82 billion
Nursing Home and ICF-MR/DD Expenditures in Billions, 1997 – 2002
Trends in LTC Bed Supply, 1990-2001
Percent Occupancy Rates in US Nursing Homes, 1995-2001
Provider Supply
Percent of States with LTC Certificate-of-Need/Moratoria, 2002
Regulation of LTC Provider Supply
Medicaid Nursing Home Reimbursement Rates
Medicaid Nursing Home Screening Programs
LTC Screening
LTC Coordination Problems
Pressures to Provide HCBS
Olmstead v. L.C. Supreme Court Decision
Three Types of Medicaid Home and Community Based Services
Medicaid Home Health, Personal Care and Waiver Participants, 2001 (2,117,948 participants)
Expenditures for Home Health, Personal Care & HCBS Waivers, 2001 Total: $22 billion
Waiver Participants vs. Waiver Expenditures in Billions, 1992 – 2001 (832,915 participants/$14 billion, 2001)
Waiver Expenditures in Billions and Expenditures per Participant, 1992 – 2001 ($17,070 per participant, 2001)
Waiver Participants by Recipient Type: 2001 (832,915 Participants)
Medicaid Waiver Expenditures by Recipient Type, 2001 Total: $14 billion
Waiver Expenditures by Service Category, 2001 Total: $14 billion
Cost Control Policies
Waiver Financial Eligibility Limits as a % of SSI or Poverty Level, 2002 (N = 171 Waivers or 78%)
States with “Ceilings” of “Caps” on Waiver Expenditures, 2002
Medicaid HCBS Waiver Waiting Lists by Recipient Types, 2002 Total - 157,640
Waiting Lists for HCBS Waivers in Selected States in 2002
Unmet Needs for HCBS in 2002
Undersupply of HCBS Providers
Quality of Care Oversight for HCBS
Summary - Medicaid LTC
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Author: Charlene Harrington, Ph.D. and Martin Kitchener, Ph.D.
Email: allison.cook@ncsl.org
Home Page: http://www.ncsl.org/programs/health/health.htm
Other information:
Charlene Harrington, Ph.D. and Martin Kitchener, Ph.D.
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