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New Freedom Initiative

Rebalancing Long-Term Care

In 2003, Congress directed CMS to commission a study in up to 8 states to explore the various management techniques and programmatic features that States have put into place to rebalance their Medicaid long-term care systems, and their investments in long-term support services towards community care. For purposes of this study, rebalancing is defined as reaching more equitable balance between the proportion of total Medicaid long-term support expenditures used for institutional services (i.e. Nursing Facilities [NF] and Intermediate Care Facilities for the Mentally Retarded [ICFs-MR]) and those used for community-based supports under its state plan and waiver options." Additionally, a balanced long-term care system offers individuals a reasonable array of balanced options, particularly adequate choices of community and institutional options.

In October 2004, CMS commissioned a study in response to the congressional directive, and 8 States are participating: Arkansas, Florida, Minnesota, New Mexico, Pennsylvania, Texas, Vermont, and Washington. Available under "downloads" are the first year's research results, and topic papers related to special topics.


Downloads

State Specific Summary Reports and Executive Summary (401KB, ZIP)

Topics in Rebalancing: State Strategies to Build and Sustain Consumer Advocacy (144KB, PDF)

Topics in Rebalancing: Organizational Structure (170KB, PDF)

Rebalancing Project Update Report - April 2, 2007 (205KB, PDF)

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Page Last Modified: 08/05/2008 3:38:24 PM
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