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