Medicaid Home- and Community-Based Services: Impact of the Affordable Care Act
| Autor: | Mitchell P. LaPlante, H. Stephen Kaye, Charlene Harrington, Terence Ng |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Financing
Government Matching (statistics) Economic growth National Health Programs Legislation Patient Protection and Affordable Care Act Humans Life-span and Life-course Studies Health policy Aged Demography Finance Government Medicaid business.industry Health Policy Home Care Services Long-Term Care United States Nursing Homes House Calls Long-term care Incentive business Gerontology Social Welfare |
| Zdroj: | Journal of Aging & Social Policy. 24:169-187 |
| ISSN: | 1545-0821 0895-9420 |
| DOI: | 10.1080/08959420.2012.659118 |
| Popis: | The Affordable care Act (ACA) legislation of 2010 has three important voluntary provisions for the expansion of home- and community-based services (HCBS) under Medicaid: A state can choose to (1) offer a community first choice option to provide attendant care services and supports; (2) amend its state plan to provide an optional HCBS benefit; and (3) rebalance its spending on long term services and supports to increase the proportion that is community-based. The first and third provisions offer states enhanced federal matching rates as an incentive. Although the new provisions are valuable, the law does not set minimum standards for access to HCBS, and the new financial incentives are limited especially for the many states facing serious budget problems. Wide variations in access to HCBS can be expected to continue, while HCBS will continue to compete for funding with mandated institutional services. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|