Long Term and Chronic Care

As of December 1998, 37 states (including the District of Columbia) reported enrolling people who are elderly and/or have disabilities into risk-based Medicaid managed care programs. While some states have enrolled these two populations only in specialty, carve-out programs, most are now serving the elderly and disabled through comprehensive programs. This Directory provides a snapshot […]

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  • Publications

    This study reviewed the assisted living and board-and-care policies in each of the 50 states. States reported a total of 28,131 licensed facilities with 612,063 units or beds. Over 25% of the beds are lcoated in three states: California (123,238), Florida (66,298), and Pennsylvania (62,241). Twenty-two states have existing licensing regulations using the term assisted […]

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    May 24, 2012 | Filed under: Long Term and Chronic Care, Publications
  • Publications

    This study reviewed the assisted living and board and care policies in each of the 50 states. Fifteen states have existing licensure regulations for assisted living facilities. Regulations are being developed by an additional nine states. Twenty two states reimburse, or plan to reimburse, assisted living as a Medicaid service including states that do not […]

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    May 17, 2012 | Filed under: Long Term and Chronic Care, Publications
  • Publications

    A growing number of states are planning or implementing risk-based managed care programs for dually eligible adults: those who are eligible for both Medicaid and Medicare. The design of these programs is vastly more complicated than those previously implemented for AFDC beneficiaries. Eligibility for Medicare is one complicating factor, and the diversity of the target […]

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    May 16, 2012 | Filed under: Long Term and Chronic Care, Medicaid, Publications
  • Publications

    Spurred by the success they perceive in managed care for women and children, states are turning to managed care delivery systems for older persons and persons with disabilities who qualify for Medicaid if they receive supplemental security income (SS1) payments or are determined to be eligible as medically needy. 1996.Sep_.assuring.quality.care_.managed.care_.older_.disabilities.pdf 1.5 MB  

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  • Publications

    This is the third and final in a series of papers on dual eligibility supported by The Pew Charitable Trusts, with additional support from The Henry ]. Kaiser Family Foundation, Center for Vulnerable Populations. The first paper, Managiiig Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pitfalls (September, 1994), describes the fragmentation of […]

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  • Publications

    Increasingly, states are turning to managed care to deliver health services to Medicaid recipients. In a 1994 survey of states conducted by the National Academy for State Health Policy, 16 states reported that they enroll elders in Medicaid managed care programs. A few states (Arizona, Minnesota, Oregon, Tennessee, Utah) require mandatory enrollment and others allow […]

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  • Publications

    The purpose of this document is to summarize the current state-of-the-art in managed care for the elderly and to provide states with background information needed to launch their own initiatives to provide quality, cost effective care to the rapidly aging population. As you will see, attempts to truly coordinate primary, preventive, acute, and long term […]

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  • Publications

    Major Issues and Selected Initiatives Interest in managed care for older persons and persons with disabilities has intensified in recent years, as states and the federal government have searched for ways to make publicly funded programs more effective and less costly. The heightened interest has stimulated a lively debate among consumers, policy makers, advocates and […]

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  • Publications

    Medicaid today pays for 41% of the nation’s long term care bill. Most of that spending (85%) is on institutions. As the Congress grapples with efforts to reduce Federal expenditures and balance the budget, the Medicaid program and its investment in long term care are particularly vulnerable to cuts. Indeed, Medicaid comprises nearly half of […]

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