Respite and adult day services are key services that provide family caregivers a break from the demands of caregiving.
- Respite care is a service that provides short-term relief for caregivers that is usually delivered in the home or a facility-based setting.
- Adult day services are an integrated system of therapeutic, social, and health-related services provided in a community-based group setting.
Use the maps below to explore respite and adult day services in MLTSS states for older adults and adults with physical disabilities, including:
- Who is eligible for respite coverage or adult day coverage
- How states cap respite services
- Where providers can deliver respite services
Key Takeaways
- Nearly half of states (23) use Medicaid Managed Long-Term Services and Supports (MLTSS) to provide services for older adults and adults with physical disabilities.
- All 23 of these states provide respite and adult day services within their managed care programs.
- While most states followed the service parameters outlined in their waivers, some states allow managed care organizations (MCOs) the flexibility to expand respite coverage.
About This Map and Related Resources
For our analysis, NASHP reviewed MLTSS states’ managed care contracts, state requests for applications, and managed care policy manuals.
For a detailed inventory of each MLTSS state’s respite and adult day services, along with links to these sources, download this chart.
Acknowledgements
This project is supported by Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $942,520 with 75 percent funded by ACL/HHS and $312,845 and 25 percent funded by non-government source(s). The contents are those of the authors and do not necessarily represent the official views of, nor are an endorsement, by ACL/HHS or the U.S. Government.
NASHP would also like to thank The John A. Hartford Foundation for providing the non-government matching funds for this project.
