At the Crossroads: Providing Long-Term Services and Supports at a Time of High Demand and Fiscal Constraint

Article Publication Date:

7/1/2013

Summary:

A survey of state aging, disability and Medicaid agencies was conducted in 2012, in order to better understand challenges and concerns for funding and providing quality LTSS. Five common themes were identified in this report, including staff turnover and reductions during a sluggish recovery of state budgets. Other findings include an overall expansion of home and community-based services, LTSS transformation and reduced funding and high demand for non-Medicaid aging and disability services.

Article Author:

Scully, Diana; Cho, Eunhee (Grace); Hall, John Michael; Walter, Kelsey; Walls, Jenna; Fox-Grage, Wendy; Ujvari, Kathleen

Topics:

Accessibility; Consumer/Participant Direction; Housing; Transition/Diversion from Institutions; Quality; Resource Center; Medicaid Waivers; Medicaid

Types/Tools:

Policy alerts, briefs, letters & papers; Reports; Research / Journal abstracts; Comparison Table, Matrix or Chart; NASUAD Survey Report

Populations:

Aging/Older Adults; Developmental/Intellectual Disabilities; Physical Disabilities; Direct Care Workforce; Psychiatric Disabilities/Mental Illness

Sources:

AARP Public Policy Institute; ADvancing States

Health Management Associates

Programs/Initiatives: