Article Publication Date:
Despite preference for community-based long-term care, spending & policy is biased toward institutional services. More flexible policies were passed in 1981, when coverage was extended to non-medical services for people who meet criteria. States still must obtain a waiver for community-based services, and the law requires that Medicaid programs provide institutional care. As a result, policymakers face challenges when creating balanced systems that offer access to quality service choices.
ICF-MR; Eligibility Revisions
National Academy for State Health Policy
Short URL: http://www.advancingstates.org/node/50424