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Introduction
This report examines the components of home- and community-based services (HCBS) programs under multiple funding streams and reported progress and barriers to progress from the State Units on Aging (SUAs) in shifting the balance from institutional care to HCBS. Its purpose is to provide a broader understanding of each state's infrastructure for HCBS programs for two target populations: older adults and adults with physical disabilities. The scope of the report was intended to cover all 50 states and the District of Columbia , along with all major HCBS revenue streams for the elderly and adults with disabilities. This stands in contrast to prior projects that focused on a limited number of states or on a specific type of HCBS funding source (e.g., Medicaid waivers). The accomplishments and initiatives reported to have had the greatest effect on the states' HCBS delivery systems in the last two years and those anticipated in the coming two years provide insights regarding notable advances and pressing issues that face the states as they strive to rebalance long-term care.
Preface  Overview Appendix 1 Appendix 2 Cross-state Tables |
The report was supported, in part, by Grant No. 90-AM-3142 from the Administration on Aging, Department of Health and Human Services. The report's findings and recommendations are those of the authors and do not necessarily reflect those of the Administration on Aging, its staff or any State officials. Project staff that prepared this report include Linda Noelker, PhD, Farida Ejaz, PhD, Melissa Castora, MA, and Miriam Rose, MEd. We would also like to acknowledge the following staff that provided assistance with the project: Semanthie Brooks, Mary Dziedzicki, Jeanne Hoban, Uma Irfan, Julie Rentsch, Stephanie Schroth, and Emily Hornack. |
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