Expanding Medicaid Coverage for Community-Based Long-Term Services and Supports: Lessons From Maryland’s Community First Choice Program
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Author/Creator ORCID
Date
2018-06-05
Type of Work
Department
Program
Citation of Original Publication
Julia Burgdorf, Jennifer Wolff, Amber Willink, Cynthia Woodcock, Karen Davis, and Ian Stockwell, Expanding Medicaid Coverage for Community-Based Long-Term Services and Supports: Lessons From Maryland’s Community First Choice Program, Journal of Applied Gerontology, 1– 11, 2018, https://doi.org/10.1177/0733464818779942
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Abstract
Community First Choice (CFC) is a Medicaid state plan option authorized
through the Affordable Care Act (ACA) that supports the delivery of longterm
services and supports in home and community settings. We interviewed
stakeholders in Maryland, one of the first states to adopt CFC, to assess
challenges, benefits, and potential implications of this Medicaid option for state
and federal policy makers. Study findings suggest that expanding coverage for
home- and community-based services through CFC in Maryland has been
financially feasible, expanded the personal care workforce, and supported a
more equitable approach to personal care services. We conclude that greater
coverage for home- and community-based long-term services is a promising
avenue to improve access to care for high-need Medicaid beneficiaries.