Options to Increase Access to Long-Term Care: Maryland House Bill 594 Final Report

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dc.contributor.authorThe Hilltop Institute
dc.date.accessioned2019-07-09T12:50:36Z
dc.date.available2019-04-25T19:10:26Z
dc.date.issued2008-02-04
dc.description.abstractThis study, in response to the mandate of Maryland House Bill 594, analyzes Maryland’s options to increase access to long-term services, including home- and community-based services (HCBSs) such as adult medical day care, for individuals at high risk of institutionalization because of cognitive impairments, mental illness, traumatic brain injury, or other conditions, who met financial eligibility criteria in effect as of June 1, 2007. Three approaches to expand access to Medicaid HCBS were considered: Maryland could lower its nursing facility (NF) level of care (LOC) criteria to ease entry into both NFs and community-based programs; Maryland could leave its NF LOC at its current standard, but expand access to HCBS by providing enough funds to move people from the registries for the Older Adult Waiver (OAW) and Living at Home (LAH) waiver into services; or Maryland could adopt the new authority, included in the recently enacted federal Deficit Reduction Act (DRA), to create a service package of HCBS without the need for a waiver. The Hilltop Institute (as the Center for Health Program Development and Management) reviewed Maryland and seven other states and the District of Columbia, analyzed the estimated costs and effects of three approaches mentioned above, and analyzed the potential for long-term savings for a state, should it elect to lower its NF LOC.en_US
dc.description.urihttps://www.hilltopinstitute.org/wp-content/uploads/publications/Options-to-Increase-Access-to-Long-Term-Care-Maryland-House-Bill-594-Final-Report-pdf.pdfen_US
dc.format.extent52 pagesen_US
dc.genrereportsen_US
dc.identifierdoi:10.13016/m2yf9s-74cw
dc.identifier.urihttp://hdl.handle.net/11603/13507
dc.language.isoen_USen_US
dc.publisherThe Hilltop Instituteen_US
dc.relation.isAvailableAtThe University of Maryland, Baltimore County (UMBC)
dc.relation.ispartofThe Hilltop Institute (UMBC) Works
dc.rightsThis item is likely protected under Title 17 of the U.S. Copyright Law. Unless on a Creative Commons license, for uses protected by Copyright Law, contact the copyright holder or the author.
dc.subjectMaryland House Bill 594en_US
dc.subjectMaryland's options to increase access to long-term servicesen_US
dc.subjecthome and community based services (HCBS)en_US
dc.titleOptions to Increase Access to Long-Term Care: Maryland House Bill 594 Final Reporten_US
dc.typeTexten_US

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