Expanding Medicaid Coverage for Community-Based Long-Term Services and Supports: Lessons From Maryland’s Community First Choice Program
Links to Fileshttps://journals.sagepub.com/doi/10.1177/0733464818779942
MetadataShow full item record
Type of Work11 pages
journal articles postprints
Citation of Original PublicationJulia 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
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.
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.