In Ohio and nationally, a significant share of Medicaid is dedicated to patients who are elderly or have disabilities. Too often, this is in a high-cost nursing home setting. The ACA offers incentives to encourage more cost-effective home care services for people who need help with dressing, bathing, chores, preparing meals, or other activities of daily living. A study of state expenditures on long-term care and services between 1995 and 2005 found that states with broad access to home and community-based services realized cost savings in the long term as they shifted from institutionalized settings (nursing homes) to home care services, although there was a short-term increase in costs during the shift.
The ACA offers new opportunities to help states provide long-term services and supports to people in their homes. This brief examines two of the programs: The Balancing Incentives Payment Program, which increases federal matching funds for states like Ohio by two percentage points through 2015 for increased home and community-based services, helping with any up-front costs, and the permanent Community First Choice Option (CFCO) which provides a boost of six percentagepoints, from 63.58 to 69.58 percent, in federal funding for personal attendant services in the home or community.
The ACA offers new opportunities to help states provide long-term services and supports to people in their homes. This brief examines two of the programs: The Balancing Incentives Payment Program, which increases federal matching funds for states like Ohio by two percentage points through 2015 for increased home and community-based services, helping with any up-front costs, and the permanent Community First Choice Option (CFCO) which provides a boost of six percentagepoints, from 63.58 to 69.58 percent, in federal funding for personal attendant services in the home or community.
WHAT TO READ NEXT
Published By
Copyright
- Copyright 2013 Policy Matters Ohio.
Document Type
Language
Geography
Linked Data show/hide