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Medicaid Home- and Community-Based Services: Selected States' Program Structures and Challenges Providing Services

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Report Type Reports and Testimonies
Report Date Aug. 30, 2018
Release Date Oct. 1, 2018
Report No. GAO-18-628
Summary:

People who need long-term services to help with routine daily activities, such as bathing and eating, often prefer to remain in their homes and communities rather than receive care in nursing homes or other institutions. State Medicaid programs must cover nursing home care, but can choose to cover most home- and community-based care—and they’re increasingly opting to do so.

States have faced challenges in providing these services, however, including finding and keeping home care workers, due to the low wages for these services. We found that states have made efforts to respond to these challenges.

 

Photo of a woman in a wheelchair and a man at a table.

Photo of a woman in a wheelchair and a man at a table.

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