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Medicaid-Financed Institutional Services: Characteristics of Nursing Home and ICF/IID Residents and Their Patterns of Care

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Although states have begun to rebalance their long-term care systems toward a greater emphasis on home and community-based services (HCBS), many low-income elderly, persons with physical disabilities, and persons with intellectual/developmental disabilities (I/DD) continue to reside in institutions such as nursing homes or intermediate care facilities for the intellectually disabled (ICFs/IID). Through an analysis of Medicaid enrollment and long-term care claims data, this report provides information on the characteristics of institutionalized enrollees, their stays, and the interaction of institutional services and HCBS. [85 PDF pages]