Skip to main content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

State Wage Pass-Through Legislation: An Analysis

Publication Date
Dec 19, 2002

Twenty-one states have implemented "wage pass-through" programs with the stated expectation that doing so will help address the shortage of direct care workers employed by long-term care providers in their states. A wage pass-through is an additional allocation of funds provided through Medicaid reimbursement for the express purpose of increasing compensation for direct care workers. The purpose of this issue brief is to: describe the structure of wage pass-through programs in selected states; summarize what is known about the impact of these programs on the recruitment and retention of direct care workers; and identify key design elements that states should consider if they choose to implement a wage pass-through. [8 PDF pages]