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


Although states have begun to re-balance their long-term care (LTC) systems toward a greater emphasis on home and community-based services (HCBS), many low-income elderly, persons with physical disabilities, and persons with intellectual disabilities or related developmental disabilities (ID/DD) continue to reside in institutions such as nursing homes or intermediate care facility for individuals with intellectual disabilities (ICFs/IID). Through an analysis of Medicaid enrollee and LTC claims data, this report seeks to provide researchers and policymakers with information on the characteristics of these enrollees, their stays, and the interaction of institutional services and HCBS, building on the earlier work of Wenzlow et al. (2008) by using more recent data and extending the analysis to enrollees residing in ICFs/IID.

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