Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Chapter 1. Medicaid Coverage of Home and Community Services: Overview


Long-term care includes a broad range of health and health-related services, personal care, social and supportive services, and individual supports. These services can be provided in institutions, an individual’s home, or in community settings. This chapter recounts the legislative, regulatory, and policy history of Medicaid coverage of long-term care services and supports. Both institutional care and home and community services are described, with the latter in greater detail.1

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