Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. Long Term Care Programs Funded with State Revenues Only

12/01/2003

The state has a Long Term Care Consultation Services (LTCCS) program that is funded by a combination of federal, state, and privately paid funds. Formerly called Preadmission Screening, the purpose of LTCCS is to assist persons with long term or chronic care needs in making long term care decisions and selecting options that meet their needs and reflect their preferences. The availability of, and access to, information and other types of assistance is also intended to prevent or delay certified nursing facility placements, thereby containing costs associated with unnecessary nursing facility admissions. In FY 2001, LTCCS conducted 62,570 assessments.

The state's Alternative Care program is funded solely with state revenues. It was implemented in 1991 and provides certain home and community services for persons age 65 and over, who are at risk of nursing home placement, have low levels of income and assets, but do not meet Medicaid financial criteria. The program is administered by counties, which may offer consumer-directed service options. The state caps the monthly cost of Alternative Care services at 75 percent of the average state Medicaid payment made for persons age 65 and older with the same case mix classification residing in nursing facilities.

The program offers a comprehensive array of home and community services including home modifications, adult day care, adult foster care, assisted living and residential care services

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