This New Jersey case study provides insights into the daunting challenges states face in seeking to address the home care worker shortage, which has become more acute as New Jersey and other states have striven to “re-balance” Medicaid long-term services and supports use and spending away from institutional care toward home and community-based services. In a tight labor market, the key to overcoming the home care workforce shortage is to ensure that home care aide jobs can compete with other entry-level jobs and to expand the labor pool from which home care workers can be recruited to the extent possible.
This research was conducted under contract between HHS/ASPE’s Office of Behavioral Health, Disability, and Aging Policy (BHDAP) and Research Triangle Institute. Additional research in this area is available at the ASPE Long-Term Services & Supports/Long-Term Care page.
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