Medicaid

Medicaid health homes, authorized by Section 1945 of the Social Security Act, allows states to coordinate care and integrate services for Medicaid beneficiaries with multiple chronic physical, mental, or behavioral health conditions.

Jhamirah M. Howard and Jennifer Baron Office of the Assistant Secretary for Planning and Evaluation Printer Friendly Version in PDF Format (8 PDF pages)

Created by the Deficit Reduction Act of 2005 and amended by the Patient Protection and Affordable Care Act (ACA), Section 1915(i) of the Social Security Act gives state Medicaid programs the flexibility to cover home and community-based services (HCBS) through a Medicaid state plan amendment (SPA) without the need to seek a federal waiver.

This study is a follow-up to earlier research conducted with 2006 and 2009 Medicaid (MAX) data on interstate variations on the extent of the "re-balancing" of Medicaid long-term services and supports (LTSS) from nursing home care toward greater reliance on home and community-based services (HCBS).

This brief assesses the adequacy of the income allowances granted to older Medicaid HCBS enrollees and their spouses.

The report Picture of Housing and Health (released by ASPE in 2014), found high prevalence of chronic conditions and higher health care utilization for HUD-assisted Medicare beneficiaries compared to unassisted beneficiaries. This second report seeks to understand whether the characteristics of the sample could explain the higher utilization.