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Options for Designing Service Coverage: General Considerations 83ing. Medicaid reimbursement policy for assisted livingis also discussed. Summaries of each state’s policy andregulations covering assisted living and board and careare presented. The study is an excellent resource/referenceguide. To obtain a free copy of this report, write to theOffice of Disability, Aging, and Long-Term Care Policy,Room 424E, H.H. Humphrey Building, 200 IndependenceAvenue, S.W., Washington, DC 20201, fax (202) 401-7733,or e-mail DALTCP2@osaspe.dhhs.gov.Schore, J., Harrington, M., and Crystal, S. (March1998). The role of home and community based servicesin meeting the health care needs of people with AIDS.Final report. Princeton, NJ: Mathematica PolicyResearch. (149 pages)This report reviews the recent literature describing thedelivery and financing of home and community basedservices for people with AIDS, case studies of serviceprovision in New York City and Los Angeles, and ananalysis of use and reimbursement patterns for NewJersey Medicaid beneficiaries with AIDS. The casestudies describe current provider approaches to deliveringhome and community based services to the AIDSpopulation. A synthesis of information (i.e., evolutionof improvements in AIDS treatment, changes in theAIDS population, and pressures to control spending)and their implications are addressed. The report may beordered for $12.00, plus shipping and handling, from JackieAllen, librarian, Mathematica Policy Research, Inc., PO Box2393, Princeton, NJ 08543-2393, (609) 275-2350, or e-mailjallen@mathematica-mpr.com.Schore, J., Harrington, M., and Crystal, S. (1998).Serving a changing population: Home and communitybased services for people with AIDS. Pub. #PR98-15.Princeton, NJ: Mathematica Policy Research, Inc. (10pages)This study examines the availability of and funding forhome and community based services for people withAIDS. It includes a literature review, case studies, andan analysis of use and reimbursement patterns for NewJersey Medicaid beneficiaries with AIDS. It compareshome care use and costs for Medicaid beneficiarieswith AIDS in New Jersey’s AIDS waiver program withthose not served by a waiver. The study analyzes thechallenges facing providers, planners and policymakerswith regard to information needs, an integratedapproach under managed care, and the needs of peoplewith chronic illness. This report may be ordered free ofcharge from Jackie Allen, librarian, Mathematica PolicyResearch, Inc., PO Box 2393, Princeton, NJ 08543-2393,(609) 275-2350, or e-mail jallen@mathematica-mpr.com.Schoff, J., and Schore, J. (January 1997). The role ofhome and community based services in meeting thehealth care needs of people with AIDS. Literaturereview. Princeton, NJ: Mathematica Policy Research.(92 pages)This report reviews the literature published between1993 and 1998 on the delivery and financing of homeand community based services for people with AIDS. Itdescribes gaps in information, services that are available(including program descriptions), fundingsources, and managed care. Detailed program descriptionsprovide models that can be used to design AIDSprograms. The report may be ordered for $12.00, plus shippingand handling, from Jackie Allen, librarian, MathematicaPolicy Research, Inc., PO Box 2393, Princeton, NJ08543-2393, (609) 275-2350, or e-mail jallen@mathematicampr.com.Kassner, E., and Williams, L. (September 1997).Taking care of their own: State-funded home and communitybased care programs for older persons.Washington, DC: AARP, Public Policy Institute. (56pages)This document provides a summary and brief analysisof state-funded multi-service programs that providehome and community based services to older persons.The data are based on a 1996 survey undertaken byAARP and include a general description of existingtypes of programs as well as a more specific anddescriptive chart on the different services offered in 49states and the District of Columbia (Montana did notrespond to the survey). The report is useful in conjunctionwith other studies that provide data on federallyfunded programs. To obtain a free copy of this document,contact AARP’s Public Policy Institute at (202) 434-3860 orsearch their website at http://www.research.aarp.org.Lewin-VHI, Inc. (1996) National study of assisted livingfor the frail elderly: Literature review update.Washington, DC: Department of Health and HumanServices, Office of the Assistant Secretary forPlanning and Evaluation. (87 pages)This document reviews published and unpublished literatureon assisted living for the frail elderly from 1992through September 1995. It synthesizes informationgathered from 175 articles. It discusses current trendsin assisted living and compares state policies and practices.To obtain a free copy of this report, write to the Officeof Disability, Aging, and Long-Term Care Policy, Room424E, H.H. Humphrey Building, 200 Independence Avenue,
84 UNDERSTANDING MEDICAID HOME AND COMMUNITY SERVICES: A PRIMERS.W., Washington, DC 20201, fax (202) 401-7733, or e-mailDALTCP2@osaspe.dhhs.gov.U.S. General Accounting Office (1994). Medicaid longtermcare: Successful state efforts to expand home serviceswhile limiting costs. GAO Publication No. GAO/HEHS-94-167. Washington, DC: Author. (50 pages)This document provides a review of three states’(Oregon, Washington, and Wisconsin) experience inexpanding government-funded home and communitybased services. It focuses on these states’ experience inshifting the provision of long-term care from institutionalto home and community based settings. Thisdocument explains mechanisms states have used tocontrol costs. It also demonstrates how the use of homeand community based care has enabled states to provideservices to a greater number of people. Detaileddescriptions of each state and relevant data enhanceunderstanding of how to design and manage a successfulprogram. This document can be downloaded free ofcharge from the Internet at frwebgate.access.gpo.gov orobtained by calling the GAO Document DistributionFacility at (202) 512-6000, or by writing to 441 G Street,N.W., Room 6252, Washington, DC 20548.Leonard, B., Brust, J., and Choi, T. (1989). Providingaccess to home care for disabled children: Minnesota’sMedicaid waiver program. Public HealthReport 104: 465–72. (7 pages)This article explores the availability of funding forhome care under the Minnesota Medicaid waiver program.It discusses gaps in funding for home care as well
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Understanding MedicaidHome and Comm
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viiiUNDERSTANDING MEDICAID HOME AND
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IntroductionPeople of all ages with
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Introduction 31998—is the group m
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Medicaid Coverage of Home and Commu
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