More Medicaid Spending Now Goes Toward Home Care

REPORT: Most Medicaid Spending Now Goes Toward Home Care

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With 4 billion more than the last reporting period, for the first time ever, the majority of Medicaid expenditures for long-term services and supports (LTSS) has gone toward home and community-based care (HCBS) a new federal report (pdf) shows.

A total of $75 billion in federal and state spending went toward HCBS in FY13, according to the report, compared with $71 billion for LTSS provided in institutional settings.

The report, released by the Centers for Medicare & Medicaid Services (CMS) on June 30, shows that HCBS spending increased by 7.6 percent between FY12 and FY13, marking the third consecutive year in which HCBS spending went up.

Meanwhile, spending on institutional LTSS decreased for the third straight year.

Additionally, expenditures for LTSS provided through managed-care organizations increased by 44 percent in FY13.

Make sure your professional or informal caregiver is tested and registered by CertifiedCare prior to hire or as a condition of continued service.  

About Elder Care Advice blog

Get professional elder care giving advice, advocacy, education and tips for those who care for and about the frail elderly at the ElderCareAdvice blog. We are generously sponsored by Most posts are written by Cathleen V. Carr, unless attributed otherwise. We welcome relevant submissions. Submit your article and by-line for publishing consideration (no promises!) to Havi at, our own editor who will ensure submissions are given the best possible treatment and polish before publication, ensuring a professional level of publication. There is a nominal service fee involved ($45). Allow up to 30 days for publishing.
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