CSDP Forum: Rebalancing Long-Term Care Services and Supports

In 2009, approximately 1.3 million Medicaid enrollees with disabilities and chronic conditions received Medicaid-financed long-term care services and supports (LTSS) in institutional settings. To give Medicaid beneficiaries greater choice in where they live and from whom they receive services, and to deliver LTSS that are integrated, effective, efficient, and person-centered, the Centers for Medicare & Medicaid Services (CMS) is promoting efforts to reduce dependence on institutional care and expand access to home- and community-based services (HCBS).

Participants in this disability policy research forum discussed:

•Analyses and trends in Medicaid spending for institutional and community-based LTSS
•Findings from an assessment of the states' efforts to expand home and community-based services through the Money Follows the Person rebalancing demonstrations and the Balancing Incentive Program
•Findings from an evaluation of the impact of a housing choice voucher program serving non-elderly people with disabilities on the transition from institutional care to community living

The expert panel included the following:

•Paul Saucier, Truven Health Analytics
•Carol Irvin, Mathematica
•Denise Hoffman, Mathematica
•Michael Smith, CMS (Discussant)