Long Term Care in Maine: Home and Community-based Services

Front Cover
Nova Publishers, 2004 - Medical - 63 pages
0 Reviews
Demographic challenges posed by the growing elderly population and demands for greater public commitment to home and community-based care for persons with disabilities have drawn the attention of federal and state policymakers. Spending on long-term care by both the public and private sectors is significant. In 2001, spending for long-term care services for persons of all ages represented 12.2% of all personal health care spending (almost $152 billion of $1.24 trillion). Federal and state governments accounted for almost two-thirds of all spending. By far, the primary payer for long-term care is the federal-state Medicaid program, which paid for almost half of all long-term care spending in 2001. Maine is one of the smallest states in the country with 13 million people in 2000; it is also one of the oldest states, with 14.4% of its population aged 65 and older. By 2025, over one-fifth of its population will be 65 and older. Medicaid spending for long-term care in Maine in FY2001 was $411 million -- almost one-third of all Medicaid spending. In part due to the aging population and because of a 1993 budgetary crisis involving rapidly escalating Medicaid nursing home costs, Maine has pursued an aggressive policy to decrease dependence on nursing homes. Between 1995 and 2001, the percentage of public long-term care funding devoted to these facilities decreased from 84% to 61%. Moreover, the state has decreased reliance on large state-operated residential facilities for persons with mental retardation in favor of smaller community-based facilities. Maine's efforts to reduce reliance on institutional care has been in part due to expanded use of Medicaid's home and community-based waiver program as well as multiple state-funded programs. PARTIAL
 

What people are saying - Write a review

We haven't found any reviews in the usual places.

Selected pages

Contents

Introduction Federal Legislative Perspective
1
Summary Overview
7
Administration of LongTerm Care Programs
8
Trends in Home and CommunityBased Care
9
Issues in Financing and Delivery of LongTerm Care
10
Demographic Trends
11
Need for LongTerm Care
13
Administration of LongTerm Care Programs
15
Financing of LongTerm Care in Maine
31
Medicaid LongTerm Care Spending in Maine
35
Medicaid LongTerm Spending in Maine at a Glance
38
Medicaid and State Spending on Services for Persons with Mental Retardation
39
Issues in LongTerm Care in Maine
41
Labor Issues
42
Consumer Direction
43
Waiting List
44

Responsibility for Assessment Eligibility and Case Management
16
Maines LongTerm Care Services for the Elderly and Persons with Disabilities Trends in Institutional Care
19
Trends in Home and CommunityBased Care
22
Maines LongTerm Care Services for Persons with Mental Retardation and Developmental Disabilities
27
Trends in Institutional Care
28
Trends in Home and CommunityBased Care
29
Major Home and CommunityBased LongTerm Care Programs for the Elderly and Persons with Disabilities in Maine
45
Population in Large State Facilities
56
About the Census Population Projections
57
Acknowledgments
59
Index
61
Copyright

Common terms and phrases

Bibliographic information