You need Javascript enabled for this to work
Logo for Center for Personal Assistance Services New Browser Window, University of California, San Francisco  
Jump over main navigation bar to the sub navigation barHome (press control H in some browsers)Current directory is Need for PAS (press control N in some browsers)Home and Community PAS (press control C in some browsers)Workers and Caregivers (press control W in some browsers)Economics and Workplace PAS (press control E in some browsers)Emergency Preparedness (press control P in some browsers)PAS Users (press control U in some browsers) 
Jump over the sub navigation bar to the main body content

State Information

Institutional Services

All Center Information by Audience

PAS Center Publications

Library

Center Presentations

Links

Webcasts

Policy & Legislation

Health Care Reform

State of the Science Conference

Center Newsletter

PAS Events Calendar

Center News Items

About the Center

 PHI

  Jump over the main body content to the main navigation bar 		 

Printer-friendly page

Crowley, J.S. & O’Malley, M. (2008). Vermont's Choices for Care Medicaid Long-Term Services Waiver: Progress and Challenges As the Program Concluded its Third Year. Washington, D.C.: Kaiser Family Foundation.

Abstract

Vermont's Choices for Care experiment in long-term services, created through a five-year Medicaid waiver in 2005, was designed to increase access to home and community-based services while reducing the use of institutional services and controlling overall costs. In exchange for agreeing to a federal funding cap, Vermont was able to expand access to community-based services and extend some services to a "moderate need" group for the first time to test the theory that early interventions can be cost-effective and help keep people in community settings. In the three years since, the state has seen a shift of people and money toward community settings, but also the return of waiting lists for some populations. Because of circumstances unique to Vermont, it is unclear how appropriate this waiver approach would be for other states(abstract from: http://www.kff.org/medicaid/7838.cfm).

Obtain the Full Version

Published on the Web

Download the PDF