From our friends at the Family Caregiver Alliance.

The Direct Care Alliance recently released "The Best and Worst State Practices in Medicaid Long-Term Care" by Dr. Candace Howes of Connecticut College. This April 2010 Policy Brief explains why Medicaid policies lead to so much variation in current state Medicaid long-term care programs, and how those policies have been used in some states to expand the range and availability of services. It also draws lessons from innovative states to suggest reforms in national Medicaid policies that would make home- and community-based services accessible to more program participants. The brief provides information about each state's coverage of long-term care services and the amount of spending per recipient on home and community-based services versus nursing homes.