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Home & Community-Based Services: State-Only Funded Programs in Alaska

States may be required to contribute match funding to some federally funded long-term care (LTC) programs and to different extents. In FY 2003 states spent 21.4% of total state expenditure on Medicaid (NASBO, 2004). Total expenditures for HCBS are increasing and totaled $16.4 billion in FY 2001, with states paying between 1.7% and 13.3% of total health care expenditures on HCBS in FY 2001 (Milbank 2003). Medicaid spending grew quickly in the early 2000s, forcing state legislatures and officials to investigate ways to contain Medicaid costs rather than expanding services (Coleman et al 2003).

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Program Name: Respite³,⁴,⁵,⁴⁴

Administrative Agency: Dept of Health & Social Services, Commission on Aging

Population Served: Elderly 60+ with physical disabilities or mental illness, adults with Alzheimer's or related disorders

Annual Expenditure: $489,151 FY02

Funding Source: Mental Health Trust Funds, clients contribute

Number of People Served: 289 FY05

Eligibility Criteria: Caregiver, no functional status requirement. No income or asset limits.

Further Information: Cost control: Limit of 40 hours/month respite. Co-pay on sliding fee scale. Other information Statewide. Family members can be paid to provide care. Funds allocated to AAAs through a competitive grant program every 3 years

Program Name: Adult Day⁴,⁵,⁴⁴

Administrative Agency: Dept of Health & Social Services, Commission on Aging

Population Served: 60+ with physical disabilities, Alzheimer's or related disorders

Annual Expenditure: $951,410 FY02

Funding Source: Mental Health Trust Funds & clients contribute

Number of People Served: 482 FY05

Eligibility Criteria: No income or asset limits.

Further Information: Cost control Co-pay on sliding fee scale. Other information Funds allocated to AAAs through a competitive grant program every 3 years. Funded in 11 communities.

Program Name: Care Coordination ⁴,⁵,⁴⁴

Administrative Agency: Dept of Health & Social Services, Commission on Aging

Population Served: 60+ with physical disabilities, Alzheimer's or related disorders

Annual Expenditure: $962,900 FY02 Appropriation

Funding Source: Mental Health Trust Funds, clients contribute

Number of People Served: 1,195 FY05

Eligibility Criteria: No income or asset limits.

Further Information: Cost control Co-pay on sliding fee scale. Other information Funds allocated to AAAs through a competitive grant program every 3 years

Abbreviations:

AAAs - Area Agencies on Aging.

ADL - Activities of Daily Living.

AT - Assistive Technology. Dept - Department.

FY - Financial Year.

HCBS - Home & Community-Based Services.

LTC - Long Term Care. Mth - month. Rehab - Rehabilitation.

Mth - month.

Rehab - Rehabilitation.

SCI - Spinal Cord Injury.

SSBG - Soical Services Block Grant.

TBI - Traumatic Brain Injury.

Wk - week.

Yr - year.

Footnotes:

(a) Note that some figures listed are the yearly appropriation, not expenditure.

(b) Sources of funding are listed in the language with which they are reported.

(c) The figures for number of participants are not necessarily figures for unduplicated participants.

Notes:

(1) The definitions of the services provided in programs may differ between states.

(2) Unless otherwise stated, programs are statewide.

(3) Programs where it is known that funding may come from a variety of sources, including non-state only funds (e.g. Older Americans Act) are indicated by the program name in italics.

(4) The table does not include Mental Health Services programs.

(5) All information is the most up-to-date found from secondary sources noted in the references.

(6) N/A means the information has not been found (not available).

(7) all programs primarily aim to support people to live in the community, therefore there may be additional state only funded programs but these are not directly to support HCBS.

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