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

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: State-funded program⁶

Administrative Agency: Dept of Economic Security, Division of Developmental Disabilities

Population Served: MR/DD

Annual Expenditure: N/A

Funding Source: General revenue

Number of People Served: 7,338

Eligibility Criteria: People with DD who are not eligible for ALTCS

Further Information: Consumer direction Can be consumer directed, with fiscal intermediary & capitated payment.

Program Name: Arizona Non-Medical Home and Community Based Services³,⁴,⁶

Administrative Agency: Dept of Economic Security, SUA - Aging & Adult Administration

Population Served: Elderly 60+ & physically disabled adults

Annual Expenditure: N/A

Funding Source: General Revenue + Federal funds (OAA, Title III-B, Title XX)

Number of People Served: 15,658 FY03 (may include federally funded clients)

Eligibility Criteria: No income or asset limit. Individuals who do not meet the ALTCS financial & medical eligibility requirements & need help with 2 ADLs/2 IADLs

Further Information: Cost control No service limits. Quality control: contact with case managers, client satisfaction surveys every 2 years. Other information An additional 756 unduplicated clients received payment for homemaker under the Supplemental Payment Program

Program Name: Tobacco Tax Program⁴,⁶

Administrative Agency: Aging & Adult Administration

Population Served: Elderly

Annual Expenditure: $489,407 FY03

Funding Source: Tobacco Tax & local funds

Number of People Served: 798 FY02

Eligibility Criteria: Individuals who do not meet the financial & functional eligibility requirements of Medicaid. Income limit FY02 $2,214/mth (300% FPL). No asset limit.

Further Information: Cost control: Adaptive aids or devices, limit of $1000/yr. Modification/repair limit $1,500/yr or per client/home. Co-pay on sliding scale. Quality control: contact with case managers.

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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