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

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: Home Care Allowance ⁸,⁴⁶

Administrative Agency: N/A

Population Served: Elderly, Physically disabled

Annual Expenditure: $9,967297 FY 05-06

Funding Source: 95% state, 5% counties

Number of People Served: 3,428 FY 05-06

Eligibility Criteria: N/A

Further Information: Cost control Maximum benefit $403/mth, average is $227/mth. Consumer direction Can be consumer directed. Other information A third of participants are also waiver recipients, others not eligible for Medicaid due to income.

Program Name: Adult Foster Care Program⁸,⁴⁶

Administrative Agency: N/A

Population Served: Physically or mentally disabled adults 18+

Annual Expenditure: $82,029 FY 05-06

Funding Source: N/A

Number of People Served: 23, FY 05-06

Eligibility Criteria: Functional eligibility needs requiring 24 hour non-medical supervision

Further Information:

Program Name: Older Coloradoans Fund⁴,⁸,⁴⁹

Administrative Agency: Dept of Human Services

Population Served: Elderly 60+

Annual Expenditure: $16,400,000 FY05-06 Appropriation

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

Number of People Served: 308,246 FY05-06

Eligibility Criteria: Individuals who are financially &/or functionally ineligible for Medicaid, individuals waiting Medicaid HCBS placement or nursing home placement, individuals receiving Medicaid HCBS. No income or asset limit.

Further Information: Cost Control: No service limits applied. Quality control: client satisfaction surveys.

Program Name: State Funding for Senior Services⁴,⁸

Administrative Agency: N/A

Population Served: Elderly 60+

Annual Expenditure: $740,000 FY02 Appropriation

Funding Source: General Revenue

Number of People Served: N/A

Eligibility Criteria: Individuals who are financially &/or functionally ineligible for Medicaid, individuals waiting Medicaid HCBS placement or nursing home placement, individuals receiving Medicaid HCBS. No income or asset limit.

Further Information: Cost control: No service limits applied. Quality control: client satisfaction surveys.

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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