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

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: Family Support & In-home Assistance¹

Administrative Agency: Dept of health & Welfare, Div. of Family & Community Services

Population Served: Children & adults with developmental disabilities

Annual Expenditure: N/A

Funding Source: N/A

Number of People Served: 901 FY03

Eligibility Criteria: Funds can only be used after all other funding sources are used. Aimed at families of individuals at risk of institutionalization or who are transitioning out of institutions.

Further Information: Cost control - individual budget $250/mth per family Consumer direction Can be consumer-directed.

Program Name: Senior Services Act Respite Program³,⁴

Administrative Agency: Commission on Aging

Population Served: Elderly 60+

Annual Expenditure: $864,020 FY02 Appropriation

Funding Source: General Revenue

Number of People Served: 2,555 FY02

Eligibility Criteria: Needs help with 1 ADL. Caregiver must be 60+. Individuals who are financially &/or functionally ineligible for Medicaid, individuals waiting Medicaid HCBS or nursing home placement. No income or asset limit.

Further Information: Cost control: No cost caps. No service limits applied. Co-pay required on sliding fee scale for homemaker & chore services for those with income over $738/mth (FPL) Quality control: client satisfaction surveys. Consumer direction Can be consumer directed. Other information Statewide.

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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