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

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: In-home Personal Assistance³⁰

Administrative Agency: Dept of employment, training & Rehab, Office of Community based Services.

Population Served: Adults with disabilities.

Annual Expenditure: $10,573,000 FY04 projection

Funding Source: N/A

Number of People Served: Approx 78/year (141 99-01)

Eligibility Criteria: People at risk of institutionalization.

Further Information: Other information Wait list of 166 people. No new people added to the program in over 5 years.

Program Name: AT Loan Program³⁰

Administrative Agency: Dept of employment, training & Rehab, Office of Community based Services.

Population Served: N/A

Annual Expenditure: $1,400,000 FY02

Funding Source: Nevada State Bank

Number of People Served: 46 FY02

Eligibility Criteria: N/A

Further Information:

Program Name: TTY Distribution Program³⁰

Administrative Agency: Dept of employment, training & Rehab, Office of Community based Services.

Population Served: Physically disabled adults & children

Annual Expenditure: $273,000 FY04 projection

Funding Source: Surcharge on phone access lines

Number of People Served: 88 FY01

Eligibility Criteria: No waiting list.

Further Information:

Program Name: Independent Living Services³,³⁰

Administrative Agency: Dept of Human Resources

Population Served: Care receiver age 60+

Annual Expenditure: $2,377,000 FY04 projection

Funding Source: Tobacco fund

Number of People Served: 176 FY01

Eligibility Criteria: No functional status requirement.

Further Information:

Program Name: Community Based Care Caregiving Training³

Administrative Agency: Dept of Human Resources

Population Served: N/A

Annual Expenditure: $261,183 FY03

Funding Source: General Revenue

Number of People Served: 241 FY02

Eligibility Criteria: No functional status requirement.

Further Information:

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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