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

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: Senior Options³²,¹¹

Administrative Agency: County Office on Aging

Population Served: Elderly (60+)

Annual Expenditure: $15,000,000 (approx. annual figure)

Funding Source: County property taxes

Number of People Served: 4000/mth (approx)

Eligibility Criteria: Seniors with difficulties with ADLs. 60% of participants have monthly incomes below $1000 & limited assets. Assets are considered in the cost-sharing calculation.

Further Information: Cost Control Cost sharing. Other information Operated originally in 2 counties, since 1991 operates only in Franklin County. Services provided by approx. 60 community-based public, non-profit & for-profit providers. Other counties in Ohio have also used levies to develop senior services.

Program Name: Alzheimer's Respite Program³,⁴

Administrative Agency: Dept of Aging

Population Served: N/A

Annual Expenditure: N/A

Funding Source: General Revenue & Clients contribute

Number of People Served: N/A

Eligibility Criteria: Diagnosis of dementia or related disorder. Individuals who do not meet the financial eligibility requirements of Medicaid &/or individuals waiting placement in a nursing home or individuals receiving Medicaid HCBS. No income or asset limit.

Further Information: Cost control: No cost caps. No service limits. Co-pay on sliding fee scale. Quality control: integrated into AAA monitoring. Consumer direction Can be consumer directed. Other information Family members can be paid.

Program Name: Senior Community Services Block Grant⁴

Administrative Agency: Dept of Development

Population Served: Elderly 60+

Annual Expenditure: N/A

Funding Source: General Revenue

Number of People Served: N/A

Eligibility Criteria: No income or asset limit.

Further Information: Cost control: No cost caps. No service limits applied. Quality control: Monitoring visits.

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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