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

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: Project Independence^33,4

Administrative Agency: Dept of Human Services.

Population Served: Elderly (60+), adults with dementia or related disorder.

Annual Expenditure: $5,579,872 FY02

Funding Source: General revenue & local non-profits

Number of People Served: 4,400 FY02

Eligibility Criteria: Low income seniors who have difficulty with basic activities of daily life. Individuals who do not meet the financial &/or functional eligibility requirements of Medicaid. No income or asset limit.

Further Information: Cost control: No cost caps. No service limits. Co-pay on a sliding fee scale. 2004, no co-pay if income less than $776/mth individual (FPL net mthly income), increments up to 200% FPL, $1,501/more pays the full cost. Max. mthly fees not more than 30% net mthly individual income. Quality control: client satisfaction surveys, site visits & reviews. Consumer direction Can be consumer directed. Other information Allocations made to counties. Av. cost per client $250/mth.

Program Name: Oregon Spousal Pay Program³³

Administrative Agency: Dept of Human Services.

Population Served: Physically disabled, cared for by relatives

Annual Expenditure: $3,066,954 FY02

Funding Source: General revenue

Number of People Served: 236

Eligibility Criteria: People who are financially eligible for Medicaid but have exceptionally high levels of need & are cared for by their spouse.

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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