Home & Community-Based Services: State-Only Funded Programs in Newyork
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).
Program Name: Community Services for the Elderly31
Administrative Agency: NYC Dept for Aging
Population Served: Elderly
Annual Expenditure: $5,966,921 FY04 projection
Funding Source: General revenue, local funds
Number of People Served: N/A
Eligibility Criteria: Frail., low income elderly living at home.
Further Information:
Program Name: Long Term Home Health Care Program31
Administrative Agency: Sullivan County Social Services Dept
Population Served: Elderly (60+) one county only
Annual Expenditure: $15,000
Funding Source: Local funds
Number of People Served: N/A
Eligibility Criteria: Individuals with a nursing home level of need & choose to receive services in their home. Counties determine eligibility
Further Information: Care costs must be less than the nursing homes cost in the county.
Program Name:Expanded In-home Services for the Elderly (1987)4,31
Administrative Agency: Dept of Health, Office for the Aging
Population Served: Elderly (60+)
Annual Expenditure: $25,500,030 FY02 Appropriation (may include federal funds)
Funding Source: General revenue, local funds, clients contribute
Number of People Served: 34,545 FY02 (may include federally funded clients)
Eligibility Criteria: Individuals who do not meet the financial eligibility requirements of Medicaid, want to remain at home & need help for ADLs such as dressing. No income or asset limit.
Further Information: No cost caps. No service limits applied. Co-pay on sliding fee scale for individuals with incomes at/above $1107/mth (150% FPL) except for case management or item on loan. . Quality control: Quarterly reports, yearly evaluations & site visit
LTC - Long Term Care. 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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