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

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: State Aging Services⁴

Administrative Agency: N/A

Population Served: Elderly 60+

Annual Expenditure: $4,686,551 FY02 Appropriation

Funding Source: General Revenue

Number of People Served: N/A

Eligibility Criteria: Individuals who do not meet the financial & functional eligibility requirements of Medicaid & individuals waiting placement on the Medicaid HCBS program. Income limit, FY02 $1,090/mth (200% FPL). No asset limit.

Further Information: Cost control: Service limits applied. No cost caps.

Program Name: Cigarette Tax⁴

Administrative Agency: N/A

Population Served: Elderly 60+

Annual Expenditure: $3,000,000 FY02 Appropriation

Funding Source: Tobacco Tax

Number of People Served: N/A

Eligibility Criteria: Individuals who do not meet the financial & functional eligibility requirements of Medicaid & individuals waiting placement on the Medicaid HCBS program. Income limit FY02 $1,090/mth (200% FPL). No asset limit.

Further Information: Cost control: Service limits applied. No cost caps.

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