Home & Community-Based Services: State-Only Funded Programs in Michigan
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: PAS Reimbursement for Employment1,23
Administrative Agency: MI Dept of Career Development (MI Rehab Services)
Population Served: Working, disabled adults
Annual Expenditure: N/A
Funding Source: N/A
Number of People Served: 50 FY01
Eligibility Criteria: N/A
Further Information: Cost control Service limits applied: $1000/mth maximum
Program Name: Physical Disabilities Services Program1,23
Administrative Agency: Dept of Community Health
Population Served: All adults, subject to funding availability.
Annual Expenditure: $1,300,000 FY99
Funding Source: N/A
Number of People Served: N/A
Eligibility Criteria: N/A
Further Information:
Program Name: State/Escheat Respite3
Administrative Agency: Office of Services to the Aging
Population Served: Elderly, 60+
Annual Expenditure: $2,442,565 FY03
Funding Source: Blue Cross/ Blue Shield Escheat funds
Number of People Served: N/A
Eligibility Criteria: No functional status requirement.
Further Information: Other information Statewide.
Program Name: Caregiver Respite Program3
Administrative Agency: Office of Services to the Aging
Population Served: Caregivers of adults 18+ with a medical disability
Annual Expenditure: $4,972,401
Funding Source: Tobacco settlement fund
Number of People Served: N/A
Eligibility Criteria: No functional status requirement if over 60
Further Information: Other information Statewide.
Program Name: Personal Care4
Administrative Agency: N/A
Population Served: 60+
Annual Expenditure: $2,664,208 FY02 Appropriation
Funding Source: General revenue
Number of People Served: 2967 FY02
Eligibility Criteria: No income or asset limit
Further Information:
Program Name: Homemaker4
Administrative Agency: N/A
Population Served: 60+
Annual Expenditure: $3,305,245 FY02 Appropriation
Funding Source: General revenue
Number of People Served: 6,275 FY02
Eligibility Criteria: No income or asset limit
Further Information:
Program Name: Adult Day Care4
Administrative Agency: N/A
Population Served: elderly (60+), adults with disabilities
Annual Expenditure: $2,135,372 FY02 Appropriation
Funding Source: Revenue from unclaimed property, tobacco settlement & clients contribute
Number of People Served: 128 FY02
Eligibility Criteria: No income or asset limit
Further Information:
Program Name: In-Home Respite4
Administrative Agency: N/A
Population Served: elderly (60+), adults with disabilities
Annual Expenditure: $3,277,041 FY02 Appropriation
Funding Source: Revenue from unclaimed property, tobacco settlement & clients contribute
Number of People Served: 846 FY02
Eligibility Criteria: No income or asset limit
Further Information:
Program Name: Care Management4
Administrative Agency: N/A
Population Served: 60+
Annual Expenditure: $7,869,229 FY02 Appropriation
Funding Source: General Revenue
Number of People Served: 12,509 FY02
Eligibility Criteria: No income or asset limit
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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