title: State Medicaid programs offering personal care services.
abstract: Two Medicaid programs offer personal care services: (1) the Title XIX Personal Care Services (PCS) optional State plan benefit; and (2) the 1915(c) home and community-based services (HCBS) waivers. By 1998-1999, 26 States offered the PCS optional State plan benefit; 45 offered personal care services via a waiver(s). Nationwide, the former program was larger. The latter was the more popular administrative mechanism, possibly because it more reliably controls growth. States vary dramatically in terms of Medicaid personal care. Medicaid personal care participants per 1,000 State population ranged from 7.33 to 0.04. Per capita expenditures ranged from $91.21 to $0.02.
authors.affiliation: University of California, San Francisco, USA. aleblanc@mdrcsf.org
authors.forename: A J
authors.initials: AJ
authors.lastname: LeBlanc
authors.forename: M C
authors.initials: MC
authors.lastname: Tonner
authors.forename: C
authors.initials: C
authors.lastname: Harrington
mesh_terms: D000203:Activities of Daily Living; D004608:Eligibility Determination; D019538:Health Care Surveys; D006704:Homemaker Services / Q000191:economics / Q000458:organization & administration* / Q000600:supply & distribution; D006801:Humans; D008484:Medicaid / Q000458:organization & administration* / Q000706:statistics & numerical data; D010548:Personal Health Services / Q000191:economics / Q000458:organization & administration* / Q000600:supply & distribution; D011907:Rate Setting and Review; D012051:Reimbursement Mechanisms; D013221:State Health Plans / Q000458:organization & administration* / Q000706:statistics & numerical data; D014481:United States