Medicaid waiver programs for traumatic brain and spinal cord injury.
With policy makers facing the competing challenges of budget crises and pressures to expand Medicaid home and community- based service programs to populations including those with traumatic brain and spinal cord injuries (TBI/SCI), this paper addresses the need for information about the development of waiver programs for this target population. This study draws from the most recent and comprehensive available dataset to present national participation and expenditure trends for all TBI/SCI waivers for the period 1995-2002, it reports findings from a national survey of policies (e.g., eligibility criteria and cost controls) used on these waiver programs in 2002, and compares the Medicaid cost of serving this target group through institutional care and waiver programs.
Kitchener
Martin
M
University of California, 3333 California Street, Suite 455, San Francisco, CA 94118, USA. martink@itsa.ucsf.edu
Ng
Terence
T
Grossman
Brian
B
Harrington
Charlene
C
D001930:Brain Injuries / Q000503:physiopathology*; D003625:Data Collection; D004608:Eligibility Determination / Q000331:legislation & jurisprudence*; D006801:Humans; D019458:Insurance Coverage / Q000191:economics; D008484:Medicaid / Q000191:economics*; D011050:Policy Making; D013119:Spinal Cord Injuries / Q000503:physiopathology*; D014481:United States; D014947:Wounds and Injuries