Meucci Marissa R, Kurth Noelle K, Shireman Theresa I, Hall Jean P
a Health Studies Program, College of Health Sciences , University of Rhode Island , Kingston , Rhode Island , USA.
b Institute for Health & Disability Policy Studies, University of Kansas , Lawrence , Kansas , USA.
Home Health Care Serv Q. 2018 Jan-Mar;37(1):41-59. doi: 10.1080/01621424.2018.1425175. Epub 2018 Jan 19.
This article provides an overview of Medicaid home- and community-based services (HCBS) for older adults and individuals with physical disabilities by describing eligibility criteria, availability, and types of services. All 50 state Medicaid programs provide supplementary HCBS in addition to mandatory services. The amount, type, and eligibility for HCBS varied widely between states. Variation in service provision and eligibility rules has led to a patchwork of services from state to state, with the same person eligible for services in one state but not another.
本文通过描述资格标准、可获得性和服务类型,概述了针对老年人和身体残疾人士的医疗补助居家和社区服务(HCBS)。所有50个州的医疗补助计划除了提供强制性服务外,还提供补充性的HCBS。各州之间HCBS的数量、类型和资格差异很大。服务提供和资格规则的差异导致各州的服务参差不齐,同一个人在一个州有资格获得服务,在另一个州却没有。