Expanding Medicaid Coverage for Community-Based Long-Term Services and Supports: Lessons From Maryland’s Community First Choice Program

Community First Choice (CFC) is a Medicaid state plan option authorized through the Affordable Care Act (ACA) that supports the delivery of long-term services and supports in home and community settings. We interviewed stakeholders in Maryland, one of the first states to adopt CFC, to assess challen...

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Bibliographic Details
Published inJournal of applied gerontology Vol. 39; no. 7; pp. 745 - 750
Main Authors Burgdorf, Julia, Wolff, Jennifer, Willink, Amber, Woodcock, Cynthia, Davis, Karen, Stockwell, Ian
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.07.2020
SAGE PUBLICATIONS, INC
Subjects
Health care access
Medicaid
Personal grooming
Policy making
United States > US
Maryland
long-term services & supports
access to care
caregiving
chronic conditions
policy
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Summary:Community First Choice (CFC) is a Medicaid state plan option authorized through the Affordable Care Act (ACA) that supports the delivery of long-term services and supports in home and community settings. We interviewed stakeholders in Maryland, one of the first states to adopt CFC, to assess challenges, benefits, and potential implications of this Medicaid option for state and federal policy makers. Study findings suggest that expanding coverage for home- and community-based services through CFC in Maryland has been financially feasible, expanded the personal care workforce, and supported a more equitable approach to personal care services. We conclude that greater coverage for home- and community-based long-term services is a promising avenue to improve access to care for high-need Medicaid beneficiaries.
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ISSN:0733-4648
1552-4523
DOI:10.1177/0733464818779942