Citation URL: http://www.urban.org/MyraKerr

Home and community-based care (HCBC) has long been viewed as a potentially more cost-effective strategy than nursing home care for providing long-term care services to elderly persons. This study provides information on how low-income, functionally impaired elderly persons who are nursing home eligible are managing their long-term care needs at home without the assistance of Medicaid waiver services. (Home Health Care Services Quarterly 2001; 20(4): 73-90).

This paper presents findings from a study that analyzed community conversion to Medicaid among elderly participants enrolled in the Connecticut Community Care program, a statewide case management agency. Using a multivariate hazard model, the authors examine prospectively how characteristics of noninstitutionalized, disabled, elderly persons affected their risk of becoming Medicaid-eligible in the community. They also examined the timing of that eligibility. The study concludes with a discussion of the policy and research implications of this analysis.

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