Policy Issue: Home and Community-Based Care for the Elderly
Home and Community-Based Services (HCBS) are a cost-effective alternative to nursing home care. These programs provide quality care that helps frail elders, who would otherwise require nursing home care, to remain at home or in other less restrictive settings such as Assisted Living Facilities (ALF) and Adult Day Care Centers. Two such programs are Community Care for the Elderly (CCE) and Home Care for the Elderly (HCE). Services may include adult companion, home-delivered meals, homemaker, case management and caregiver training and support.
In Florida, the Department of Elder Affairs is in charge of administering funding for nursing home care as well as HCBS waiver programs. However, the percentage of state funding invested in nursing home care is much higher than the percentage allocated to HCBS. Florida spends more than 80 percent of its Medicaid funds in nursing homes and less than 20 percent in HCBS waiver programs.
The difference between the funding for HCBS and nursing home care not only affects the quality of life of the individual, but it also impacts the state’s economy. In 2010, HCBS would have saved Florida approximately $65 million in nursing home costs. In FY 2009-10, the savings per individual who received HCBS rather than nursing home care was approximately $2,820.
Today, there are approximately 476,377 people over the age of 60+ in Miami-Dade County who meet the criteria for HCBS. Of these, 24.3 percent live 125 percent below the poverty guidelines and would benefit the most from this funding. In addition, HCBS agencies, nursing homes, home health care providers, caregivers and families of older adults would be impacted.
United Way of Miami-Dade SUPPORTS preserving current funding levels for Home and Community-Based Services that meet the needs of Florida’s aging population, create job opportunities for Floridians, and contribute to reducing the state’s Medicaid budget.
Resources:
The Florida Legislature’s Office of Program Policy Analysis & Government Accountability Summary – Medicaid Home and Community-Based Services
White Paper – Long Term Care Reform
United Way of Florida Issue Paper – Home and Community-Based Care for the Elderly