Older People and Younger Persons with Physical Disabilities Who Use Medicaid Home and Community-Based Services in Six States: A Preliminary Analysis

摘要

This report presents initial findings on a survey of Medicaid home and community-based services beneficiaries presented at the May 2005 Home and Community-Based Waiver Conference held in Orlando Florida. The content of the presentation used survey data gathered from 2,597 community-residing Medicaid beneficiaries receiving home and community-based services in six states-Alabama, Kentucky, Maryland, Wisconsin, Washington, and Michigan (Snell, Zhao, Lu, Potter, & Ciemnecki, 2005).1 The states were chosen to represent a range of 'developed' and 'developing' home and community-based services systems. The survey was conducted by Mathematica Policy Research, Inc., as part of a larger CMS-funded study of Medicaid home and community-based services (Wiener, Tilly, & Alecxih, 2002). The survey was fielded between May 2003 and June 2004, with the sample allocated proportionally among states based on the number of home and community-based services beneficiaries. Because of the major policy interest in differences between older and younger persons with disabilities, the survey sample was stratified by age (younger than 65 years of age vs. 65 years of age or older). The tables presented in this initial report show those under age 65 compared to respondents age 65 and older and are based on unweighted results.