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What are the Program Elements and Funding Sources for the States Home and Community-Based Services System?

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What are the Program Elements and Funding Sources for the States Home and Community-Based Services System?

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Three program elements join together to make up Arkansas’ home and community-based services system for older people: An “ElderChoices” Medicaid waiver program; the Medicaid state plan personal care option; and an Area Agency on Aging-administered “Home Care Support Program” (HCSP), which combines several federal and state funding sources. The ElderChoices waiver program, first implemented in July, 1991, has a projected budget of about $15 million for the current fiscal year to provide a range of community-based long-term care services to persons 65 and older who meet the financial and medical/functional eligibility criteria for participation. The program currently is serving about 3100 clients, a number anticipated to increase to an active client census of 4250 by the end of this fiscal year. (State agency staff report that the waiver program could be at full capacity, utilizing all 9100 of its approved slots, by the end of state fiscal year 1996.) Although the state Medicaid agency ha

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