Individuals enrolled in a Community Choices wavier program must meet criteria for nursing home care, but choose to remain in their own home. Community Choices recipients receive support services such as meals, personal care aides, transportation, some assistance with ramps or other assistive devices, and other services to help the individual to stay at home.
Research shows that states that invest in home and community-based services over time, slow their rate of Medicaid spending growth, compared to states that remain reliant on nursing home care.
The number of individuals placed on the Community Choices waiver wait list had a substantial jump in 2010 after several years of a steady decline. With state budget cuts, waiting lists for home and community based services is at its highest ever at 4,000.
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