The Important Role of Family Caregivers in Washington State’s Long-Term ...
The Important Role of Family Caregivers in Washington State's Long-Term Services and Supports System
Bea Rector, Director
The Growing and Changing Nature of Family Caregiving November 29, 2017
Washington State's Long-Term Services and Supports: Aging and Long-Term Support Administration
Vision Adults who are older or people with
disabilities living in good health, independence, dignity, and control over decisions that affect their lives
Mission
To Transform Lives by promoting choice, independence and safety
through innovative services
In 2017, Washington State was ranked first in the nation in the Long-Term Services and Supports State Scorecard
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Today's Presentation Long Term Services and Supports (LTSS)
1. Medicaid LTSS - Successes and Challenges
2. Family caregivers in our LTSS System ? Paid caregivers (qualified providers under Medicaid) ? Unpaid caregivers ? Medicaid Transformation Demonstration
3. Other Ways to Support Aging Populations and Caregivers
Medicaid LTSS have been "rebalanced" to home and community-based services
FY92 FY16 % change
65,000 TOTAL
36,600 63,000
72%
60,000 HCBS
19,400 53,300 175%
55,000 Nursing Home
17,200 9,700
-44%
50,000
45,000
40,000
85%
35,000 30,000
53%
Home and Community-Based Settings
25,000
20,000
15,000
10,000 47%
5,000
Nursing Homes
15%
-
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FY92 FY94 FY96 FY98 FY00 FY02 FY04 FY06 FY08 FY10 FY12 FY14 FY16
Funding for home and community-based care is now the majority of the state's investment in LTSS
1991-1993 Biennium
2015?2017 Biennium
Nursing Home $816 82%
Residential $16, 2%
In-home $157 16%
In-Home $2,009
53%
ALTSA budget in Millions of Dollars
Nursing Home $1,264 33%
Residential $537 14%
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Savings to Washington's Medicaid LTSS due to Rebalancing
Monthly Service Expenditures All Fund Sources SFY 2000-2018
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No waitlist for Medicaid LTSS in Washington State, plus a variety of home and community-based options
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2 4
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How did WA get here? LTSS Program Innovations
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