In 2013, for the first time, according to a recent study, federal Medicaid spending for home and community based services (HCBS) accounted for the majority of Medicaid long-term services and supports (LTSS).  Nationally, this is arguably good news at it is further proof that Medicaid funds are increasing used to serve those in a home and community setting, as opposed to an institutional nursing home setting.

However, New Jersey and Pennsylvania rank below the national average.  Although the national average for Medicaid expenditures for HCBS is about 51%, New Jersey’s average is only 33%, ranking the state in the bottom 5 of all states.  Pennsylvania’s average is better at 42%, but still far below the national average.  Therefore, both New Jersey and Pennsylvania still have far to go in order to rebalance Medicaid spending to move away from an institutional model of care.

You can read the CMS study by clicking on the below link.

PDF Expenditures

About Jerry

Jerold E. Rothkoff, a practicing New Jersey and Pennsylvania attorney, is the Principal of the Rothkoff Law Group, an elder care law firm. Jerry dedicates his practice to serving clients in the areas of life care planning, long-term care planning, Medicaid & VA benefits, and advocacy for the elderly and disabled. He is past President of the NJ Chapter of the National Academy of Elder Law Attorneys, former chair of the elder law section of the NJ State Bar Association, and past President of the Life Care Planning Law Firm Association. Jerry continues to be an outspoken advocate for the rights of the elderly and disabled. He writes for and gives presentations regularly to attorneys and other professionals about legal issues related to seniors and those with disabilities. Jerry’s community activities include the Twilight Wish Foundation, the Delaware Valley Stroke Council, the Alzheimer’s Association, as well as numerous other advocacy groups. When not in the office, Jerry spends time with his wife, Erica, and their five children, eighteen-year old identical twin girls, Liza and Julia, fifteen-year old fraternal twin boys, Evan and Gregory, and six-year old Aitan.

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