OLDER ADULT ACCESS TO SELF-DIRECTED SERVICES THROUGH MEDICAID HOME AND COMMUNITY BASED SERVICE WAIVERS
2024
Access to Self-Directed Services for Older Adults
Sample size: 60
publication
Evidence: moderate
Author Information
Author(s): Turner Natalie
Primary Institution: University of Washington
Hypothesis
How do state policies affect access to self-directed services for older adults?
Conclusion
Many states have low participation goals for self-directed services, despite their benefits.
Supporting Evidence
- Self-Direction improves health outcomes and care satisfaction for older adults.
- 35 out of 60 waivers allowed self-direction, indicating a significant gap.
- 75% of waivers set participation goals for self-direction at less than 25%.
Takeaway
This study looks at how older adults can choose their own services, but many states make it hard for them to do so.
Methodology
Mixed-method study using Framework Analysis and descriptive statistics.
Limitations
The study may not capture all nuances of state policies affecting access to self-directed services.
Participant Demographics
Older adults using 1915(c) waivers.
Digital Object Identifier (DOI)
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