>***** A COMMUNITY-BASED ALTERNATIVE TO NURSING HOMES AND
>INSTITUTIONS FOR PEOPLE WITH DISABILITIES
>
>For decades, people with disabilities, both old and young, have
>wanted alternatives to nursing homes and other institutions when
>they need long term services. Our long term care system has a heavy
>institutional bias. Every state that receives Medicaid MUST provide
>nursing home services, but community based services are optional.
>Seventy five percent of Medicaid long term care dollars pay for
>institutional services, while the remaining 25% must cover all the
>community based waivers, optional programs, etc.
>
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