The NTIS website and supporting ordering systems are undergoing a major upgrade from 8PM on September 25th through approximately October 6. During that time, much of the functionality, including subscription and product ordering, shipping, etc., will not be available. You may call NTIS at 1-800-553-6847 or (703) 605-6000 to place an order but you should expect delayed shipment. Please do NOT include credit card numbers in any email you might send NTIS.
Documents in the NTIS Technical Reports collection are the results of federally funded research. They are directly submitted to or collected by NTIS from Federal agencies for permanent accessibility to industry, academia and the public.  Before purchasing from NTIS, you may want to check for free access from (1) the issuing organization's website; (2) the U.S. Government Printing Office's Federal Digital System website; (3) the federal government Internet portal; or (4) a web search conducted using a commercial search engine such as
Accession Number PB2013-111691
Title HCBS Taxonomy: A New Language for Classifying Home- and Community-Based Services.
Publication Date Aug 2013
Media Count 12p
Personal Author A. Bohl V. Peebles
Abstract Medicaid expenditures for long-term care services have gradually shifted from institutional-based care to home- and community-based care. Between 1997 and 2009, the share of Medicaid long-term care spending devoted to HCBS increased from 24 percent to 44 percent. In fiscal year 2009, Medicaid spending on HCBS reached over $55 billion and accounted for 15 percent of all Medicaid expenditures (Eiken et al. 2011). Section 1915(c) waivers (HCBS waivers), authorized in 1981, were among the first efforts by CMS to encourage states to provide optional HCBS (DHHS 2000). By 2010, every state except Arizona and Vermont had implemented at least one Section 1915(c) waiver to provide more options for community-based long-term care services.
Keywords Case studies
Data collection
Follow-up inquiries
Hard systems
Home and Community-Based Services(HCBS)
Information systems
Soft systems
Support waivers
Systematic profiles
Systems analysis

Source Agency Health Care Financing Administration Policy Planning Researc
NTIS Subject Category 44K - Health Services
57U - Public Health & Industrial Medicine
91F - Health Services
92 - Behavior & Society
Corporate Author Mathematica Policy Research, Inc., Washington, DC.
Document Type Technical report
Title Note N/A
NTIS Issue Number 1326
Contract Number N/A

Science and Technology Highlights

See a sampling of the latest scientific, technical and engineering information from NTIS in the NTIS Technical Reports Newsletter

Acrobat Reader Mobile    Acrobat Reader