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The majority of nursing home residents receive long-term care through Medicaid, the joint state and federal health insurance program that provides benefits not always covered by Medicare.
Medicaid also covers long-term services and supports, including both nursing home care and home- and community-based services, for those with low incomes and minimal assets; the exact qualifications vary by state. Medicaid spent $215 billion on such care in 2020, over half of the total $402 billion spent on such services. [6]
Specifically, the Federal Nursing Home Reform Act is a part of the Omnibus Budget Reconciliation Act of 1987 which gives guidelines to regulate nursing home care in the United States. The act was intended to advance nursing home residents' rights. The Nursing Home Reform Act provides guidelines and minimal standards which nursing homes must meet.
Home and Community-Based Services waivers (HCBS waivers) or Section 1915(c) waivers, 42 U.S.C. Ch. 7, § 1396n §§ 1915(c), are a type of Medicaid waiver. HCBS waivers expand the types of settings in which people can receive comprehensive long-term care under Medicaid.
In fact, for enrollees 55 and older, state Medicaid programs “are required to seek recovery of payments from the individual’s estate for nursing facility services,” according to Medicaid.gov ...
“Medicaid is the backbone of many aspects of our health care system, including paying for the majority of nursing home residents, covering 40 to 50% of children and births nationwide, depending ...
Nursing home residents can pay for their care out of pocket or with government assistance. In the US, others may receive Medicare for a short time, while in other countries, public assistance may be available, and some may use long-term insurance plans. Across the spectrum, most nursing homes in the US will accept Medicaid as a source of ...
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