The National Direct Care Workforce Resource Center

Brief March 1, 2022

State Efforts to Address Medicaid Home- and Community-Based Services Workforce Shortages

This is a brief summary report on chronic issues within the home- and community-based services (HCBS) field, including suggestions on how these issues can be rectified. It looks at state-level efforts to improve Medicaid capacity for HCBS services, such as wage pass-throughs, reforming training, targeting recruitment efforts, and paying family caregivers. To view the original source, click here.

Key Takeaways

Improvements are needed to the home- and community-based services system to alleviate workforce shortages.
State-level efforts may provide good remedies for intractable home- and community-based services' problems.
By changing mechanisms within state-level Medicaid policy, like increasing reimbursement rates which can lead to higher wages, paying family caregivers, improving training programs, and boosting publicity for direct care jobs, direct care job quality can be improved and workforce shortages can be addressed.
About The Author

Medicaid and CHIP Payment and Access Commission (MACPAC)

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