Money Follows the Person

Current Medicaid policies leave most low-income elderly Alabamians and low-income people with disabilities no choice in subsidized long-term care. The U.S. Supreme Court ruled in 1999 (Olmstead v. L.C.) that the Americans with Disabilities Act may require states to provide community-based alternatives to institutionalized care for people with disabilities. More recently, the federal government has encouraged states to reduce the "institutional bias" of Medicaid long-term care by allowing Medicaid dollars to "follow the person" into home- and community-based care settings. Home- and community-based carehelps keep families together and gives recipients more control over their daily lives -- from household routines to activities in the community, such as recreation, shopping, school or work.

 This fact sheet  This fact sheet outlines proposed 2007 legislation to reform Alabama Medicaid's long-term care policy.

Will Alabama Pull the Plug on Medicaid?

Medicaid is a vital part of our state's health system and overall economy. For the current budget year, the projected Medicaid shortfall is $60 million in state money. The loss of $160 million more in federal matching funds brings the total 2004 funding gap to $220 million. Medicaid has been unable to pay providers on time since early December. To address this crisis, the administration proposes a combination of Medicaid cuts and revenue band-aids.

This fact sheet This fact sheet outlines the critical concerns facing the 2004 Alabama Medicaid budget.

Bare Bones: The Alabama Medicaid Program

Medicaid is a joint federal/state program that pays for medical care for people with low income and limited resources. Nearly a million Alabamians were enrolled in Medicaid for at least one month of the past year. The program's annual budget of around $4 billion benefits the whole state. Many of the doctors' offices, pharmacies, hospitals, high-tech treatment facilities and nursing homes that Alabamians rely on every day depend on Medicaid funding to survive.

This fact sheet This fact sheet gives an overview of Medicaid services, recipients and funding.

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