Medicaid Long-Term Care: Successful State Efforts to Expand Home Services While Limiting Costs

Pursuant to a congressional request, GAO reviewed three states' experiences in expanding government-funded home and community-based health care services, focusing on: (1) the extent to which these states have shifted their long-term care to home and community-based settings; (2) controls for managing the costs and growth of home and community-based programs; and (3) the impact the shifts and controls have had on long-term care services.