ABSTRACT
State interest in funding residential care through Medicaid is fueled by a desire to offer a full array of home and community-based services (HCBS), reduce nursing home utilization, and achieve the economies of scale of nursing home care without the undesirable institutional characteristics. This paper focuses on state policies-particularly Medicaid policies-that affect access to and the availability and quality of publicly financed residential care for people of limited financial means. [Article copies available for a fee from The Haworth Document Delivery Service: I-8OO-HAWORTH. E-mail address: <docdelivery@haworthpress.com> Website: <https://www.HaworthPress.com> © 2004 by The Haworth Press, Inc. All rights reserved.] 52
