Transitioning Residents from Nursing Homes to Community Living: Impact of Washington State’s Roads to Community Living (RCL) Demonstration on Medicaid Long-Term Services and Supports Costs

Feb 2017 |
Online Library

Roads to Community Living (RCL), which is part of the federally funded “Money Follows the Person (MFP)” program, is a demonstration project in Washington State designed to help people with complex, long-term care needs move from institutions back into the community. Under RCL, Medicaid beneficiaries who reside in a nursing facility for at least 90 days receive services to support their transition to a community-based care setting of their choice. This study finds that relative to a matched comparison group, Medicaid savings for the 1,738 RCL treatment group clients were $21.5 million (all funds) from the month of entry into the RCL program through the 24-month follow-up period. Nursing home cost savings more than offset RCL demonstration services costs and the increased use of home- and community-based services by the RCL group. 

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