Table 1: Availability of Medicaid State Plan Home and Community-Based Services, by State, 2005

State	Mandatory Home Health Services				Optional Medicaid State Plan Services
	Part-Time Nursing	Registered Nurse	Health Aide Services	Supplies/ Appliances	Home Health Therapies	Private Duty Nursing	Personal Care Services	Targeted Case Management	Hospice Care	Transportation	Adult Day Carea	Residential Careb
Alabama	X	X	X	X				X	X	X
Alaska	X	X	X	X	X		X	X	X	X
Arizona	X	X	X	X	X	X	X	X	X	X
Arkansas	X	X	X	X	X	X	X	X	X	X		X
California	X	X	X	X	X		X	X	X	X	X	c
Colorado	X	X	X	X	X	X		X	X	X
Connecticut	X	X	X	X	X			X		X
Delaware	X	X	X	X	X	X	X		X
District of Columbia	X	X	X	X	X	X	X	X	X	X
Florida	X	X	X	X	X	X	X		X	X		X
Georgia	X	X	X	X	X	X		X	X	X
Hawaii	X	X	X	X	X			X	X	X
Idaho	X	X	X	X	X		X	X	X	X		X
Illinois	X	X	X	X	X			X	X	X
Indiana	X	X	X	X	X	X		X	X	X
Iowa	X	X	X	X	X			X	X	X
Kansas	X	X	X	X	X		X	X	X	X
Kentucky	X	X	X	X	X			X	X	X		c
Louisiana	X	X	X	X	X		X	X	X	X		c
Maine	X	X	X	X	X	X	X	X	X	X		X
Maryland	X	X	X	X	X	X	X	X	X	X	X
Massachusetts	X	X	X	X	X	X	X	X	X	X	X	X
Michigan	X	X	X	X	X		X	X	X	X		X
Minnesota	X	X	X	X	X	X	X	X	X	X		X
Mississippi	X	X	X	X	X			X	X	X
Missouri	X	X	X	X	X		X	X	X	X		X
Montana	X	X	X	X	X	X	X	X	X	X
Nebraska	X	X	X	X	X	X	X	X	X	X
Nevada	X	X	X	X	X	X	X	X	X	X
New Hampshire	X	X	X	X	X	X	X	X		X	X
New Jersey	X	X	X	X	X		X	X	X	X	X
New Mexico	X	X	X	X	X		X	X	X	X
New York	X	X	X	X	X	X	X	X	X	X	X	X
North Carolina	X	X	X	X	X	X	X	X	X	X		X
North Dakota	X	X	X	X	X	X	X	X	X	X		c
Ohio	X	X	X	X	X	X		X	X	X		c
Oklahoma	X	X	X	X			X	X				c
Oregon	X	X	X	X	X	X	X	X	X	X
Pennsylvania	X	X	X	X	X	X	X	X	X	X
Rhode Island	X	X	X	X	X		X	X	X	X
South Carolina	X	X	X	X	X			X	X	X		X
South Dakota	X	X	X	X	X		X	X	X	X
Tennessee	X	X	X	X	X	X		X	X	X		c
Texas	X	X	X	X	X		X		X	X	X
Utah	X	X	X	X	X	X	X	X	X	X		X
Vermont	X	X	X	X	X		X	X	X	X		X
Virginia	X	X	X	X	X			X	X	X		c
Washington	X	X	X	X	X	X	X	X	X	X	X
West Virginia	X	X	X	X	X	X	X	X	X	X
Wisconsin	X	X	X	X	X	X	X	X	X	X		X
Wyoming	X	X	X	X	X			X	X	X
National	51	51	51	51	49	27	36	48	48	49	8	14

Notes:

If State offers 1915(c) home and community-based services (HCBS) (i.e., all States except Arizona) and if any of the 1915(c) waiver plans fails to provide case management services, then the State must provide HCBS case management services as an optional targeted case management State plan service (HCBS Waiver Application Technical Instructions).

^a. Alteras T. Adult day health care services: serving the chronic health needs of frail elderly through cost-effective, non-institutional care. Lansing, MI: Health Management Associates; 2007.
^b. Mollica R, Johnson-Lamarche H, O'Keeffe J. State residential care and assisted living policy: 2004. (Prepared under Contract No. HHS-100-01-0025 for the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation). Research Triangle Park, NC: Research Triangle Instititute; 2005. Available at: http://aspe.hhs.gov/daltcp/reports/2005/04alcom.htm,  Table 1-8.
^c. State not included in Mollica Table 1-8.

Source: Medicaid At-a-Glance 2005, Centers for Medicare & Medicaid Services (CMS), unless noted otherwise.

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