Appendix 1.E
50 States, the District of Columbia, and
U.S. Territories with Initiatives to Improve Access to
Long-Term Care Services

State

Integrated LTC Systems

Streamlined Eligibility Determinations

Expanded Eligibility

Nursing Facility Resident Transition*

Informed Consumer Choice

Other**

Alabama

x

 

 

x

x

x

Alaska

 

x

 

x

x

x

Arkansas

x

x

 

x

x

x

California

 

 

 

x

x

x

Colorado

x

x

 

x

x

x

Connecticut

x

 

 

x

x

 

Delaware

x

 

x

x

x

x

District of Columbia

x

x

x

x

x

x

Florida

x

 

 

x

x

x

Georgia

x

 

 

x

 

x

Guam

x

x

 

x

x

 

Hawaii

x

x

 

 

x

x

Idaho

x

 

x

x

x

x

Illinois

x

x

 

x

x

x

Indiana

 

x

x

x

x

 

Iowa

x

 

 

x

x

 

Kansas

 

 

x

x

x

 

Kentucky

 

 

 

x

x

x

Louisiana

x

x

x

x

x

x

Maine

 

 

 

 

 

x

Maryland

 

 

 

x

x

 

Massachusetts

x

x

x

x

x

x

Michigan

x

x

 

x

x

x

Minnesota

x

 

 

x

x

x

Mississippi

 

 

 

x

 

x

Missouri

x

x

 

x

x

x

Montana

 

 

 

 

x

x

Nebraska

x

 

 

x

x

 

Nevada

 

 

 

x

x

x

New Hampshire

x

x

 

x

x

x

New Jersey

x

 

 

x

 

x

New York

 

 

 

x

 

 

North Carolina

x

 

x

x

x

 

North Dakota

 

 

 

 

x

 

No. Mariana Islands

x

 

 

 

x

 

Ohio

x

 

 

x

x

 

Oklahoma

 

x

x

x

x

x

Oregon

 

 

 

 

x

 

Pennsylvania

x

x

x

x

x

x

Rhode Island

x

 

 

x

x

x

South Carolina

x

 

 

x

x

x

Tennessee

x

 

x

x

x

x

Texas

x

 

 

x

x

x

Utah

x

 

 

x

x

x

Vermont

x

x

x

x

x

x

Virginia

 

 

 

 

x

x

Washington

 

x

x

x

x

x

West Virginia

 

x

x

x

x

x

Wisconsin

x

x

x

x

x

x

Wyoming

 

x

x

x

x

x

Total

32

20

16

43

45

38

*NFT transition and diversion activities encompass a range of activities, including increasing housing availability and accessibility, developing peer support networks, and developing outreach materials and conducting outreach.

**This category includes the areas of community education, housing, home modifications, assistive technology, and transportation.

Source: HCBS, www.hcbs.org, accessed June 2005.