CHANGE IS IMPERATIVE 2013

1. CHANGE IS IMPERATIVE2013 What are home and community-based services (HCBS)? Home and community-based services include assisted living services, housing with services, adult day services, adult foster care, home care, hospice, independent senior living, respite care and services, senior nutrition, and transportation services. FACT:Home and community-based services provide efficient, cost-effective care for tens of thousands of Minnesotans. FACT CARD 4: HOME AND COMMUNITY-BASED SERVICES • Home and community-based services are a vital link in the spectrum of care. • As a part of the overall spectrum of care, HCBS provides value by giving individuals choices to access the right care, at the right place, at the right time. • Minnesota has led the nation in moving long-term care from institutions to community settings, such as in-home health care, housing with services, and assisted living services in congregate settings. • It is estimated that the key HCBS program, the Elderly Waiver, saved the state of Minnesota $275 million1 by ensuring that seniors are cared for in the most cost-effective means appropriate to the individual, reserving nursing homes for use by those who truly need that level of care. • Home and community-based services help tens of thousands of Minnesotans to live more independently. • There is a large and growing population of individuals that can no longer live completely independently but do not need the level of care found in higher cost settings such as nursing homes. • For these Minnesotans and their families, home and community-based services (HCBS) provide options to maintain a higher level of independence in the most efficient and cost-effective manner. CHANGE IS IMPERATIVE2013

2. FACT: Cuts to assisted living services lead to fewer care options for Minnesotans and their families. • Cuts to assisted living services lead to fewer care options for Minnesotans and their families. • Minnesota’s assisted living providers partner with Minnesota participants and families to foster independent living options. Assisted living providers are serving more individuals than ever before, yet their budgets have not been increased. • Assisted living providers have experienced double digit administrative and legislative cuts over the last 4 years • Without a base level increase for assisted living it is difficult for providers to continue to offer these services, making it more likely that these individuals will rely on more expensive options, such as nursing homes and hospital stays. • Cuts to Elderly Waiver are cuts to assisted living. • The Elderly Waiver (EW) program funds home and community-based services such as assisted living for Minnesota seniors eligible for Medical Assistance. Cuts to the state EW program have a direct impact on assisted living service providers. Assisted Living is a Less Expensive Alternative to Nursing Homes2 and 3 Avg Nursing Home Cost Private Room Avg Nursing Home Cost Semi-Private Room Avg Assisted Living Cost About The Long-Term Care Imperative The Long-Term Care Imperative is a collaborative effort between Care Providers of Minnesota and Aging Services of Minnesota, the state’s two long-term care provider associations. Our goal is to advance a shared vision and future for older adult housing, health care, and supportive services. • DATA SOURCES: • Long-Term Care Imperative analysis of the November 2010 DHS Forecast • 2012 Metlife Market Survey of LTC Costs- Data for Nursing Home Single Rooms and Assisted Living Units in Minnesota • 2012 The Long Term Care Imperative CHANGE IS IMPERATIVE2013 FACT CARD 4: HOME AND COMMUNITY-BASED SERVICES