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 Article of Interest - Medical Issues

Group Urges Expansion of Home-based Nursing Care
from Gongwer News Service, February 27, 2003
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A Medicaid program that pays for low-income seniors and persons with disabilities to receive in-home care should be broadened to permit more people to receive long-term care in their homes instead of in nursing facilities, a coalition of senior advocacy groups said Friday.

The number of persons enrolled in the MiChoice program has dropped by about half since 2000 because of cuts and a lack of nursing patients switching to in-home care, according to the Department of Community Health.

"It is time for Michigan to incorporate real choice into our long-term care system by expanding the MiChoice program," said Tom Czerwinski, president of the Area Agency on Aging Association of Michigan. "If our state wants to successfully finance Medicaid long-term care into the future, change must occur now-and MiChoice is exactly the kind of change Michigan needs."

Mr. Czerwinski said allowing more persons to receive in-home care also makes good fiscal sense because it costs $59 less per patient than nursing home care.

Community Health spokesperson Geralyn Lasher said the MiChoice program is an "outstanding" one, and the administration is looking for ways to provide those services despite a lean budget. Governor Jennifer Granholm will present her 2003-04 budget next week with revenues $1.7 billion short of what is needed to maintain current spending.

"We know that people want alternatives and choices," Ms. Lasher said. "But we have to look closely and see what dollars are available."

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