The proportion of Medicaid residents in nursing homes significantly decreased.
A six-state study found nursing-home changes after mandatory MLTSS, while an AARP review identifies what community care needs to work locally.
ResearchPolicyElder Care
·Pulse issue · September 14, 2026
A Study Examined Nursing Homes in Six States
A multistate MLTSS study shows nursing-home changes consistent with diversion. An AARP review shows why a home option also needs local capacity and financing.
The question
When long-term care shifts away from nursing homes, how can a state tell whether a family gained usable care at home?
Background
A six-state study found nursing-home payer and staffing changes after mandatory MLTSS, while AARP’s review identifies operating conditions for community-based care models.
The read
The two sources support a bounded read: nursing-home measures consistent with diversion cannot show by themselves whether a family gained usable care at home, because the AARP review identifies local delivery and financing conditions needed to replicate community models.
2 developments · 3 cited sources
What happens next
Will state Medicaid agencies and the profiled community programs publish measures of who receives services, their costs, and family caregiving work?
What could change this read
Participant-level evidence that MLTSS gave Medicaid beneficiaries timely home-based services and reduced family workload or costs, or that the profiled models close the access gap without these conditions, would materially change the read.
Developments in this issue
Reference paths
01GiveCare WikiEvergreen caregiver guides, source notes, and research synthesis.02GiveCare BenefitsSource-backed benefit records and program search.03GiveCare ScoreCaregiver load assessment and scoring context.04InvisibleBenchCare AI benchmark method and findings.05GiveCareProduct home and official GiveCare positioning.