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Full-Text Articles in Policy Design, Analysis, and Evaluation

When The Safety Net Fails: An Analysis Of Alternative Long-Term Care Services In Kentucky, Suzanne Dale Jan 2004

When The Safety Net Fails: An Analysis Of Alternative Long-Term Care Services In Kentucky, Suzanne Dale

MPA/MPP Capstone Projects

The Problem

In early 2003, the Kentucky Cabinet for Health Services, faced with a $450 million Medicaid shortfall, implemented several cost-cutting measures to the Medicaid program. The most visible measure included new stricter medical eligibility requirements for long-term care programs. As a result of these new requirements, approximately 2,813 elderly and disabled Kentuckians were denied services in Kentucky’s Aged/Disabled Home and Community-Based Waiver Program, a Medicaid program that provides long-term care services in people’s homes and in community-settings. The Cabinet for Health Services claimed that those who lost home and community-based Medicaid services could receive care ...


Contracting With Nonprofit Organizations: A Model For Local Governments, Renee Jackson Jan 2004

Contracting With Nonprofit Organizations: A Model For Local Governments, Renee Jackson

MPA/MPP Capstone Projects

A number of factors have contributed to the rise in nonprofit organizations during the last three decades. No matter the reasons one significant consequence has been an intensification of competition for available funding. With the increasing competition for funding there is growing concern that there may not be an equitable and efficient method in place for many funders to base their allocation decisions on. These concerns arise from the issues that occur during funding processes such as: how open and competitive is the request for proposal process; is there duplication of the same service; can the organization adequately provide the ...