State Efforts To Address Medicaid Home- & Community-Based Services Workforce Shortages

On March 15, 2022, the Medicaid and Children’s Health Insurance Program (CHIP) Payment and Access Commission (MACPAC) published this issue brief on state efforts to address Medicaid home- and community-based services (HCBS) workforce shortages. This issue brief describes current issues facing the HCBS workforce and the Medicaid levers available to address them. It begins by summarizing the role of the HCBS workforce in Medicaid. Then, it describes the shortage and contributing factors. It ends by discussing current state efforts to expand the HCBS workforce including those focused on wages and benefits, training, recruitment and retention, and paying family . . .