Approximately one in five Medicare beneficiaries has serious physical or cognitive limitations that require personal care services and supports, but only low-income beneficiaries eligible for Medicaid can obtain them. A Commonwealth Fund report explores important considerations in offering home- and community-based services by examining Maryland's experience with Community First Choice.
The report can be obtained at https://www.commonwealthfund.org/sites/default/files/2018-06/Davis_designing_medicare_help_home_maryland_CFC_ib_v3.pdf.