MACPAC.GOV: State Efforts to Address Medicaid Home-and Community-Based Services Workforce Shortages
This issue brief looks at state Medicaid levers to address the HCBS workforce shortage, and is based on a literature review, stakeholder interviews, and a panel at MACPAC’s October 2021 public meeting. State strategies for increasing HCBS workforce capacity include raising worker wages, providing benefits, expanding training opportunities, developing recruitment and retention initiatives, and supporting family caregivers. This issue brief also provides examples of state actions in each of these areas and explores how states plan to use funds provided under the American Rescue Plan Act to further support the HCBS workforce.