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State Funding


States have begun to experiment with different mechanisms for funding direct services workforce initiatives. Don't disregard state legislatures and agencies as funding opportunities because of budget pressures because states are interested in reducing the enormous expenditures associated with institutional long term care by offering more services in home and community based settings. Make the case that workforce initiatives will help states build the capacity needed to provide home and community based services, resulting in both improved quality of care and reduced costs in the future.

The optimal funding strategy will depend on each state’s unique circumstances. A state's budget situation and process will obviously be a major factor in obtaining funding and the best starting point in any state may be to look at whether there are existing funds that could be redirected to Direct Service Workforce initiatives. The makeup of the stakeholders in a state, the priority agenda items for a legislative session, and the success of similar initiatives historically will also influence the best way to pursue funding. Whether pursuing legislative appropriations or an administrative rule change to expand the permitted use of already allocated funds, advocates must be strategic about what to ask for and how to ask for it.

Advocates should also consider looking at local-level governments for funding and support. The macro-level problems of the direct service workforce may require a comprehensive statewide solution, but advocates may need to use smaller projects on the county or city level to demonstrate the benefits of a particular intervention before promoting it as a broader solution.

Here are on-line resources that includes general information about state grants and governments:


Sources of State Funding:







Created by: admin. Last Modification: Monday 07 of November, 2011 15:49:36 EST by EKDilla.

What's New?

The DSW Resource Center closed effective August 31, 2014. The site is being maintained as a static archive of resources through December 2014.

Please visit the CMS Workforce Page (external link) and visit our partners’ websites for additional information on or after December 31, 2014.

Check out the Winter 2014 edition of the DSW Resource Center newslettter!

The DSW Resource Center has published a White Paper summarizing this summer's webinar series.

The US Department of Labor (external link) announced a new rule to the Fair Labor and Standards Act which focuses on guaranteeing minimum wage and overtime for home care workers including those in the Direct Service Workforce. This rule will go into effect January 1, 2015. The DSW Resource Center created a Home Care Rule Page with information and resources related to this announcement.

We released two new Starter Kits for NWD/SEP Systems including ADRCS. Starter Kit for No Wrong Door/ Single Entry Point Systems Working to Strengthen the Home and Community-Based Direct Service Workforce and Starter Kit for NWD/SEPs: Design Considerations for Publicly-Funded Matching Service Registries for Home and Community Services.

We published Coverage of Direct Service Workforce Continuing Education and Training within Medicaid Policy and Rate Setting - A Toolkit which presents strategies and methods for covering the cost of continuing education and training for the DSW.
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