Outcomes Associated with Home and Community-based Service Use Among Older Adults following a Nursing Home Transition.

We examined relationships between home and community-based services (HCBS) and reinstitutionalization and choice and control in daily activities for older Money Follows the Person (MFP) Rebalancing Demonstration participants in Connecticut. Using Connecticut MFP program and Quality of Life survey data for 647 participants aged 65, and older who transitioned from a nursing home to the community between 2013-2016, we conducted logistic regressions to determine whether HCBS type (traditional HCBS; hourly personal care attendant [PCA]; live-in PCA) was associated with reinstitutionalization and choice and control 12 months after moving into the community. Relative to receiving traditional services, having hourly or live-in PCA services were associated with having lower odds of both reinstitutionalization and choice and control. Findings can help strengthen HCBS delivery for older adults living in the community.