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April 16, 2026Frontiers in DementiaOpen Access

Reimagining U.S. social care policy: a commentary on Medicaid strategies to better support individuals with dementia

Alice Boughrum Amy Lastuka Nicole Batsch Victoria Helmly Mary Manchester Lillian Morgado Romil Parikh Mary Louise Pomeroy Audrey Price Michael Splaine Raven Weaver William Zagorski Regina A. Shih

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Key Points

This commentary identifies gaps in Medicaid-funded home and community-based services (HCBS) for individuals with dementia and explores policy opportunities for enhancement.
Review of existing research on HCBS access and quality for individuals with dementia.
Analysis of state-level Medicaid policies and their impact on HCBS accessibility.
Evaluation of proposed Medicaid waiver reforms and their benefits for dementia care.
Significant barriers exist for individuals with dementia in accessing HCBS due to complex eligibility processes.
Medicaid waivers present a potential avenue for improving HCBS access tailored to the needs of individuals with dementia.
Variability in state Medicaid policies leads to inequities in service availability and quality for individuals with dementia.

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Implication

Commentary explores Medicaid HCBS barriers for individuals with dementia, suggesting policy reforms to improve access and equity.

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Cite This Study

Boughrum et al. (2026) studied this question.

synapsesocial.com/papers/69e5c1c203c2939914028652 https://doi.org/10.3389/frdem.2026.1820253

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Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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