Survey after survey shows that people want to continue living in their homes as they age, rather than moving to a nursing home or an assisted living facility. (In a recent Nationwide Insurance survey of Americans 50 and older, 61% said they’d rather die than live in a nursing home.) But whether you or your parents will be able to receive long-term care benefits at home through Medicaid — assuming Medicaid-eligibility — is an open question.

That’s because state rules vary enormously regarding whether Medicaid — the leading payer of long-term care in America — will pay for a person’s long-term care at home. But a new report from the Center for Health Care Strategies (a nonprofit health policy resource center focused on low-income Americans) and Manatt Health (a health policy and business strategy advisory subsidiary of the Manatt, Phelps & Phillips law firm) aims to broaden the availability of Medicaid at home and in community-based settings.