Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Chapter 6. Transitioning People From Institutions to the Community


The realization that many people with long-term care service and support needs can thrive in integrated community settings and the requirements of the Supreme Court’s Olmstead decision have increased states’ commitment to transition residents of intermediate care facilities for persons with intellectual disabilities (ICFs/ID), nursing facilities, and other long-term care institutions to the community. This chapter begins with a brief overview of how states have used Medicaid home and community-based services (HCBS) waiver programs to enable ICFs/ID residents to transition to the community. It then discusses important factors states need to consider when planning transition programs for persons in nursing facilities and options for using Medicaid to help cover certain transition costs.1

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