Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Federal Policy Considerations

10/29/2010

While Federal Medicaid law and policy give states considerable latitude in deciding which Medicaid home and community services they will offer, states do not have complete freedom. State choices must be consistent with Federal requirements and limitations. Seven major Federal considerations merit discussion here. Although they affect state flexibility somewhat, they need not pose serious barriers to developing effective strategies to support individuals in their homes and communities.

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