Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Major Features of Medicaid’s Provisions for Home and Community Services


The remainder of this chapter presents a brief overview of the Medicaid law, regulations, and policies that give states the flexibility to create comprehensive home and community service systems for people of all ages with all types of physical and mental impairments and/or chronic health conditions. To provide context for the discussion, Table 1-1 lists the major relevant provisions of Medicaid law. This chronological summary illustrates the historical expansion of Medicaid long-term care services away from a primary focus on institutional care.

Key benefits for providing home and community services include both mandatory services such as Home Health and optional services such as Personal Care and Rehabilitation. Additional Medicaid provisions, such as the HCBS waiver authority, enable states to offer a comprehensive range of home and community services.

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