Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Publications


Houser, A., Fox-Grage, W., and Gibson, M. (2009). Across the States 2009: Profiles of Long-Term Care and Independent Living. Washington, DC: AARP Public Policy Institute.

This report is the eighth edition of the AARP Public Policy Institute’s state long-term care reference report. Published approximately every 2 years, the Across the States series was developed to help inform policy discussions among public and private sector leaders in long-term care throughout the United States. Across the States 2009 presents comparable state-level and national data for more than 140 indicators, drawn together from a wide variety of sources into a single convenient reference. This publication presents the most up-to-date data available at the time of production, and is displayed in easy-to-use maps, graphics, tables, and state profiles.

Available at http://www.hcbs.org/moreInfo.php/doc/2536

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Centers for Medicare & Medicaid Services. (2008). Application for a §1915(c) Home and Community-Based Waiver [Version 3.5]: Instructions, Technical Guide and Review Criteria. Baltimore, MD: USDHHS.

This publication contains extensive information concerning Federal policies that apply to the operation of an HCBS waiver as well as technical guidance for completing the application.

Available at https://www.hcbswaivers.net/CMS/faces/portal.jsp under links and downloads, entitled §1915(c) Waiver Application and Accompanying Materials.

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CMS State Medicaid Director Letter (November 19, 2009). Implementation of §6087 of the Deficit Reduction Act of 2005 Regarding §1915(j) of the Social Security Act.

This letter provides guidance on the implementation of §6087 of the Deficit Reduction Act of 2005, Public Law Number 109-171. Section 6087, the “Optional Choice of Self-Directed Personal Assistance Services (Cash and Counseling),” amended §1915 of the Social Security Act by adding a new subsection (j). The guidance also applies to §1915(c) HCBS waiver programs when states offer a self-direction option and permit participants to purchase “individual directed goods and services.” The letter offers information on (1) Background, (2) Medicaid Authorities, (3) Criteria, (4) Support and Monitoring, and (5) Compliance with the Guidance.

Available at http://www.cms.hhs.gov/SMDL/SMD/ItemDetail.asp?ItemID=CMS1230894

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The Kaiser Commission on Medicaid and the Uninsured. (2009). Medicaid Home and Community-Based Service Programs: Data Update. Washington, DC: Kaiser Family Foundation.

This report presents a summary of the main trends to emerge from an analysis of the 2006 expenditures and participant data for the three main Medicaid home and community service programs: optional §1915(c) HCBS waivers, the mandatory Home Health benefit, and the optional State Plan Personal Care benefit. It also presents survey findings about various features of the three programs, such as eligibility criteria, waiting lists, and provider reimbursement rates for the Home Health benefit and the Personal Care benefit.

Available at http://www.kff.org/medicaid/7720.cfm

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National Association of State Medicaid Directors. (2007). State Perspectives on Emerging Medicaid Long-Term Care Policies and Practices. Washington, DC: American Public Human Services Association.

The purpose of this survey analysis is to provide states with an overview of state implementation of the DRA-2005 options and other long-term care policies and practices. Findings address a range of issues, including eligibility, Children with Disabilities, Money Follows the Person, HCBS State Plan Amendments, Transition from Institutions, Managed Care, State Plan Amendment for Personal Care Services, Cash & Counseling, Care Coordination, Disease Management, and Long-Term Care Reform.

Available at http://www.hcbs.org/moreInfo.php/doc/2094

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