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


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.

This publication contains extensive information concerning Federal policies that apply to the operation of an HCBS waiver, in particular, Appendix C: Participant Services, which includes core service definitions.

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

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Smith, G., Fortune, J., Agosta, J., and O’Keeffe, J. (2007). Gauging the Use of HCBS Supports Waivers for People with Intellectual and Developmental Disabilities: Profiles of State Supports Waivers.Washington, DC: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy.

This project was funded to (a) gather descriptive information on HCBS waivers, both comprehensive and supports, operated for people with intellectual and developmental disabilities in 17 states with the supports waivers; (b) determine how supports waivers have emerged as separate and distinct HCBS waivers; (c) better understand the range of participant characteristics and experiences that distinguish supports waivers from other HCBS waivers; and (d) more fully appreciate how states view supports waivers as a way to address demand for home and community services among people with developmental disabilities.

Available at http://aspe.hhs.gov/daltcp/reports/2007/gaugingfr.htm

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Smith, G., Kennedy, C., Knipper, S., O’Brien, J., and O’Keeffe, J. (2005). Using Medicaid to Support Working Age Adults with Serious Mental Illnesses in the Community: A Handbook. Washington, DC:U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy.

This Handbook focuses on working-age adults between the ages of 21 and 64 with serious mental illnesses, whose need for support extends beyond mental health services that can be effectively provided by primary care physicians or periodic visits to outpatient settings. It is designed to improve understanding and provide greater clarity concerning Medicaid’s contribution in supporting working-age adults with serious mental illnesses in the community.

Available at http://aspe.hhs.gov/daltcp/reports/handbook.htm

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Summer, L.L., and Ihara, E.S. (2005). The Medicaid Personal Care Services Benefit: Practices in States that Offer the Optional State Plan Benefit. Washington, DC: AARP, Public Policy Institute.

This paper reports on the eligibility requirements, characteristics of beneficiaries, program expenditures, types of services, and methods of service delivery in 26 states (and the District of Columbia) that offered the optional Medicaid Personal Care Services benefit in 2004. The site includes both the full version and a brief summary.

Available at http://www.aarp.org/health/medicare-insurance/info-2005/2005_11_medicaid.html

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CMS: State Medicaid Director Letter (July 25, 2000). Olmstead Update No: 3.

This letter discusses a policy change regarding the earliest date of service for which Federal financial participation can be claimed, and explains some of the ways that Medicaid funding may be used to help people of all ages with disabilities and chronic illnesses transition from an institution to a community residence.

Available at http://www.cms.gov/smdl/downloads/smd072500b.pdf

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