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


Mollica, R. (2009). State Medicaid Reimbursement Policies and Practices in Assisted Living. Washington, DC: National Center for Assisted Living, American Health Care Association.

This report presents and updates information on state coverage of Medicaid services in assisted living/residential care settings and includes the source of coverage, the number of participating facilities, number of people served, payment rates, and other data.

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Mollica, R.L., Simms-Kastelein, K., Cheek, M., Baldwin, C., Farnham, J., Reinhard, S., and Accius, J. (2009). Building Adult Foster Care: What States Can Do. Washington, DC: AARP, Public Policy Institute.

This report examines the role of adult foster care within the long-term care system and offers guidance to policy makers interested in developing or expanding this type of residential care.

Available at http://www.aarp.org/health/doctors-hospitals/info-09-2009/2009_13_building.html

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CMS. (2008). Application for a §1915(c) Home and Community-Based Waiver [Version 3.5]: Instructions, Technical Guide and Review Criteria. Baltimore, MD: U.S. Department of Health and Human Services.

This publication contains extensive information concerning Federal policies that apply to the operation of an HCBS waiver, including a section on paying for services in residential facilities. (Appendix C-2-c: Facilities Subject to §1616(e) of the Social Security Act.)

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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Mollica, R., Sims-Kastelein, K., and O’Keeffe, J. (2007). Residential Care and Assisted Living Compendium: 2007. 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 report provides information about regulations covering residential care/assisted living facilities in all 50 states and the District of Columbia. It also discusses Medicaid policy regarding coverage of services in these facilities.

Available at http://aspe.hhs.gov/daltcp/reports/2007/07alcom.htm

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Ireys, H.T., Pires, S., and Lee, M. (2006). Public Financing of Home and Community Services for Children and Youth with Serious Emotional Disturbances: Selected Strategies. 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 report describes important system-of-care principles that have shaped services for youth with serious emotional disturbances, the role of the various agencies that serve these children, and the financing mechanisms many states use to fund services for this population. It covers the strengths and weaknesses of major financing mechanisms, including HCBS waivers, the Medicaid rehabilitation option, and provisions in the Tax Equity and Fiscal Responsibility Act, also known as the Katie Beckett provision. The report also presents information that can inform legislative efforts to strengthen the financing of intensive home and community services for youth with serious emotional disturbances and their families.

Available at http://aspe.hhs.gov/daltcp/reports/2006/youthSED.htm

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Stancliffe, R.J., and Lakin, C. (2004). Costs and Outcomes of Community Services for Persons with Intellectual and Developmental Disabilities. Policy Research Brief 14(1). Minneapolis: University of Minnesota, Research and Training Center on Community Living.

This Policy Research Brief reviews available research on the costs and outcomes of community service provision for people with intellectual disabilities and developmental disabilities, with a particular emphasis on residential services. It focuses on a number of key issues related not only to public expenditures, but also to funding systems, related policies and regulations, and their impact on service systems, on specific service types, and on service users.

Available at http://ici.umn.edu/products/prb/151/151.pdf

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