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

10/29/2010

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-3: Waiver Services Specifications, and C-3H: Services to Facilitate the Transition of Institutionalized Persons to the Community.

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

-----  -----  -----  -----  -----  -----  -----

O’Keeffe, J., O’Keeffe, C., Greene, A.M., and Anderson, W. (2008). Enduring Changes of the FY 2001 and FY 2002 Nursing Facility Transition Grantees. Baltimore, MD: Centers for Medicare & Medicaid Services.

This issue brief provides a summary overview of the accomplishments and enduring changes brought about by all of the Systems Change NFT Grantees. Despite achieving many enduring systems improvements, Grantees reported that many transition barriers remain. Grantees made recommendations to help states address continuing barriers to nursing facility transition and diversion.

Available at http://www.hcbs.org/moreInfo.php/doc/2353

-----  -----  -----  -----  -----  -----  -----

O’Keeffe, J., O’Keeffe, C., Osber, D., Siebenaler, K., and Brown, D. (2007). FY 2002 Nursing Facility Transition Grantees: Final Report. Baltimore, MD: Centers for Medicare & Medicaid Services.

This report provides an overview of the 16 FY 2002 Systems Change NFT Grantees’ initiatives to either establish or improve NFT programs or to help develop some components of an NFT infrastructure. The report includes lessons learned and recommendations that can guide states that are undertaking similar initiatives.

Available at http://www.hcbs.org/moreInfo.php/doc/2060

-----  -----  -----  -----  -----  -----  -----

O’Keeffe, J., O’Keeffe, C., Siebenaler, K., Brown, D., Anderson, W., Greene, A.M., and Osber, D. (2006). FY 2001 Nursing Facility Transition Grantees: Final Report. Baltimore, MD: Centers for Medicare & Medicaid Services.

This report provides an overview of the 17 FY 2001 Systems Change NFT Grantees’ initiatives to either establish or improve NFT programs or to help develop some components of an NFT infrastructure. The report includes lessons learned and recommendations that can guide states that are undertaking similar initiatives. The report was referenced on page 48 of the CMS MFP Demonstration Solicitation Document.

Available at http://www.hcbs.org/moreInfo.php/doc/1678

-----  -----  -----  -----  -----  -----  -----

Siebenaler, K., O’Keeffe, J., Brown, D., and O’Keeffe, C. (2005). Nursing Facility Transition Initiatives of the Fiscal Year 2001 and 2002 Grantees: Progress and Challenges. Baltimore, MD: Centers for Medicare & Medicaid Services.

This report provides an overview of the NFT initiatives implemented by 18 of the FY 2001 and FY 2002 Systems Change Grantees. It describes their differing approaches to nursing facility diversion and/or transition within a framework of the key steps needed to create NFT programs that are integrated into a state’s long-term care system. This report also identifies the transition challenges and policy issues facing states and Independent Living Centers, discusses lessons learned from grant initiatives, and recommends programmatic and policy changes needed to support transitions.

Available at http://www.hcbs.org/moreInfo.php/doc/1308

-----  -----  -----  -----  -----  -----  -----

Eiken, S., Holtz, D., and Steigman, D. (2005). Medicaid HCBS Waiver Payment for Community Transition Services: State Examples. Cambridge, MA: Thomson Reuters.

This topic paper summarizes how states can use Medicaid to pay for most institutional transition program costs. It also describes how states are currently using Medicaid HCBS waivers to pay for Community Transition Services--temporary supports people need when trying to move, such as housing deposits, utility set-up fees, and furniture.

Available at http://www.hcbs.org/moreInfo.php/doc/1192

-----  -----  -----  -----  -----  -----  -----

Summer, L. (2005). Strategies to Keep Consumers Needing Long-Term Care in the Community and Out of Nursing Facilities.Washington, DC: Kaiser Commission on Medicaid and the Uninsured.

In recent years, states have been trying to shift resources from institutions to home and community services. This report examines transition and diversion policies and practices in eight states. It provides a sense of what state Medicaid programs are doing or could be doing to promote diversion. The report has a 10-page executive summary.

Available at http://www.hcbs.org/moreInfo.php/doc/1442

-----  -----  -----  -----  -----  -----  -----

View full report

Preview
Download

"primer10.pdf" (pdf, 2.08Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®