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


Centers for Medicare & Medicaid Services
CMS issues State Medicaid Director letters to clarify Medicaid policy and provide guidance to states to ensure consistency in its application. The initial Olmsteaddecision letter, dated January 14, 2000, and subsequent updates, can be accessed at the following website by using the word “Olmstead” in the search criteria. In particular, Olmstead Update #3, July 25, 2000, includes Attachment 3-b, Community Transition, which discusses policy changes related to case management services, assessments for accessibility, and environmental modifications.
Web address: http://www.cms.hhs.gov/SMDL/SMD/list.asp#TopOfPage

In 2007, CMS awarded MFP grants to 30 states and the District of Columbia, proposing to transition 37,731 individuals out of institutional settings over a 5-year demonstration period. The MFP demonstration is the most ambitious program to date aimed at helping Medicaid enrollees transition from long-term care institutions to the community. A series of reports are being completed as part of the MFP national evaluation and are available at the following website.
Web address: http://www.cms.hhs.gov/DeficitReductionAct/20_MFP.asp#TopOfPage

The Clearinghouse for Home and Community Based Services
This site promotes the development and expansion of HCBS by gathering resources and tools for research, policymaking, and program development into this one-stop website. Under the topic Transition/Diversion from Institutions, there are 302 publications and other resources, including all of the publications listed above, and also many states’ promising practices for facilitating nursing facility to community transitions.
Web address: http://www.hcbs.org/

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