1915c

The Medicaid Home and Community-Based services waiver program is authorized in §1915(c) of the Social Security Act. The program permits a State to furnish an array of services that assist beneficiaries to live in the community and avoid institutionalization. CMS recognizes design and operation features of a waiver program will vary depending on the specific needs of the target population, the resources available, service delivery system structure, State goals and objectives, and other factors.

This CMS letter provides a status update on the web-based version of the application for 1915(c) Home and Community Based waivers, the revised paper version of the waiver application (Version 3.3) and the evaluation of it, as well as the 373 S and Q.

This paper discusses the activities of 11 grantees and the program and policy issues they have encountered. The paper’s primary purpose is to provide information that states and stakeholders will find useful when planning or implementing consumer-directed initiatives, whether through solely state-funded programs or the Medicaid program. In particular, the report highlights program and state and federal policy challenges and how Grantees are addressing them.

The CMS Systems Change conference, Transforming Systems: Keys to Success was held April 10-12 in Baltimore. Presentations from the 2006 sessions are available in both PDF and text formats. Topics range from ideas on system transformation, stakeholder involvement, coalition building, strategic planning, sustaining systems change, and the Deficit Reduction Act. Full titles are listed in the keywords section.

The statehealthfacts.org had recently added a data on states who offer Individual Budget programs. Use this interactive guide to compare and review activities related to participant-directed care. Data includes the program type, program name, CMS waiver authority, includes elderly, and a status update. Current as of January 2006.

This State Policy in Practice brief describes Michigan's nursing home transition program and summarizes evaluation findings. The program has been sustained statewide through the addition of transition services to Michigan's 1915c waiver for the aged and disabled. This brief is intended to help state policy and program leaders, advocates, and providers learn from their peers and colleagues across the states.

CMS has developed the final revised working draft of the 1915 (c) HCBS waiver application, Instructions and Technical Guide, Resource Documents, and the CMS Review Instrument. This is the version that CMS is currently automating for use as a web-based application available in Feb 2006. The new application was designed to solicit more complete information from states about the design of their waiver program to better determine whether a proposed waiver has the capacity to meet the requirements.

Quality Communication #10 represents another in a series of CMS communications to support state efforts to improve the quality of services and supports. The letter announces the final revised working draft of the 1915 (c) Waiver Application, Instructions and Technical Guide, Resource Documents, and the CMS Review Instrument. This is the version that CMS is currently automating for use as a web-based application available for use in early February 2006.

This is the fourth in a series of newsletters produced at the Exchange to provide assistance to our CMS Real Choice Systems Change grantees. This newsletter is produced biannually. Topics include: Building Nursing Home Transition into a Balanced Long-term Care System: The Washington Model, Individualized Back-up Planning and Independence Plus in Louisiana & New Hampshire, Participant-Centered Planning & Individual Budgeting, South Carolina's Care Call, and Money Follows the Person.