HCBS

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Timely Brandeis Study Utilizes NCI-AD Data to Highlight Connections Between Unmet Needs for Medicaid HCBS and Poor Health and Community Living Outcomes

The study examined self-reported data from over 10,200 Medicaid HCBS beneficiaries across 13 states using the NCI-AD survey. Unmet needs for Medicaid HCBS were consistently and significantly associated with poor health outcomes (emergency department visits, hospital stays, and preventative care) and community living outcomes (community participation, relationships with family and friends, satisfaction with how time is spent during the day, and sense of control in life.

Short URL: http://www.advancingstates.org/node/73209

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CMS Launches Webpage to Share Innovative State Actions to Expand Medicaid Home and Community-based Services

On Thursday, October 21, 2021 CMS launched a new “one-stop shop” for state Medicaid agencies and stakeholders on Medicaid.gov to advance transparency and innovation for home and community-based services. Through this new webpage, state Medicaid agencies and stakeholders can access information about states’ plans to enhance, expand, and strengthen home and community-based services across the country using new Medicaid funding made available by the American Rescue Plan Act of 2021 (ARP).

Short URL: http://www.advancingstates.org/node/73207

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State Medicaid Home & Community-Based Services (HCBS) Programs Respond to COVID-19: Early Findings from a 50-State Survey

This issue brief presents early findings from the most recent KFF 50-state survey of Medicaid HCBS programs, focusing on state policies adopted in response to the pandemic, the pandemic’s impact on Medicaid HCBS enrollees and providers, and states’ early plans for the new American Rescue Plan Act (ARPA) 10 percentage point temporary increase in federal Medicaid matching funds for HCBS.

Short URL: http://www.advancingstates.org/node/72975

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CMS Offering Free HCBS Technical Assistance

CMS, in collaboration with New Editions Consulting Inc. is offering free HCBS technical assistance to states who are: planning on expanding Medicaid home and community-based services, and/or changing approaches and strategies to be more responsive to CMS guidance, stakeholder input, and state priorities, and/or modifying current HCBS programs based on state and stakeholder experiences in response to the COVID-19 Public Health Emergency.

Short URL: http://www.advancingstates.org/node/72501

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Selected Characteristics of 10 States With the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016

The Centers for Medicaid & Medicare Services released a report that profiled the 10 states with the greatest change in Long-Term Services and Support (LTSS) system balancing. The report highlights characteristics of the 10 states and compares their change in LTSS system balancing with other states and provides a national overview on LTSS system balancing. State profiles consist of characteristics and strategies states utilized in their progress towards rebalancing their LTSS systems.

Short URL: http://www.advancingstates.org/node/71673

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Heightened Scrutiny Review of Newly Constructed Presumptively Institutional Settings

CMS released an informational bulletin that provides guidance regarding new constructions and the HCBS heightened scrutiny process. The 2014 Medicaid HCBS regulation’s settings regulation requires an in-depth assessment, called heightened scrutiny, for certain providers that are presumed to be institutional. This guidance provides clarification and flexibility to states, including an overview of three potential scenarios for how newly constructed settings could receive Federal funding

Short URL: http://www.advancingstates.org/node/71645

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Electronic Visit Verification: Implications for States, Providers, and Medicaid Participants

This report describes key considerations and policy decisions that states should consider as they work to implement EVV systems in accordance with the mandate included in the 21st Century Cures Act. The paper also examines different approaches that states may wish to use to establish EVV within their HCBS programs, and discusses some of the benefits and challenges associated with each approach. Lastly, it includes case studies of four states with existing EVV systems.

Short URL: http://www.advancingstates.org/node/70393

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Medicaid Assisted Living Services: Improved Federal Oversight of Beneficiary Health and Welfare Is Needed

This report examines state and federal oversight of assisted living services in Medicaid. Individuals receiving long-term care services from Medicaid in community residential settings is expected to grow. This report describes state spending on and coverage of these services; describes how state Medicaid agencies oversee the health and welfare of beneficiaries in these settings; and examines the extent that CMS oversees state Medicaid agency monitoring of assisted living services.

Short URL: http://www.advancingstates.org/node/70145

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Understanding and Advocating for Effective Implementation of the Home and Community-Based Services Settings Rule

This guide is designed to provide elder law attorneys with a better understanding of the HCBS Settings Rule and how they can advocate for a strong, effective system that achieves the spirit and intent of the rule. The guide includes an overview of the rule, a process for states to comply with the HCBS Rule, opportunities for advocacy to promote your clients' best interests, and a review of special issues including dementia care and evictions.

Short URL: http://www.advancingstates.org/node/69861

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