Financing HCBS

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CMS Announces Funding to Strengthen Safety Net for Seniors and People with Disabilities

CMS has announced it will offer more than $110 million to expand access to home and community-based services (HCBS) through Medicaid’s Money Follows the Person (MFP) program. The new Notice of Funding Opportunity (NOFO) makes individual awards of up to $5 million available for more than 20 states and territories not currently participating in MFP. These funds will support initial planning and implementation to get the state/territory programs off the ground, which would ensure more people with Medicaid can receive high-quality, cost-effective, person-centered services in a setting they choose.

Short URL: http://www.advancingstates.org/node/73782

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State Policy Choices About Medicaid Home and Community-Based Services Amid the Pandemic

This brief shares data on state policy choices about Medicaid HCBS, including target populations, functional eligibility criteria, financial eligibility criteria, waiver waiting lists, benefit packages, out-of-pocket costs, use of capitated managed care, self-direction opportunities, covered provider types, electronic visit verification systems, and provider reimbursement rates.

Short URL: http://www.advancingstates.org/node/73714

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Why billions in Medicaid funds for people with disabilities are being held up

This NRP article discusses the delay many states are experiencing in regard to accessing funding from the American Rescue Plan Act, signed into law in March 2021. The increased funding could be used by states to boost wages, move people off waiting lists for disability services, train more workers, and expand covered services for older adults and people with disabilities, however the Centers for Medicare and Medicaid Services must provide approval before states can fully access their funds.

Short URL: http://www.advancingstates.org/node/73691

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Wisconsin's ARPA HCBS Plan

The Wisconsin Department of Health Services proposes to reinvest ARPA Home and Community Based Services (HCBS) enhanced funding to implement a statewide grant program with HCBS providers, advocates and stakeholders. These grants will address the workforce crisis, support businesses and programs transition to a model that supports individual with intellectual, developmental, and other significant disabilities find and retain work in competitive integrated employment and other innovative solutions.

Short URL: http://www.advancingstates.org/node/73666

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Medicaid LTSS Annual Expenditures Report for Federal Fiscal Year 2019

On January 12, 2022, CMS released the Medicaid LTSS Annual Expenditures Report for Federal Fiscal Year (FFY) 2019. This report discusses the LTSS rebalancing trends and growth in expenditures for home and community-based services as compared to institutional spending during the time period reviewed.

Short URL: http://www.advancingstates.org/node/73332

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Investing in Medicaid HCBS is Good for Medicare

Justice in Aging's new fact sheet, Investing in Medicaid HCBS is Good for Medicare, explains why investing in Medicaid HCBS is good for people with Medicare and the Medicare program. Robust funding for Medicaid HCBS would expand access to services, helping people with Medicare who are dually eligible for Medicaid avoid hospitalizations and other costly care.

Short URL: http://www.advancingstates.org/node/73168

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Federal Funding and Future Planning: State Budget Considerations Webinar

The wave of federal funding from programs like the American Rescue Plan and Consolidated Appropriations acts can be overwhelming to comprehend. Many state leaders are wondering how best to invest these funds while keeping future needs in mind. This panel of state-level experts will provide considerations for funding topics including: • Understanding current funding initiatives • Considering the range of options states have to use funds • Implementing innovations like private-pay programs

Short URL: http://www.advancingstates.org/node/72942

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Better Care Better Jobs Act Introduced in the Senate

On June 24, 2021, the Better Care Better Jobs Act, S. 2210, was introduced in the United States Senate and referred to the U.S. Senate Committee on Finance. The bill would expand access to home and community-based services (HCBS) by providing $100 M for states to expand access to Medicaid HCBS and strengthen the HCBS workforce, and provide states a 10% increase in the Medicaid Federal Medical Assistance Percentage (FMAP) for HCBS.

Short URL: http://www.advancingstates.org/node/72751

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Unprecedented Opportunities to Achieve the Promise of Olmstead

On June 22, 1999, the U.S. Supreme Court issued its ruling in Olmstead v L.C., delcaring that people with disabilities have a civil right under the Americans with Disabilities Act to live and fully participate in their communities. ACL's Acting Administrator and Assistant Secretary for Aging, Alison Barkoff, released a blog post on June 22, 2021 disucssing the significance of this ruling and the importance of expanding our HCBS system following the COVID-19 pandemic.

Short URL: http://www.advancingstates.org/node/72704

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