Financing HCBS

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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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Modernizing Long-Term Services And Supports And Valuing The Caregiver Workforce

ATI Advisory, supported by the Robert Wood Foundation, has conducted research to create a package of recommended legislative and administrative reforms around LTSS and the caregiving workforce. The goal of the reforms is to increase access to HCBS, reduce the institutional bias in Medicaid, and create a strong caregiving workforce.

Short URL: http://www.advancingstates.org/node/72530

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State Variation in Medicaid LTSS Policy Choices and Implications for Upcoming Policy Debates

This brief takes a look at multiple measures beyond waiver waiting lists to evaluate state choices about optional Medicaid eligibility pathways, spending, and services for seniors and people with disabilities as of 2018. The analysis draws on KFF resources, including 50-state surveys of Medicaid financial eligibility pathways for seniors and people with disabilities, HCBS waiver programs, and state plan benefits offered, as well as state Medicaid LTSS expenditures reported by Mathematica.

Short URL: http://www.advancingstates.org/node/72444

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Reimbursement for Evidence-Based Health Promotion Programs in the Community: Strategies and Approaches to Medicaid and Medicare Advantage Coverage

NCOA and Health Management Associates (HMA) have released a new report detailing eight strategies and approaches to expand funding for evidence-based health programs. NCOA and HMA reviewed five states and one city- California, Colorado, Maine, Massachusetts, New York City, and Washington- with community-based organizations that have strong partnerships with Medicaid agencies and managed-care organizations.

Short URL: http://www.advancingstates.org/node/72186

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Short-Term Money Follows the Person Extensions Resulted in a Significant Drop in State Efforts to Transition People Out of Institutions

The Community Living Policy Center (CLPC) released a brief describing how short-term extensions of the Money Follows the Person (MFP) program have curtailed state efforts in transitioning individuals out of institutions. The CLPC based their findings on CMS data on annual transitions in each state.

Short URL: http://www.advancingstates.org/node/72035

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HCBS Conference 2019- Presentations

The Home and Community Based Services (HCBS) Conference is hosted annually by ADvancing States (formerly known as NASUAD). This event highlights best practices from across the country in home and community-based services. The conference includes federal, state, and local policymakers as well as those who administer, manage, and deliver waiver and other HCBS programs. This link contains all of the slide presentations from the 2019 HCBS Conference.

Short URL: http://www.advancingstates.org/node/71741

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