ALFA applauds the Center for Medicare and Medicaid Services’ decision to expand its definition of settings eligible for Medicaid reimbursement for home and community-based services, which will help assisted living residents experience the independence and dignity they deserve.
The final rule addresses several sections of Medicaid law under which states may use federal Medicaid funds to pay for home and community-based services (HCBS). CMS said the rule reflects its intent to ensure individuals receiving services and supports through Medicaid’s HCBS programs have complete access to the benefits of community living.
CMS said in its announcement of the final rule that it is “moving away from defining home and community-based settings by ‘what they are not’ and toward defining them by the nature and quality of individuals’ experiences.”
ALFA appreciates that CMS valued its comments and feedback during the rule-making process.
“We strongly believe this rule is a positive step forward for Medicaid eligible seniors who deserve the opportunity to live in assisted living communities if they so choose,” said ALFA Vice President of Public Policy Maribeth Bersani. “Assisted living was started as a home- and community-based alternative to skilled nursing care 25 years ago. Our mission has always been to be person-centered and consumer-driven. We are pleased to finally have that recognition from CMS.”
The rule’s provisions establish a more “outcome-oriented” definition of home and community based settings than basing it solely on a setting’s location, geography or physical characteristics.
The CMS also specifies that service planning for Medicaid HCBS participants must be developed through a person-centered planning process addressing health and long-term services and support needs, which may include representatives who have been freely chosen by the individual to contribute to that process.
The final rule requires that all home and community-based settings meet certain qualifications including:
Implementation of the final rule begins March 17, but it includes a transition period for up to five years for states to comply.
Federal Agency Activity, Health Care, Medicaid, Medicaid, Medicare
The Health and Human Services Department and the nation’s top attorney general said last week they have recovered a record-breaking $4.3 billion in ta...
Federal Agency Activity, Health Care, Medicaid, Medicaid, Medicare, Science and Technology
A Health and Human Services Department office this week issued proposals for the 2015 edition of electronic health record technology certification cri...
Financing Senior Living – Consumer Education, Medicaid, Medicaid, Medicare, Reports
The California Medicaid Research Institute has profiled California counties using Medicaid for long-term services and supports, finding that Medi-Cal’...
Consumer Funding Resources, Financing Senior Living – Consumer Education, Medicaid, Medication Management, Public Policy, Reports
For most of 2013, at least 25 percent of contracts for the Medicare prescription drug benefit known as Medicare Part D had one or more plans suppresse...
ALFA's Public Policy Positions, cheatsheet, Consumer Funding Resources, Federal Agency Activity, Financing Senior Living – Consumer Education, Medicaid, Medicaid, Public Policy
ALFA applauds the Center for Medicare and Medicaid Services’ decision to expand its definition of settings eligible for Medicaid reimbursement for hom...