![]() Janet OKeeffe, whose extensive knowledge of long-term service policy combined with her energy, her talent for organizing large quantities of complex information, and her ability to work with multiple constituencies, enabled us to complete this project However, I want to recognize a few individuals whose outstanding efforts and dedication made this Primer a reality: This Primer would not have been possible without the commitment and hard work of many people. I believe this Primer will be a useful tool for all those working to expand home and community services and supports to enable people with disabilities to live in the most integrated settings appropriate to their needs. To encourage a fundamental approach to the support of persons with disabilities that minimizes reliance on institutions and maximizes community integration in the most cost-effective manner. To explain how the Medicaid program can be used to expand access to a broad range of home and community services and supports for people of all ages with disabilities, and to promote consumer satisfaction and control We are pleased to offer this Primer on Medicaid Home and Community Services to serve as a reference guide. It is no surprise that there are a host of questions about what is allowable under Medicaid law and regulation. Medicaid is a flexible program but it is also a complex program. Since then, the Department has received numerous requests from state officials, consumers, and other stakeholders for information on how to use the Medicaid program to increase the availability of home and community services. In her July 28, 1999, address to the National Conference of State Legislatures, Secretary Shalala stated clearly that The Olmstead decision defines our mission: To build better systems of supports enabling people with disabilities to live life to the fullest. gives legal weight to this policy direction. ![]() The recent Supreme Court decision in Olmstead v L.C. These programs enable people with significant disabilities to live in their communities and offer consumers more control over the services they receive. Many states have led the way in using Medicaid to design innovative and fiscally responsible long-term service programs. Medicaid now pays for a comprehensive range of home and community services that provide alternatives to unnecessary institutional care. They asked for the resources they needed to live independently and the government responded. In the following decades, people with disabilities of all ages and their advocates played a significant role in the evolution of the Medicaid program. When Medicaid was first enacted, payment for long-term services was made solely to institutions such as nursing homes. Medicaid is the major public payer of long-term services and supports for millions of low-income Americans. Humphrey Building, 200 Independence Avenue, SW, Washington, DC 20201. For additional information about the study, you may visit the DALTCP home page at or contact the ASPE Project Officer, Gavin Kennedy, at HHS/ASPE/DALTCP, Room 424E, H.H. ![]() Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and George Washington University's Center for Health Policy Research. ![]() ![]() This report was prepared under contract #HHS-100-97-0015 between the U.S. Gary Smith, Janet O'Keeffe, Letty Carpenter, Pamela Doty, Gavin Kennedy, Brian Burwell, Robert Mollica and Loretta Williams George Washington University, Center for Health Policy Research ![]()
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