Medicaid Waivers

Community Service Options, Inc (CSO) is an organization dedicated to assisting persons with developmental disability to receive service and live in the “least restrictive” setting. CSO provides screening, eligibility assessment, service coordination, and advocacy throughout the Chicago area. The website provides links to their services and assessment tools.

This letter announces the availability of a new technical assistance tool for use by States who wish to assess the current state of their long-term care systems, including their progress towards rebalancing. \"A Model State Profile for Assessing a State Long-Term Care System\", along with a \"Technical Assistance Guide to Assessing a State Long-Term Care System\" are now available on the CMS website.

The Medicaid Home and Community-Based services waiver program is authorized in §1915(c) of the Social Security Act. The program permits a State to furnish an array of services that assist beneficiaries to live in the community and avoid institutionalization. CMS recognizes design and operation features of a waiver program will vary depending on the specific needs of the target population, the resources available, service delivery system structure, State goals and objectives, and other factors.

The Oregon Dept. of Human Services, Division of Seniors and People with Disabilities (SPD) contracted with Human Service Research Institute to develop a consumer survey exploring the satisfaction of people served by SPD in-home Waiver programs (seniors, people with physical and developmental disabilities). The project team worked collaboratively with SPD staff and Stakeholder Group to develop a survey instrument and process that adequately addresses the interests and concerns of all involved.

The West Virginia Medicaid Aged and Disabled Waiver Program developed a number of provider audit tools. Monitoring Tools include: Site, Homemaker, Case Management, Personnel Files and Quality Assurance.

HHS announced on September 15, 2006, the award of $20 million in grants to states to develop programs for people with disabilities or long term illnesses. The eight states receiving a 2006 award are California, Virginia, Michigan, North Carolina, New York, New Jersey, Rhode Island and Kansas. The award will help states and territories “rebalance” their long-term support programs to help people with chronic illness or disabilities to reside in their homes and participate fully in community life.

As part of the 2004 Real Choice grants, New Hampshire and Wisconsin proposed to complete a feasibility study and then develop LIFE Account programs. With no federal legislation creating a savings program, grantees are restricted to modified program that works under existing law. This paper considers six options: Section 1115 Demonstrations, Waivers under Section 1915(c) & 1915(b), Section 1915(i) & 1915(j) State Plan programs, and Section 1937 Benchmark programs and suggests some next steps.

This is a comprehensive report detailing the results of Maryland's 2004 and 2005 Participant Experience Survey (PES) results. The PES is a tool, developed by Medstat that measures the experiences of participants of 1915c waivers. The Maryland Department of Health and Mental Hygiene used funds from a 2001 Real Choice Systems Change Grant to survey two Maryland waivers, the Living at Home Waiver and the Older Adults Waiver.

This guide describes Medicaid services that are designed to help individuals who are at risk of institutionalization remain in their homes. It describes the range of home and community-based services available through Medicaid and can help consumers, families, and health care professionals make informed decisions about long-term care services. This brochure was developed as part of their Real Choice grant in 2005 where over 7.500 copies were distributed. Review their latest 2006 version.

HCBS.org News CLIPS highlights the important work of Real Choice Systems Change Grantees. In this issue, we have interviewed 3 grantees (Tracy Warren from Idaho, Abby Hulme from Montana and Diane King from Colorado) to discuss the implementation of their Independence Plus Programs. Learn more about outreach and enrollment techniques, consumer involvement, on-line training tools, peer consultants, and improving emergency back up procedures.