Medicaid Waivers

On May 28, 2004, Glenn Stanton Acting Director of CMS’ Disabled Elderly Health Programs Group transmitted modifications and additions to the Interim Procedural Guidance for oversight of Medicaid waivers to all CMS Regional Administrators. The Guidance documents include the memo from Mr. Stanton, a diagram detailing the HCBS Waiver Quality Life Cycle and several attachments. The Guidance was updated in Feb. 2007, the link to that letter is also attached.

The Formative Evaluation of the Real Choice Systems Change Grants evaluates how the Systems Change grantees are progressing towards meeting their goals. The Formative Evaluation identifies problems faced by the grantees and ways that they deal with the problems. This document provides summary information about each of the FY2003 Grantees.

This memorandum presents data on Medicaid long term care expenditures in Federal Fiscal Year 2003 (September 2002 through September 2003). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1991 to 2003.

This memorandum and the accompanying tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1998 through 2003.

This document looks at Colorado's home and community based services. Specifically, the report focuses on single point of entry and single access points.

The Compendium contains basic information about each of the Real Choice Systems Change Grantees. The Compendium will help you learn more about how these grants will be used to allow more people of all ages with a disability or long term illness to live and participate in their communities. Real Choice Systems Change Grantees will also find the Compendium useful to identify other Grantees with similar goals and activities. This edition of the Compendium replaces all previous editions.

This report focuses on how to cover targeted case management for nursing facility transition activities. The report includes sample Medicaid state plan amendment language.

A transcript and summary of the primary options for covering case management as discussed during a call on 11/10/03 with Mary Jean Duckett are provided here. The three options states may use to cover case management under Medicaid that are relevant to NFT were discussed. These included: 1915 (c) home and community based waivers; Targeted cased management services; and Administrative activity.

This link to the National Academy for State Health Policy (NASHP)website contains the presentations from the 2004 CMS Conference held March 2-3, 2004.

The Participant Experience Surveys (PES) is an interview tool developed by MEDSTAT under a contract from CMS. The surveys capture data that can be used to calculate indicators for monitoring quality within the waiver prograns. Two versions of the PES are included, one for frail elderly and adults with physical disabilities and another for adults with MR/DD. A Users' Guide accompanies each PES. Each survey can be conducted in a face-to-face interview in 30 minutes or less.