Understanding Medicaid Home and Community Services: A Primer

When Medicaid was first enacted, payment for long-term services was made solely to institutions such as nursing homes. Medicaid now pays for a comprehensive range of home & community services that provide alternatives to institutional care. Medicaid is a flexible program but it is also a complex program. It is no surprise that there are a host of questions about what is allowable under Medicaid law and regulation. This Primer on Medicaid Home and Community Services serves as a reference guide.