HCBS

This Kaiser Family Foundation analysis found that 656,000 people nationwide were on state waiting lists for home and community-based services financed through Medicaid waivers in 2021. This new data is among the latest set of findings from the 20th KFF survey of state officials administering Medicaid HCBS programs in all 50 states and Washington, DC.

In 2016, ACL's Administration on Aging contracted ICF International (ICF) to conduct a participatory evaluation of the Title VI Grant Program. This program provides home and community-based supportive services for older American Indian, Alaskan Native, and Native Hawaiian populations. The evaluation addresses topics such as: how tribes/organizations operate their Title VI Programs; the impact of Title VI programs on elders in the community; and more.

Presentation from the 2017 HCBS Conference on "Why and How Minnesota is Keeping LTSS Quality Measures Relevant".

Includes archives of prior webinars on HCBS Quality efforts.

The Administration for Community Living (ACL), joined the Department of Health and Human Services (HHS) Office of Inspector General (OIG) and the HHS Office of Civil Rights to produce a report on ensuring beneficiary health and safety in group homes through state implementation of comprehensive compliance oversight. This report serves as a resource for states to use as a part of efforts to ensure that all group homes are safe and healthy places for people with disabilities.

The Government Accountability Office (GAO) examined states’ needs assessment processes for provision of long-term services and supports. GAO studied six states that differed in the following ways: assessment tools in use, participation in federal initiatives, HCBS delivery systems, and geographic location. GAO also reviewed federal requirements and documents and interviewed CMS officials and stakeholders.

This guide is designed to provide elder law attorneys with a better understanding of the HCBS Settings Rule and how they can advocate for a strong, effective system that achieves the spirit and intent of the rule. The guide includes an overview of the rule, a process for states to comply with the HCBS Rule, opportunities for advocacy to promote your clients' best interests, and a review of special issues including dementia care and evictions.

This report provides information about Medicaid LTSS beneficiaries in 2013. The report estimates that approximately 5.2 million people received Medicaid-funded long-term services and supports (LTSS) during calendar year 2013. This data includes state-reported estimates for managed LTSS programs. 72 percent of LTSS beneficiaries received home and community-based services (HCBS), including people who received institutional services during the year.

The Milbank Memorial Fund’s Reforming States Group, with the New York State Health Foundation, published an issue brief that is a practical guide for policymakers who want to know when and how states can use Medicaid to facilitate access to social services. It offers a road map of the legal authorities upon which policymakers can rely to extend Medicaid coverage to social interventions and provides examples of how Medicaid can be an important component in improving the health of populations.