Posted on November 2, 2009 14:59
Categories: Medicaid
Topics: Access/Barriers | Medicaid | Providers
The Kaiser Family Foundation released a report highlighting strategies to expand access to home and community-based services (HCBS). The strategies outlined include increasing federal financing to administer HCBS, simplifying the process for state programs to provide HCBS, expanding eligibility and expediting program eligibility determinations, and developing additional capacity in the long-term and community care workforce.
From the report:
The purpose of this brief is to frame the current issues facing Medicaid home and community-based services (HCBS) and to address some practical and potentially cost effective steps the states and the federal government could take to increase access to community-based long-term services and supports.
There is a well known bias in Medicaid policy that steers people with long-term care needs into an institutional setting while most beneficiaries would prefer to remain living in their own homes or community while receiving services. [...] In order to further shift the delivery setting for more costly long-term care services to home and community-based settings, states as well as many consumer and worker advocates are looking to the federal government to provide additional financial support. In this context, the Kaiser Commission on Medicaid and the Uninsured gathered a group of key experts, federal and state officials and advocates to facilitate an open exchange of information and ideas around expanding Medicaid eligibility and access to community-based services, increasing federal financing of long-term services and supports, and addressing community workforce issues. This brief documents some of the highlights from the discussion.
Full report: Advancing Access to Medicaid Home and Community-Based Services (PDF | 235.65 KB) 
The Kaiser Family Foundation. (2009). Advancing access to Medicaid home and community-based services: Key issues based on a working group discussion with Medicaid experts.
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