Medicaid Beneficiaries Who Need Home and Community-Based Services: Supporting Independent Living and Community Integration

Introduction
  1. See generally Kaiser Commission on Medicaid and the Uninsured, Five Key Facts About the Delivery and Financing of Long-Term Services and Supports (Sept. 2013), available at https://www.kff.org/medicaid/fact-sheet/five-key-facts-about-the-delivery-and-financing-of-long-term-services-and-supports/.

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  2. For additional examples of HCBS, see Victoria Peebles and Alex Bohl, CMS/Mathematica Policy Research, The HCBS Taxonomy: A New Language for Classifying Home and Community-Based Services (Aug. 2013), available at http://www.mathematica-mpr.com/publications/PDFs/health/max_ib19.pdf?spMailingID=7043783&spUserID=MTg0ODk4MzU1MwS2&spJobID=90194295&spReportId=OTAxOTQyOTUS1.

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  3. See 42 U.S.C. § 1396n (j), (k).

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  4. Pseudonyms have been used at an individual’s request.

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  5. Kaiser Commission on Medicaid and the Uninsured, Medicaid Home and Community-Based Services Programs:  2010 Data Update (March, 2014), available at https://www.kff.org/medicaid/report/medicaid-home-and-community-based-service-programs/.  These figures reflect enrollment and expenditures for Medicaid state plan home health and personal care services and § 1915(c) waivers.  States also may provide Medicaid HCBS through § 1115 waivers, the Balancing Incentive Program, the Community First Choice state plan option, and § 1915(i).

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  6. For more information, see Kaiser Commission on Medicaid and the Uninsured, Medicaid Long-Term Services and Supports:  An Overview of Funding Authorities (Sept. 2013), available at https://www.kff.org/medicaid/fact-sheet/medicaid-long-term-services-and-supports-an-overview-of-funding-authorities/.

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  7. Kaiser Commission on Medicaid and the Uninsured, Medicaid Home and Community-Based Services Programs:  2010 Data Update (March, 2014), available at https://www.kff.org/medicaid/report/medicaid-home-and-community-based-service-programs/.

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  8. Id.

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  9. Olmstead v. L.C. 527 U.S. 581 (1999), available at http://www.law.cornell.edu/supct/html/98-536.ZS.html.

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