Home & Community Based Services

How States Can Prevent Evictions When Implementing Federal HCBS Regulations

By | Health Care, Home & Community Based Services, ISSUE BRIEF, REPORTS
This new issue brief discusses how states should implement the new federal Home and Community-Based Services (HCBS) regulations in order to prevent improper evictions.

In 2014, the Centers for Medicare and Medicaid Services (CMS) released regulations that set standards for the settings in which HCBS are provided. To implement these regulations, each state must have a transition plan approved by CMS by March 2019, with full compliance required by March 2022.
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Senate ACA-Repeal Knocks Down House, Builds Shack

By | Affordable Care Act, BLOG, Health Care, Health Care Defense, Home & Community Based Services, HOMEPAGE
Over 90% of older adults say that they want to remain in their homes as they age, rather than going into a nursing home. A successful and popular program, Community First Choice (CFC), lets people do just that.

The revised Senate health care bill brings an idea that should be a hard sell for the over 3 million older adults and people with disabilities who rely on Medicaid for in-home care. On top of a massive almost $800 billion cut to Medicaid that guarantees shrunken programs and eliminated services, the Senate bill kills CFC and replaces it with an inferior version that provides fewer services for a limited time only.

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As Demand for At-Home Care Grows, States Debate How to Pay for It

By | Home & Community Based Services, IN THE NEWS, Long Term Care, Medicaid, Nursing Homes As Demand for At-Home Care Grows, States Debate How to Pay for It (7/2017) Justice in Aging’s Kevin Prindiville discusses the increasing funding need for at home and in-community-based programs as older Americans opt to stay home. “The trend is shifting at every level to care at home and in community-based settings. People are increasingly asking for and expecting this.”

New Regulations Create Opportunity for Better Long Term Services and Supports: Medicaid Managed Care Regulation Preview

By | BLOG, Health Care, Home & Community Based Services, HOMEPAGE, In-Home Supportive Services, Person-Centered Care Planning
States and the federal government spend over $14 billion a year on Medicaid managed long-term services and supports—yet, there has never been an clear federal regulation defining state and managed care plan responsibilities in this massive enterprise. Until now. Last week, the federal Centers for Medicare & Medicaid Services (CMS) released a final regulation on Medicaid Managed Care. This new regulation details, among other things, the federal government’s expectations for states and managed care organizations (MCOs) that contract to deliver managed long-term services and supports (LTSS) for older adults and people with disabilities. Read More

WEBINAR: California’s New Health Homes Program: The Basics

By | Health Care, Home & Community Based Services, WEBINAR
When: Wednesday, March 30, 2016 11 a.m.- 12 p.m. PDT

The state of California is moving forward with implementation of the Health Homes for Patients with Complex Needs also known as the Health Homes Program (HHP). The HHP is aimed at providing extensive care coordination for the highest risk Medi-Cal beneficiaries to improve their health outcomes. Implementation is scheduled to begin in certain counties starting January 1, 2017.

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Just Like Home: The Impact of the Federal HCBS Regulations on Older Adults

By | Home & Community Based Services, ISSUE BRIEF, Medicaid, REPORTS

New federal regulations have established first-time standards for when settings qualify as “community-based” for the purposes of Medicaid-funded Home and Community-Based Services (HCBS). Each state is charged with developing a transition plan to meet these standards. These plans will have a huge impact on older adults receiving Medicaid-funded HCBS in assisted living, adult day services, and other settings.

Consumers and their advocates must be heard in the states’ transition planning processes. Justice in Aging’s new issue brief provides policy recommendations for consideration by states and stakeholders. The transition plans must confront and answer many important questions.

  • What service models are eligible for payment?
  • Should services in assisted living facilities be covered?
  • What about adult day care programs?
  • Does the size of these programs matter?
  • And should programs be allowed to be “secure”, i.e., locked, if they care for persons with dementia?

The recommendations address (among other things) how to assess settings for compliance, judging whether a setting is integrated with the community, protecting consumers from eviction, and applying the regulations when consumers have dementia.

WEBINAR: Just Like Home: The Impact of the Federal HCBS Regulations on Older Adults

By | ASSISTED LIVING, Health Care, Home & Community Based Services, Medicaid, WEBINAR
When: Tuesday, June 9 at 2:00 p.m. ET/11:00 a.m. PT

The new federal home and community-based services (HCBS) regulations offer an opportunity for states and stakeholders to improve Medicaid long-term services and supports for older adults.  At the state and national level, the transition process to comply with the regulations is initiating thoughtful discussions about what it means to provide quality, community-based care, in a variety of settings. Read More

Great Resources on CMS’s HCBS Rules

By | FACT SHEET, Home & Community Based Services, REPORTS, Uncategorized

In early 2014, after a lengthy public process, CMS finalized new rules that define the characteristics of a Home & Community-based Services (HCBS) setting. The new standards aim to improve HCBS quality and ensure individuals who receive Medicaid HCBS services can engage and fully participate in community life, better control and coordinate their care, and have opportunities to seek employment in competitive settings.

In response to persistent confusion and misinformation about the new HCBS settings rules, a group of national disability and aging organizations (including Justice in Aging) put together a Q&A written for advocates and the general public to explain the transition process and what the rules do and do not require.

States must submit state-wide transition plans to CMS before March 17, 2015 and must first provide the public opportunity to comment on these plans. You can find information on your state’s status at Justice In Aging has a number of resources on the new rule, available here.

State Transition Plans for New Medicaid HCBS Regulations: Four Tips for Consumer Advocates

By | Home & Community Based Services, Medicaid, REPORTS


In this July tool for consumers, NSCLC shares four tips regarding state transition plans for new Medicaid HCBS regulations. States now are beginning to release their transition plans to bring their Medicaid HCBS systems into compliance with the new federal regulations on community-based settings. It is essential that consumers and their representatives be prepared to evaluate those plans and advocate for improvements.