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Key Issues in Medicaid and Home and Community-Based Services and Support

These briefs examine current issues in providing more people who need long-term care services and supports access to these Medicaid services in home and community-based settings rather than in institutional ones.

The first brief, Advancing Access to Medicaid Home and Community-Based Services: Key Issues Based on a Working Group Discussion with Medicaid Experts , highlights key strategies to address financing, program administration and community workforce challenges that key experts, federal and state officials and advocates believe must be overcome to expand access to home and community-based services (HCBS).

A companion brief, Efforts in States to Promote Medicaid Community-Based Services and Supports, summarizes lessons in offering more home and community-based services from states at the forefront of the effort. The brief describes current options for state Medicaid programs and draws on interviews with state officials to provide details about specific policies and procedures in states.