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The Henry J. Kaiser Family Foundation

Key Issues in State Implementation of the New and Expanded Home and Community-Based Services Options Available Under the Affordable Care Act

This brief summarizes the key issues identified and discussed by participants in Kaiser Family Foundation’s Commission on Medicaid and the Uninsured’s July 16, 2013 roundtable meeting on state adoption of the new and expanded Affordable Care Act home and community-based services (HCBS) options. While states have made overall progress in rebalancing their long-term care systems in favor of community-based care, state adoption of ACA HCBS options has been relatively slow to date, despite the growing demand for HCBS among beneficiaries and the enhanced federal funding associated with several of these options.

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The Henry J. Kaiser Family Foundation

The Sleeper in Health Reform: Long-Term Care and the CLASS Act

The Kaiser Family Foundation briefing examines a little-noticed but major provision in two leading health reform bills that would change the way that the U.S. pays for long-term care. The provision, known as the Community Living Assistance Services and Supports (CLASS) Act, would establish a national voluntary insurance program that…

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The Henry J. Kaiser Family Foundation

Medicaid’s Role in Meeting the Long-Term Care Needs of America’s Seniors

This brief examines Medicaid’s key role in meeting the long-term care needs of seniors in the United States, particularly those with limited incomes. Medicaid is the nation’s primary payer of long-term services and supports, and state Medicaid programs provide a range of long-term care services. The brief includes state-by-state data…

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The Henry J. Kaiser Family Foundation

Implementation of Affordable Care Act Provisions to Improve Nursing Home Transparency, Care Quality, and Abuse Prevention

The Affordable Care Act (ACA) is the first comprehensive legislation since the Nursing Home Reform Act, part of the Omnibus Budget Reconciliation Act of 1987 (OBRA ’87), to expand quality of care-related requirements for nursing homes that participate in Medicare and Medicaid and improve federal and state oversight and enforcement.…

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The Henry J. Kaiser Family Foundation

Case Study: Michigan’s Money Follows the Person Demonstration

This case study looks at Michigan’s Money Follows the Person (MFP) demonstration program, which has enabled the state to accelerate existing transition activities and increase access to home- and community-based services (HCBS) by providing enhanced federal funds for each MFP participant’s 365-day enrollment period. Through MFP, Michigan is able to…

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The Henry J. Kaiser Family Foundation

Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid Assets Transfer Practices

Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid AssetsTransfer PracticesIn the Deficit Reduction Act of 2005, Congress tightened Medicaid asset transfer rules for individuals qualifying for Medicaid assistance with nursing home bills. Research on asset transfer shows a low incidence of asset transfers and limited cost savings from tightening…

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The Henry J. Kaiser Family Foundation

Long-Term Service and Supports: The Future Role and Challenges for Medicaid

This report examines the structure and impact of Medicaid’s role in long-term care. Based on a roundtable discussion of policy makers and experts and drawn from a body of health services research, the report highlights policy challenges facing the Medicaid program today and identifies issues in providing long-term care going…

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The Henry J. Kaiser Family Foundation

Consumer Direction of Personal Assistance Services in Medicaid: A Review of Four State Programs

Consumer Direction of Personal Assistance Services in Medicaid: A Review of Four State ProgramsMedicaid consumer direction of personal assistance services (CD-PAS) is a growing trend. Although overall enrollment in these programs is small, 42 states offered consumer direction in Medicaid in 2006. These programs allow Medicaid beneficiaries control over hiring,…

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The Henry J. Kaiser Family Foundation

Key Issues in Understanding the Economic and Health Security of Current and Future Generations of Seniors

As part of broad deficit-reduction plans, policymakers are considering reforms to the nation’s three major entitlement programs – Medicare, Medicaid and Social Security – that could significantly affect the economic security of seniors in their retirement years. This brief examines the role of these programs in ensuring seniors’ financial security…

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The Henry J. Kaiser Family Foundation

Among Dual Eligibles, Identifying The Highest Cost Individuals Could Help In Crafting More Targeted And Effective Responses

This Health Affairs article by researchers at the Urban Institute analyzes linked Medicare and Medicaid data to examine dual eligibles’ utilization and spending in both programs in 2007. It finds that while the population of people dually eligible for Medicare and Medicaid is indeed costly, it is not monolithic. For…

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