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Medicaid — Home and Community Based Waiver

Kaiser Medicaid Timeline Kaiser Medicaid Benefit Database

HCBS Waiver
HCBS State Plan Option

Important CMS HCBS Waiver Resources

HCBS Waiver Overview

Modified CMS State Medicaid Manual (August 8, 2008)

CMS Medicaid Waiver and Demonstration List

CMS Medicaid Waiver and Demonstration Map by States

CMS Instrument for Reviewing HCBS Waiver Applications 3.5 (July 28, 2008)

HCBS Waiver Application Version 3.5 [ZIP 222KB]

Version 3.5 Instructions Technical Guide and Review Criteria (July 28, 2008)

Version 3.5 Resource Attachments (July 28, 2008)

HCBS Work Book Improving the Quality of Home and Community Based Services and Supports (April 15, 2008)

CMS Guide to Employing Individual Providers Under Participant Direction (April 15, 2008)

CMS HCBS Website (April 15, 2008)

HCBS Quality Toolkit (April 15, 2008)
CMS Communications (April 15, 2008)
Quality Oversight (April 15, 2008)

Kerry/Grassley “Empowered at Home Act” (August 14, 2008)
- Text of S.3327- The Empowered at Home Act
AARP July 2008 Report: A Balancing Act: State Long-Term Care Reform (July 15, 2008)
GAO Report on HCBS Waivers: CMS Should Encourage States to Conduct Mortality Reviews for Individuals with Developmental Disabilities (July 2, 2008)
State Medicaid Directors' Letter: Expanded Access to Home and Community-Based Services for the Elderly and Disabled (April 16, 2008)
- Similarities and Differences Between HCBS Waivers and State Plan HCBS
Medicaid Home and Community-Based Service Programs: Data Update (December 2007)
GAO Report on Lack of Public Input in Medicaid Waivers Still a Concern (July 24, 2007)
Gauging the Supports for HCBS Waivers for Persons with ID/DD (ASPE, 123 pages)
CMS Disabled & Elderly 2007-2009 Strategic Plan (February 20, 2007)
Home and Community Based Services Programs: Annual Update (Kaiser, December 15, 2006)
Residential Services for Persons with DD: Statuts and Trends Through 2005 (U of Minnesota, July 2006)
New Kaiser State Health Facts on Models for Elderly HCBS Services and Individual Budgets (May 2, 2006)
CMS April 26th Open Door Forum on New DRA Children's HCBS Psychiatric Waiver (April 2006)
CMS State Waivers and Demonstration Projects (April 4, 2006)
Families USA 1115 Waiver Tool Box (April 4, 2006)
HCBS Clearinghouse on State-by-State Medicaid Programs (April 4, 2006)
Rebalancing Long-Term Care: The Role of the Medicaid HCBS Waiver Program (National Health Policy Forum, Georgetown University, March 2006)
New Kaiser State Facts on 1915(c) Home and Community Based Waiver Services
CMS Letter to State Medicaid Directorson Money Follows the Person (August 17, 2004)
Medicaid Reform: Letter from Senators Grassley and Baucus to CMS on 1115/MegaWaiver Concerns 1/16/04)
CMS Quality in Home and Community Based Services Resources (4/20/04):
- Final HCBS Quality Framework
  - February 2004 State Medicaid Letter on Quality Framework for HCBS
- Quality Inventory Report
  - February 2004 State Medicaid Letter on Quality Inventory Report
- Promising Practices--HCBS Quality Briefs
Addressing Liability Issues in Consumer-Directed Personal Assistance: The National Cash and Counseling Demonstration and Selected Other Models (HHS/ASPE, January 2004)
An Overview of the Independence Plus Initiative to Promote Consumer-Direction of Services in Medicaid (Kaiser Commission, November 2003)
CMS Letter on Money Follows the Person (11/10/03)
CMS Quality in Home and Community-Based Services (11/10/03)
CMS Series of Reports on HCBS Quality (11/10/03)
CMS HCBS Workbook (11/10/03)
CMS Quality Communications (11/10/03)
CMS Quality Framework (11/10/03)
QCMS uality Action Plan (11/10/03)
GAO Report Calls for Strenghtening Federal Oversight of HCBS Waivers (7/18/03)
- GAO Abstract
- Full Report
Letter from Senators Grassley and Breaux to HHS Secretary on Concerns About Quality in Waiver Program (7/18/03)
State Map of Waiver Programs and Demonstrations (4/28/03)
Medicaid HCBS Waiver Summaries: To view the latest summary report of all regular approved home and community-based services waivers (12/12/02)
HHS Secretary Thompson Urges States to Expand HCB Services and Creates New Website (8/13/02).
On May 3rd, CMS sent a letter to State Medicaid Directors reminding states of the importance of public input--including provider input--in HCBS, 1115 waivers, and managed care Medicaid waivers. ANCOR members should engage their states in ensuring that there is adequate private provider involvement in the development of such waivers. (6/5/02)
The CMS issued a letter to Medicaid Directors on May 9th clarifying methoods by which HCBS waivers under section 1915(c) may aid in the transitioning of individuals with disabilities from institutional settings to their own home in the community through one-time transitional expenses. This clarification of allowable transitional costs was promised in the HHS New Freedom Report to President Bush. (5/17/02)
Disability Statistics on Medicaid and Community-Based Services (12/19/01)
Primer Available on Home and Community-Based Services Developed by the HHS's Office ASPE (12/19/01)
Home and Community Based Services Resource Network
CMS Regional Office Protocol for Conducting Full Reviews of State Medicaid Home and Community-Based Services Waiver Programs (1/1/01)
HCFA Description of Home and Community-Based Services 1915(c) Waiver
View the model approved home and community-based services waivers. (downloads a .pdf file)
View the latest summary report of all regular approved home and community-based services waivers. (downloads a .pdf file)
HCB Based Waiver Fact Sheet

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