Download Free Medicaid Home And Community Based Waivers Book in PDF and EPUB Free Download. You can read online Medicaid Home And Community Based Waivers and write the review.

Home & community-based settings have become a growing part of states' Medicaid long-term care programs, serving as an alternative to care in institutional settings, such as nursing homes. To cover such services, however, states often obtain waivers from certain federal statutory requirements. This report reviews: (1) trends in states' use of Medicaid home & community-based service (HCBS) waivers, particularly for the elderly; (2) state quality assurance approaches, including available data on the quality of care provided to elderly individuals through waivers; & (3) the adequacy of federal oversight of state waivers. Charts & tables.
Deaths of individuals with developmental disabilities (DD) due to poor quality of care have been highlighted in the media. There have been concerns raised about inadequate safeguards for such individuals receiving care through state Medicaid home and community-based services waivers. CMS approves and oversees these waivers. Safeguards include the review of, and follow-up action to, critical incidents -- events that harm or have the potential to harm waiver beneficiaries. This report examines the extent to which states: (1) include, as a critical incident, deaths among individuals with DD in waiver programs; (2) have basic components in place to review such deaths; and (3) have adopted additional components to review deaths. Tables.