Knowledge (XXG)

Medicaid Home and Community-Based Services Waivers

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17: 520:. HCBS waivers expand the types of settings in which people can receive comprehensive long-term care under Medicaid. Prior to the creation of HCBS waivers, comprehensive long-term care was available through Medicaid only in institutional settings. Under an HCBS waiver, states can use Medicaid funds to provide a broad array of non-medical services (excluding room and board) not otherwise covered by Medicaid, if those services allow recipients to receive care in community and residential settings as an alternative to institutionalization. 454: 571:
The settings rule is a regulation that seeks to ensure the rights of people with disabilities receiving services through an HCBS waiver. This rule is written by the Centers for Medicare and Medicaid Services and came into full effect March 17, 2023.
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allowed that states could be in compliance with the Americans with Disabilities Act if they could demonstrate that they had a comprehensive, working plan to move people with disabilities into less restrictive settings. This provision along with
1388: 931: 1123: 1740: 1356: 182: 536:. Adoption of HCBS waivers by states was initially slow, but Congress has enacted a series of reforms since 1981 to make the use of HCBS waivers less prohibitive. The Supreme Court case, 1488: 735: 1573: 762: 1481: 1298: 1252: 893: 872: 1365: 996: 828: 1624: 1812: 1689: 1631: 842: 670: 627: 1807: 1747: 1465: 1035: 1817: 1225: 1218: 1139: 1802: 858: 851: 492: 1495: 319: 886: 1430: 1174: 879: 556: 20: 1726: 1661: 1645: 1557: 755: 533: 1827: 1668: 1437: 1063: 814: 789: 780: 172: 1566: 1516: 1509: 1319: 543: 1291: 1282: 835: 602: 1733: 1472: 1409: 1349: 1234: 906: 701: 1594: 1305: 807: 748: 730: 283: 1340: 1109: 796: 513: 359: 1682: 1095: 463: 1587: 1536: 1381: 1146: 1131: 865: 485: 349: 192: 89: 1779: 1543: 981: 974: 967: 960: 953: 946: 939: 1615: 354: 211: 142: 1822: 1710: 1696: 1580: 1550: 1402: 1312: 592: 547: 167: 607: 1754: 1608: 1211: 1116: 288: 16: 1423: 1275: 1268: 821: 771: 478: 303: 298: 55: 1770: 1416: 215: 162: 60: 1241: 1153: 1601: 1326: 308: 84: 1026: 1019: 1444: 1372: 1056: 187: 1451: 1204: 1088: 1079: 597: 436: 1102: 1703: 1261: 426: 1638: 1333: 1167: 177: 542:(1999), found unnecessary institutionalization to be a violation of the civil right established by the 1072: 1042: 923: 229: 137: 65: 1049: 800: 529: 458: 112: 915: 419: 45: 1160: 697: 264: 224: 107: 102: 1395: 587: 538: 395: 390: 259: 132: 1675: 1502: 1005: 740: 582: 517: 234: 652: 431: 405: 293: 1796: 725: 249: 97: 364: 313: 239: 720:– Information for advocates about the new home and community-based services rules 1527: 400: 382: 254: 30: 1458: 1195: 1188: 244: 653:"Rebalancing Long-Term Care: The Role of the Medicaid HCBS Waiver Program" 1181: 1012: 369: 50: 1389:
Federal Employees Liability Reform and Tort Compensation Act of 1988
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compliance led to rapid adoption by the states of the HCBS waiver.
1717: 15: 671:"Home & Community Based Services Final Regulation | Medicaid" 696:(Second ed.). New Brunswick, N.J.: Transaction Publishers. 744: 1741:
Surface Transportation and Uniform Relocation Assistance Act
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Emergency Food Assistance and Soup Kitchen-Food Bank Program
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Voting Accessibility for the Elderly and Handicapped Act
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Consolidated Omnibus Budget Reconciliation Act of 1985
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Superfund Amendments and Reauthorization Act of 1986
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Uniformed and Overseas Citizens Absentee Voting Act
1251: 995: 905: 779: 1653:Medicaid Home and Community-Based Services Waivers 1366:Emergency Planning and Community Right-to-Know Act 628:"Home and community-based services waivers. | CMS" 1690:Tax Equity and Fiscal Responsibility Act of 1982 1632:Interest and Dividend Tax Compliance Act of 1983 1748:Technical and Miscellaneous Revenue Act of 1988 1466:Temporary Emergency Food Assistance Act of 1983 1140:Caribbean Basin Economic Recovery Act of 1983 756: 486: 8: 1625:Garn–St. Germain Depository Institutions Act 1452:Safe Drinking Water Act Amendments of 1986 1431:National Appliance Energy Conservation Act 1175:Immigration Reform and Control Act of 1986 902: 763: 749: 741: 692:Smith, David G.; Moore, Judith D. (2015). 603:North Carolina's 1915(b)(c) Waiver Program 557:Centers for Medicare and Medicaid Services 493: 479: 26: 21:Centers for Medicare and Medicaid Services 1727:Secondary Mortgage Market Enhancement Act 1662:Omnibus Budget Reconciliation Act of 1987 1646:Omnibus Budget Reconciliation Act of 1981 1558:Federal Agricultural Mortgage Corporation 1226:Israel–United States Free Trade Agreement 1219:Canada–United States Free Trade Agreement 534:Omnibus Budget Reconciliation Act of 1981 516:Ch. 7, § 1396n §§ 1915(c), are a type of 506:Home and Community-Based Services waivers 1669:Railroad Retirement Solvency Act of 1983 1438:National Fishing Enhancement Act of 1984 734:) is being considered for deletion. See 528:Section 1915(c) was an amendment to the 1813:Federal assistance in the United States 1567:Cable Communications Policy Act of 1984 1517:Water Resources Development Act of 1988 1510:Water Resources Development Act of 1986 1320:Comprehensive Crime Control Act of 1984 619: 544:Americans with Disabilities Act of 1990 29: 1808:Mental health law in the United States 1292:Asbestos Hazard Emergency Response Act 1283:Office of National Drug Control Policy 90:Individualized Education Program (IEP) 1818:Medicare and Medicaid (United States) 1734:Surface Transportation Assistance Act 1473:The Emergency Food Assistance Program 1350:Emergency Food Assistance Act of 1983 1235:Omnibus Trade and Competitiveness Act 360:Disabled Peoples' International (DPI) 7: 1595:Extra-Long Staple Cotton Act of 1983 1306:Civil Rights Restoration Act of 1987 284:Social Security Disability Insurance 1803:Disability law in the United States 1341:United States Sentencing Commission 14: 1683:Economic Recovery Tax Act of 1981 738:to help reach a consensus. â€ș 1588:Expedited Funds Availability Act 1537:Agriculture and Food Act of 1981 1382:Emergency Wetlands Resources Act 1147:Comprehensive Anti-Apartheid Act 1132:We begin bombing in five minutes 546:that service be provided in the 453: 452: 350:National Telecommuting Institute 1828:Disability in the United States 1544:Agricultural Credit Act of 1987 1616:Dairy Export Incentive Program 355:Society for Disability Studies 212:Unlicensed assistive personnel 1: 1711:Low-Income Housing Tax Credit 1697:Katie Beckett Medicaid waiver 1639:Internal Revenue Code of 1986 1581:Deficit Reduction Act of 1984 1551:Agriculture Mediation Program 1403:Hunger Prevention Act of 1988 1313:Coastal Barrier Resources Act 651:Shirk, Cynthia (2006-03-03). 593:Least restrictive environment 548:least restrictive environment 23:(Medicaid administrator) logo 1755:Video Privacy Protection Act 1609:Conservation Reserve Program 1212:Trade and Tariff Act of 1984 1117:Strategic Defense Initiative 694:Medicaid Politics and Policy 657:National Health Policy Forum 289:Supplemental Security Income 51:Ableism / Disablism 1424:Minerals Management Service 1276:Anti-Drug Abuse Act of 1988 1269:Anti-Drug Abuse Act of 1986 772:Presidency of Ronald Reagan 731:Presidency of Ronald Reagan 304:Disabled students allowance 299:Disability Living Allowance 1844: 1417:Medical Waste Tracking Act 1410:Martin Luther King Jr. Day 894:Presidential proclamations 163:Disability rights movement 1764: 1602:Food Security Act of 1985 1503:Water Quality Act of 1987 1327:Armed Career Criminal Act 932:Joint session of Congress 532:created as a part of the 309:Disabled Persons Railcard 1445:Nuclear Waste Policy Act 1373:Toxics Release Inventory 736:templates for discussion 608:Utah’s HCBS ID/RC Waiver 322:the Severely Handicapped 278:Socioeconomic assistance 188:Sexuality and disability 1771:← Carter administration 1205:American Homecoming Act 1089:Constructive engagement 852:Administration scandals 598:Florida Medicaid waiver 510:Section 1915(c) waivers 437:Disability in the media 1704:Tax Reform Act of 1986 924:"Tear down this wall!" 427:Disability in the arts 250:Physical accessibility 24: 1780:Bush administration → 1334:Sentencing Reform Act 1242:Exon–Florio Amendment 1168:Executive Order 12333 1154:Goldwater–Nichols Act 829:Judicial appointments 815:Assassination attempt 178:People-first language 156:Societal implications 19: 1823:1981 in American law 1262:AIDS crisis response 1036:Soviet Union summits 245:Orthotics and braces 230:Assistive technology 1496:1982 VRA Amendments 1124:International trips 1096:Invasion of Grenada 866:Impeachment efforts 808:Second inauguration 801:Release of hostages 530:Social Security Act 206:Personal assistance 113:Learning disability 1103:Iran–Contra affair 797:First inauguration 567:HCBS Settings rule 508:(HCBS waivers) or 320:Assured Income for 25: 1790: 1789: 1161:Montreal Protocol 991: 990: 982:1988 SOTU Address 975:1987 SOTU Address 968:1986 SOTU Address 961:1985 SOTU Address 954:1984 SOTU Address 947:1983 SOTU Address 940:1982 SOTU Address 880:Executive actions 703:978-1-4128-5674-4 503: 502: 265:Web accessibility 225:Accessible toilet 108:Special education 46:Disability theory 39:Theory and models 1835: 1783: 1774: 1757: 1750: 1743: 1736: 1729: 1720: 1713: 1706: 1699: 1692: 1685: 1678: 1671: 1664: 1655: 1648: 1641: 1634: 1627: 1618: 1611: 1604: 1597: 1590: 1583: 1576: 1569: 1560: 1553: 1546: 1539: 1519: 1512: 1505: 1498: 1491: 1484: 1475: 1468: 1461: 1454: 1447: 1440: 1433: 1426: 1419: 1412: 1405: 1398: 1396:Grace Commission 1391: 1384: 1375: 1368: 1359: 1352: 1343: 1336: 1329: 1322: 1315: 1308: 1301: 1294: 1285: 1278: 1271: 1264: 1244: 1237: 1228: 1221: 1214: 1207: 1198: 1191: 1184: 1177: 1170: 1163: 1156: 1149: 1142: 1135: 1126: 1119: 1112: 1105: 1098: 1091: 1082: 1080:Governors Island 1075: 1066: 1059: 1052: 1045: 1038: 1029: 1022: 1015: 1008: 984: 977: 970: 963: 956: 949: 942: 935: 927: 919: 903: 896: 889: 887:Executive orders 882: 875: 868: 861: 854: 845: 838: 831: 824: 817: 810: 803: 792: 765: 758: 751: 742: 707: 685: 684: 682: 681: 675:www.medicaid.gov 667: 661: 660: 648: 642: 641: 639: 638: 624: 588:Olmstead v. L.C. 539:Olmstead v. L.C. 495: 488: 481: 456: 455: 396:Paralympic Games 391:Special Olympics 260:Universal design 183:Pejorative terms 27: 1843: 1842: 1838: 1837: 1836: 1834: 1833: 1832: 1793: 1792: 1791: 1786: 1777: 1768: 1760: 1753: 1746: 1739: 1732: 1725: 1716: 1709: 1702: 1695: 1688: 1681: 1676:Reagan tax cuts 1674: 1667: 1660: 1651: 1644: 1637: 1630: 1623: 1614: 1607: 1600: 1593: 1586: 1579: 1572: 1565: 1556: 1549: 1542: 1535: 1528:Economic policy 1522: 1515: 1508: 1501: 1494: 1487: 1480: 1471: 1464: 1457: 1450: 1443: 1436: 1429: 1422: 1415: 1408: 1401: 1394: 1387: 1380: 1371: 1364: 1355: 1348: 1339: 1332: 1325: 1318: 1311: 1304: 1299:Cannabis policy 1297: 1290: 1281: 1274: 1267: 1260: 1253:Domestic policy 1247: 1240: 1233: 1224: 1217: 1210: 1203: 1194: 1187: 1180: 1173: 1166: 1159: 1152: 1145: 1138: 1129: 1122: 1115: 1108: 1101: 1094: 1087: 1078: 1071: 1062: 1055: 1048: 1041: 1034: 1025: 1018: 1011: 1006:Reagan Doctrine 1004: 987: 980: 973: 966: 959: 952: 945: 938: 930: 922: 914: 901: 892: 885: 878: 873:Opinion polling 871: 864: 859:Bush transition 857: 850: 841: 834: 827: 820: 813: 806: 795: 788: 775: 769: 739: 714: 704: 691: 688: 679: 677: 669: 668: 664: 650: 649: 645: 636: 634: 626: 625: 621: 617: 612: 583:Medicaid waiver 578: 569: 526: 518:Medicaid waiver 499: 468: 442: 441: 422: 412: 411: 410: 385: 375: 374: 345: 344: 328: 327: 324: 321: 279: 271: 270: 269: 235:Assisted living 207: 199: 198: 197: 157: 149: 148: 147: 127: 119: 118: 117: 80: 72: 71: 70: 40: 12: 11: 5: 1841: 1839: 1831: 1830: 1825: 1820: 1815: 1810: 1805: 1795: 1794: 1788: 1787: 1785: 1784: 1775: 1765: 1762: 1761: 1759: 1758: 1751: 1744: 1737: 1730: 1723: 1722: 1721: 1714: 1707: 1700: 1693: 1686: 1672: 1665: 1658: 1657: 1656: 1642: 1635: 1628: 1621: 1620: 1619: 1612: 1598: 1591: 1584: 1577: 1570: 1563: 1562: 1561: 1554: 1540: 1532: 1530: 1524: 1523: 1521: 1520: 1513: 1506: 1499: 1492: 1485: 1478: 1477: 1476: 1462: 1455: 1448: 1441: 1434: 1427: 1420: 1413: 1406: 1399: 1392: 1385: 1378: 1377: 1376: 1362: 1361: 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367: 362: 357: 352: 346: 343: 342: 339: 335: 334: 333: 330: 329: 326: 325: 318: 316: 311: 306: 301: 296: 294:Ticket to Work 291: 286: 280: 277: 276: 273: 272: 268: 267: 262: 257: 252: 247: 242: 237: 232: 227: 221: 220: 219: 208: 205: 204: 201: 200: 196: 195: 193:Women's health 190: 185: 180: 175: 170: 165: 159: 158: 155: 154: 151: 150: 146: 145: 140: 135: 129: 128: 125: 124: 121: 120: 116: 115: 110: 105: 103:Special school 100: 94: 93: 92: 87: 81: 78: 77: 74: 73: 69: 68: 63: 58: 53: 48: 42: 41: 38: 37: 34: 33: 13: 10: 9: 6: 4: 3: 2: 1840: 1829: 1826: 1824: 1821: 1819: 1816: 1814: 1811: 1809: 1806: 1804: 1801: 1800: 1798: 1782: 1781: 1776: 1773: 1772: 1767: 1766: 1763: 1756: 1752: 1749: 1745: 1742: 1738: 1735: 1731: 1728: 1724: 1719: 1715: 1712: 1708: 1705: 1701: 1698: 1694: 1691: 1687: 1684: 1680: 1679: 1677: 1673: 1670: 1666: 1663: 1659: 1654: 1650: 1649: 1647: 1643: 1640: 1636: 1633: 1629: 1626: 1622: 1617: 1613: 1610: 1606: 1605: 1603: 1599: 1596: 1592: 1589: 1585: 1582: 1578: 1575: 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1016: 1014: 1010: 1007: 1003: 1002: 1000: 998: 994: 983: 979: 976: 972: 969: 965: 962: 958: 955: 951: 948: 944: 941: 937: 933: 929: 925: 921: 917: 916:"Evil empire" 913: 912: 910: 908: 904: 895: 891: 888: 884: 883: 881: 877: 874: 870: 867: 863: 860: 856: 853: 849: 844: 843:controversies 840: 837: 836:Supreme Court 833: 832: 830: 826: 823: 819: 816: 812: 809: 805: 802: 798: 794: 791: 787: 786: 784: 782: 778: 773: 766: 761: 759: 754: 752: 747: 746: 743: 737: 733: 732: 727: 719: 718:HCBS Advocacy 716: 715: 711: 705: 699: 695: 690: 689: 676: 672: 666: 663: 658: 654: 647: 644: 633: 629: 623: 620: 614: 609: 606: 604: 601: 599: 596: 594: 591: 589: 586: 584: 581: 580: 575: 573: 566: 564: 562: 558: 553: 549: 545: 541: 540: 535: 531: 523: 521: 519: 515: 511: 507: 496: 491: 489: 484: 482: 477: 476: 474: 473: 465: 462: 460: 451: 450: 448: 447: 446: 445: 438: 435: 433: 430: 428: 425: 424: 421: 416: 415: 407: 404: 402: 399: 397: 394: 392: 389: 388: 384: 379: 378: 371: 368: 366: 363: 361: 358: 356: 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Retrieved 674: 665: 656: 646: 635:. Retrieved 631: 622: 570: 560: 559:guidance on 551: 537: 527: 509: 505: 504: 365:Visitability 314:Freedom Pass 240:Mobility aid 138:Occupational 66:Other models 61:Social model 774:(1981–1989) 724:â€č The 632:www.cms.gov 401:Deaflympics 255:Prosthetics 1797:Categories 1064:INF Treaty 1057:Washington 790:Transition 680:2023-02-10 637:2023-02-10 615:References 459:Disability 383:Parasports 31:Disability 1196:H-2B visa 1189:H-2A visa 1050:ReykjavĂ­k 514:42 U.S.C. 168:Inclusion 79:Education 1182:Form I-9 1027:2nd term 1020:1st term 1013:Cold War 907:Speeches 781:Timeline 726:template 576:See also 561:Olmstead 552:Olmstead 133:Physical 822:Cabinet 728:below ( 524:History 420:Culture 370:WeThe15 214: ( 126:Therapy 1073:Moscow 1043:Geneva 934:(1981) 926:(1987) 918:(1983) 700:  457:  338:Groups 143:Speech 1718:MACRS 464:Lists 799:and 698:ISBN 216:ADLs 1799:: 673:. 655:. 630:. 550:. 512:, 1134:" 1130:" 764:e 757:t 750:v 706:. 683:. 659:. 640:. 494:e 487:t 480:v 218:)

Index


Centers for Medicare and Medicaid Services
Disability
Disability theory
Ableism / Disablism
Medical model
Social model
Other models
Mainstreaming
Individualized Education Program (IEP)
Special needs
Special school
Special education
Learning disability
Physical
Occupational
Speech
Disability rights movement
Inclusion
Normalization
People-first language
Pejorative terms
Sexuality and disability
Women's health
Unlicensed assistive personnel
ADLs
Accessible toilet
Assistive technology
Assisted living
Mobility aid

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