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May 18, 2015
Health Advocate: Home & Community-Based Services
Elizabeth Edwards Health Advocate
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May 5, 2015
Medicaid Assessments for Long-Term Supports & Services (LTSS)
David Machledt Issue Brief
Long-term care needs assessments serve a vital role in Medicaid. For individuals with disabilities and older adults, needs assessments are used to determine eligibility for both institutional and home and community-based services (HCBS). The assessment process establishes the type and extent of an individual's care needs, which inform the…
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April 16, 2015
Q&A: Person Centered Planning Changes
Elizabeth Edwards Issue Brief
Due to regulatory changes and guidance issued over the past year, states should have evaluated and likely changed their person-centered planning process for home and community-based services. This Q&A focuses less on the regulatory changes and more on the important features of the current requirements for person-centered planning and…
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April 9, 2015
Fact Sheet – IRS Updated Guidance on HCBS Difficulty of Care Payments
Wayne Turner Issue Brief
Last year, the IRS announced that payments received by in-home, individual care providers under Medicaid Home and Community Based (HCBS) waiver programs can be treated as "difficulty of care" payments and excluded from the care provider's gross income. In a recently updated Q&A, the IRS clarifies that payments from…
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March 10, 2015
Common Issues, Model Comments & State Samples for HCBS Transition Plans: A Tool for Continued Advocacy
Elizabeth Edwards Manual/Report
Advocacy on State Transition Plans for compliance with the recent HCBS regulations on community settings is ongoing from comments on draft and final plans to implementation issues and plan revisions. This document identifies common issues in transition plans, model comments for those issues, and a compilation of comments from…
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February 9, 2015
Top 3 Takeaways: Burr-Hatch-Upton Plan to Replace the ACA
Andy DiAntonio Issue Brief
On February 4, 2015, three Republican legislators released a plan to replace the Affordable Care Act (ACA). The Burr-Hatch-Upton plan (BHU) is titled the Patient Choice, Affordability, Responsibility, and Empowerment Act. After reading the legislators' summary of the proposal, NHeLP identified three key takeaways, which are outlined in our…
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