Home and Community Based Services

Significant efforts are underway at both the state and national levels to “rebalance” the long-term care system to give consumers needing long-term care services more choices in where and how they receive those services. Here you will find information about different programs, including Aging and Disability Resource Centers (ADRC’s), which are single points of entry to long-term care services being developed around the country.

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Home Care Ombudsman Programs Status Report: 2007
Ombudsman programs in twelve states are authorized or mandated under state law to provide advocacy on behalf of consumers who receive home and community-based care. Over the last seven years the Long-Term Care Ombudsman Program's involvement in home care advocacy has changed little; the numbers of complaints, types of individual and systems issues, and the level of support have remained relatively stable. This paper updates and expands information previously collected on home care ombudsman programs in 2000. New information reported here was gathered in April/May 2007 through a web-based questionnaire and a teleconference.

New Medicaid Home and Community-Based Services Rules - SLTCO Dialogue (May 28, 2014)
This webinar discussed the new Medicaid Home and Community-Based Services Rules that went into effect March 17, 2014, which for the first time set standards to ensure Medicaid HCBS is provided in the most integrated community setting and require person-centered care. Eric Carlson with the National Senior Citizens Law Center and Robyn Grant with the Consumer Voice gave a quick overview of the new rules and how they will impact consumers, and Becky Kurtz with AoA at ACL and Elizabeth Priaulx with the National Disability Rights Network shared the federal perspective and new resources.

Nursing Facility Transition: A Resource Kit for Long-Term Care Ombudsman
This resource kit provides information and materials for ombudsman programs about nursing facility transition. It is designed to provide state ombudsmen with an easy to use reference point for basic information about state and federal nursing facility diversion and transition initiatives and to facilitate exploration of ombudsman program roles in helping residents who wish to leave the nursing facility.

Money Follows the Person: Impediments to Implementation: A Fact Sheet on Program Start up, Capacity and Access
Developed by NASUAD. The Money Follows the Person Rebalancing Demonstration Program (MFP) was designed to assist states in rebalancing their long-term care systems, and to help Medicaid beneficiaries' transition from institutions to the community. Since its inception, MFP has faced many barriers to implementation, most of which have resulted in the program transitioning fewer individuals than originally anticipated. In efforts to clarify the origin and impact of these early problems and ongoing capacity and access challenges, NASUAD prepared a fact sheet, outlining some of the most commonly-reported programmatic complications, such as the unanticipated consequences of statutory compliance and a lack of accessible, affordable housing for MFP participants.

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