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In 1981, Congress enacted legislation allowing Medicaid funding for LTSS through programs such as the Home-and Community-Based Services (HCBS) waiver program that provides supports for people to live in their communities and that promotes increased opportunities for choice and control (42 U.S.C. Ch. 7, § 1396n §§.) States have refocused ...
Hoosiers who qualify for a Medicaid program that reimburses for care provided at home will now have to apply through two new programs. Those 60 and older will apply to the Pathways for Aging Waiver.
In 2020, residents of Kentucky seeking to open a new home care agency specifically for Nepali immigrants were denied a certificate of need by the state. The residents challenged the decision in federal court and ultimately, the Sixth Circuit Court of Appeals affirmed a trial court determination that the state's CON law was constitutional.
Medicaid is a government program in the United States that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant ...
A state agency overseeing Medicaid has reimbursed parents, guardians and spouses for home care for years. Starting July 1, the state will no longer reimburse family members or guardians.
In Health and Hospital Corporation of Marion County v.Talevski, 599 U.S. 166 (2023), the United States Supreme Court held that the provisions of the Nursing Home Reform Act at issue unambiguously created rights enforceable under Section 1983 of the Ku Klux Klan Act (codified at 42 U.S.C. § 1983), and private enforcement under §1983 is compatible with the Nursing Home Reform Act’s remedial ...
CMMI initiatives like the 2016 "Accountable Health Communities" (AHC) model have been created to focus on connecting Medicare and Medicaid beneficiaries with community services to address health-related social needs, while providing funds to organizations so that they can systematically identify and address the health-related social needs of ...
From the 1950s through the 1970s, the dynamics of nursing homes began changing significantly. In the United States, Medicare and Medicaid began to make up much of the money that would filter through the homes and the 1965 amendment laws enforced nursing homes to comply with safety codes and required registered nurses to be on