In recent years, the Commission has explored self-directed home- and community-based services (HCBS) as a delivery model for beneficiaries who receive long-term services and supports (LTSS) in their homes and communities. When offering HCBS, including self-directed HCBS, states must ensure beneficiary health and welfare per federal regulations. These federal policies balance beneficiary safety and dignity. In this presentation, MACPAC reviewed the federal framework for beneficiary health and welfare in Medicaid HCBS, identified state approaches to ensuring health and welfare built upon this framework, and highlighted findings across states that are consistent with findings from the first phase of this work. Specifically, stakeholders consistently cited duplicative roles and responsibilities, as well as a lack of clarity in information and assistance supports, as barriers to ensuring beneficiary health and welfare. MACPAC staff presented a policy option for the Commission’s consideration to address challenges with information and assistance supports.
An official website of the United States Government -
Official websites use .gov A .gov website belongs to an official government organization in the United States.
Secure .gov websites use HTTPS A lock ( ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.
Medicaid and CHIP Payment and Access Commission