What Would You Do to Improve Access to HCBS?

Members | February 20, 2017 | by Peter Notarstefano

The Centers for Medicare & Medicaid Services (CMS) issued a Request For Information (RFI): Federal Government Interventions to Ensure the Provision of Timely and Quality Home and Community-Based Services (HCBS) [CMS-2404-NC], scheduled to be published in the Federal Register on Nov. 9, 2016 to seek public input on additional reforms and policy options the agency can consider to accelerate access to HCBS.  

The Centers for Medicare & Medicaid Services (CMS) issued a Request For Information (RFI): Federal Government Interventions to Ensure the Provision of Timely and Quality Home and Community Based Services (HCBS [CMS-2404-NC], scheduled to be published in the Federal Register on 11/9/16 to seek public input on additional reforms and policy options the agency can consider to accelerate access to HCBS.  

LeadingAge strongly supports the Centers for Medicare & Medicaid Services (CMS) efforts to improve the access to quality HCBS, which is critical to support individuals remaining in their communities. Stakeholder feedback is being sought to better understand the different perspectives on the provision of quality HCBS and to assist CMS in developing potential strategies that are responsive to those perspectives.

CMS asks stakeholders the following questions:

  • What are the additional reforms that CMS can take to accelerate the progress of access to HCBS and achieve an appropriate balance of HCBS and institutional services in the Medicaid long-term services and supports (LTSS) system to meet the needs and preferences of beneficiaries? 
  • What actions can CMS take, independently or in partnership with states and stakeholders, to ensure quality of HCBS including beneficiary health and safety? 
  • What program integrity safeguards should states have in place to ensure beneficiary safety and reduce fraud, waste and abuse in HCBS? 
  • What are specific steps CMS could take to strengthen the HCBS home care workforce, including establishing requirements, standards or procedures to ensure rates paid to home care providers are sufficient to attract enough providers to meet service needs of beneficiaries and that wages supported by those rates are sufficient to attract enough qualified home care workers.

LeadingAge submitted comments.