LeadingAge Members:

As you probably know, a category 4 hurricane ripped through Texas over the weekend, resulting in catastrophic damage and massive flooding in much of the coastal region in the state, including significant destruction in Houston. Many of our member communities were impacted.

According to the leaked documents, HUD is contemplating asking Congress for a $42 million cut to the Section 202 program, whose renewal funding need in fiscal year 2017 is $412 million. Funding for Service Coordinator renewals and Senior Preservation Rental Assistance Contracts comprise the rest of the $505 million Section 202 account.

LeadingAge staff, along with staff from LeadingAge Minnesota, New York and Nebraska and the Adult Day Health Care (ADHC) Council had a conference call meeting with the Directors of the Disabled and Elderly Health Programs Group at CMS  to discuss the HCBS Settings Rule FAQ for new construction, and specifically  CMS encouraging states to limit the growth of  Adult Day and Assisted Living co-located in or on the grounds of a nursing home.

The HCBS Setting Requirements final rule was released January 10, 2014 by the Centers for Medicare & Medicaid Services. This rule will gave states more flexibility on how they are able to use federal Medicaid funds to pay for home- and community-based services (HCBS) to meet the needs of Medicaid enrollees, particularly the elderly and disabled.

The Center for Medicare and Medicaid Services (CMS) has issued its long awaited final rule on the use of Medicaid waivers in home and community-based services (HCBS) settings. The final rule moves away from earlier definitions based on setting, location, or geography, and takes a more "outcome oriented" approach focused on the nature and quality of the individual's experience. As we review the provisions of the rule, we will provide more details and analysis.


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