tci Medicare Compliance & Reimbursement - 2008 Issue 5
Medicaid: CMS Pushes Self-Directed Care
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Article Overview
This piece covers a CMS proposal affecting Medicaid personal care delivery, including self-directed service options, beneficiary choice in managing assistance, and state responsibilities for safeguards and fallback services. It is relevant to Medicaid policy readers, provider organizations, home care businesses, compliance teams, and others tracking federal rulemaking that could affect service delivery models and administrative processes.
Why This Topic Matters
The proposal could change how Medicaid personal assistance services are organized, financed, and overseen, with implications for beneficiaries, states, and agencies that currently deliver care through traditional models.
What You Will Learn
- What CMS is proposing for self-directed Medicaid personal care services
- How the proposal may affect beneficiaries’ control over service delivery
- What responsibilities states would have if they offer the option
- What implementation and oversight themes are raised in the rulemaking notice
Who Should Read This
- Medicaid providers
- Home health agencies
- Long-term care organizations
- State Medicaid administrators
- Compliance and reimbursement staff
- Healthcare policy professionals
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