tci Medicare Compliance & Reimbursement - 2006 Issue 5

MEDICAID: Money-Saving Medicaid Waivers Sacrifice Quality-Of-Care

Flexible LTC options could end up costing benes access to Medicaid coverageMillions of aging baby boomers, combined with escalating budgetary pressures, have federal and state governments trading in long-term care quality-of-care initiatives for cheaper--and controversial--"flexible" coverage options.One of these flexible alternatives is the Medicaid Home and Community-Based Services waiver. The HCBS waiver gives beneficiaries the option to choose assisted-living or home-based care over nursing home care and other institutional care settings. But the waiver lacks quality-of-care standards, argues Edward C. King, executive director for the National Senior Citizens Law Center. He cites a 2003 Government Accountability Office report...

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