Wednesday, August 30, 2006

Good website on Home & Community-based Medicaid Waivers

In searching for a copy of our current Aged and Disabled Waiver as approved by CMS (no luck yet), I discovered this website: www.hcbs.org/browse.php/state/188/West%20Virginia/

It's got a variety of interesting specific info on waivers state by state (everything from forms to reports and papers), as well as a variety of info that can help policy makers and advocates working toward more progressive and client-centered services through Medicaid waivers.

For the uninitiated, waivers are optional programs states can use to get federal Medicaid matching dollars to provide services beyond what is included in their state Medicaid plans. There are several different types of waivers available through CMS, and some states have very creative and progressive waivers in place. Unlike state plan services which are generally entitlements for any eligible applicant, the state may limit the number of eligible applicants the waiver will serve, so waitlists are a common problem on waivers.

Monday, August 14, 2006

Case of the Week: 8/18/06

County: Barbour
Age: 85

Our client had moved into senior housing with her husband 25 years ago and have been in the same unit that entire time. The unit is handicapped accessible. When my client moved in, she and her husband signed a document acknowledging that the unit is for handicapped residents and agreed to move out should someone with disabilities need the unit. Since that time, both the client and her husband have developed disabilities. They received a notice from management that a resident who uses a wheelchair requested that unit. I sent management a letter explaining that my client and her husband are both disabled under their definition of disability. Working with their attorney, I was able to keep my client in her unit. Management found another suitable handicapped accessible unit for the other resident.