CHCS - Center for Health Care Strategies

Improving the quality and cost-effectiveness of publicly financed health care

Community Integration/ Home- and Community-Based Services

Community integration ensures that people with disabilities and chronic illnesses have the supports and services they need to remain living in a community setting. CHCS resources can help states interpret federal policies and design programs to help people with disabilities and chronic illnesses live in their communities.

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State Trends and Innovations in Medicaid Long-Term Services and Supports

This brief highlights states' continued progress in: 1) rebalancing Medicaid LTSS options toward home- and community-based services; and 2) developing and implementing managed LTSS programs to better integrate care.
December 2012 Policy & Issue Briefs

Medicaid Rate-Setting Strategies to Promote Home- and Community-Based Services

This policy brief discusses strategies for structuring rates for managed long-term services and supports program to encourage the use of home- and community-based services and details state experiences in setting rates for these programs.

May 2012 Policy & Issue Briefs

Profiles of State Innovation: Roadmap for Rebalancing Long-Term Supports and Services

This roadmap draws from state best practices across the country to outline key elements for rebalancing LTSS program to achieve a more equitable balance between institutional and home- and community-based care.

November 2010 Reports

Policy Brief - Medicaid-Funded Long-Term Care: Toward More Home- and Community-Based Options

This brief outlines initial policy recommendations for reforming the nation's Medicaid-funded long-term supports and services system to support more cost-effective and consumer-oriented long-term care options.

May 2010 Policy & Issue Briefs

Medicaid-Funded Long-Term Supports and Services: Snapshots of Innovation

This report presents innovative initiatives from across the nation offering alternatives for reforming the delivery of Medicaid-funded long-term care. It includes both innovations that have been implemented as well as promising practices for more effectively delivering community-based long-term supports and services.

May 2010 Reports

Systems of Care: Environmental Scan of Medicaid-Funded Long-Term Supports and Services

This environmental scan provides an overview of the current status of the publicly funded long-term care delivery system and outlines the opportunities and obstacles for long-term supports and services reform and rebalancing.

May 2010 Reports

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