10-Plus Years After the Olmstead Ruling: Progress, Problems, and Opportunities
Article Publication Date
Summary
Statistics show a significant percentage increase in older persons able to receive LTSS outside of nursing homes, however unnecessary institutionalization is still a routine problem. This report clearly delineates the limitations on progress, including differences in Medicaid structure around nursing home vs. HCBS waiver coverage. The authors recommend specific steps that federal and state governments should take to reduce unnecessary institutionalization.
Populations
Sources
National Senior Citizens Law Center; SCAN Foundation
Programs/Initiatives
States
Keywords
Medically Needy Income Limits; federal court decisions; MFP; community living; self-directed care; State Balancing Incentive Payments Program; Patient Protection and Affordable Care Act; PPACA; Spousal Impoverishment Protections; ADA litigation
Contact
National Senior
Citizens Law Center
NULL
nsclc@nsclc.org
Phone
202-289-6976