My annual presentation at the Massachusetts Continuing Legal Education two-day extravaganza intro to health law. See resources collected at http://j.mp/MCLEHealthLaw

1. 1
MCLE Health Law Basics Plus 2013
Post-Acute Care
November 14, 2013
David Harlow JD MPH
THE HARLOW GROUP LLC
blog healthblawg.com
twitter @healthblawg

3. 3
THE HARLOW GROUP LLC
Post-Acute Care Acronym Bingo
SNF
DPH
COPs
DON
MA
ALF
HPC
SOM
MMQ
PACE
HHA
CHIA
CMS
RAP
SCO
IDR
EOEA
PPS
OASIS
HCBS
MAC
OBRA
RUGS
GAFC
CFCO

4. 4
THE HARLOW GROUP LLC
Future of Health Care: the Home
• Patient-centered care
• Non-institutional options
▫ Cheaper & better
• Federal dollars back up the philosophical change
▫ Equal access to institutional/noninstitutional care

5. 5
THE HARLOW GROUP LLC
Key ACA Provisions affecting Long Term Care
•
Community First Choice Option - A new state plan option to provide home- and
community-based services that includes an increase in federal matching funds for program
costs
•
The
„ State Balancing Incentives Payment Program - A temporary program that
provides qualifying states with an increase in their federal match for Medicaid Home- and
Community-Based Services (HCBS) costs
•
Changes to Medicaid’s 1915(i) Option for Home- and Community-Based Care „
Improvements to Medicaid’s existing state plan option for providing Home- and CommunityBased Services (HCBS), 1915(i)
•
Expanded Spousal Impoverishment Protection in Medicaid - Requires states to
„
extend the same spousal impoverishment protections that apply to institutional care to homeand community-based care
•
Extending Money Follows the Person Demonstration Project - Helps Medicaid
„
eligible individuals transition from institutions back to the community
•
Additional Funding for Aging and Disability Resource Centers - Funding for aging
„
and disability resource centers

6. Only
Connect

7. 7
THE HARLOW GROUP LLC
http://healthlawonline.blogspot.com OR http://j.mp/MCLEHealthLaw

8. 8
THE HARLOW GROUP LLC

9. 9
THE HARLOW GROUP LLC
Contact
David Harlow JD MPH
THE HARLOW GROUP LLC
for contact info, txt dharlow to 50500
about.me/davidharlow
harlowgroup.net
healthblawg.com
twitter.com/healthblawg
david@harlowgroup.net
617.965.9732