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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
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
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
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
Only
Connect
7
THE HARLOW GROUP LLC
http://healthlawonline.blogspot.com OR http://j.mp/MCLEHealthLaw
8
THE HARLOW GROUP LLC
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

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MCLE Health Law Basics Plus 2013 - Post-Acute Care

  • 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
  • 2.
  • 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
  • 7. 7 THE HARLOW GROUP LLC http://healthlawonline.blogspot.com OR http://j.mp/MCLEHealthLaw
  • 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