Discussion Brief: Advancing Medicaid HCBS Policy: From Capped Consumer To Consumer-Directed.

Over the last eight years, federal, state, and local governments have re-envisioned how to deliver and pay for an ever-growing caseload of elderly individuals and persons with disabilities who need services at home, in the workplace, or in more costly nursing facilities. This discussion provides a vision and a context for HCBS reform consistent with CMS vision for reforming post-acute care that focuses on addressing system barriers and informing and empowering health care consumers. Produced by Rutgers/NASHP, this report can be found at http://www.hcbs.org/moreInfo.php/nb/doc/2200