The Centers for Medicare and Medicaid Services (CMS) recently requested submissions and recommendations for how they might improve service in HCBS Waiver settings. VOR's comments focused on the need to expand and improve services for people not well suited to group homes as a way to imporve the services for people for whom those settings might be deemed appropriate.
We provided links to articles in our archives and from newspapers that illustrate VOR's position on these issues. The resources in this article should prove useful to many of our members in making presentations to their representatives, decision makers, and family groups.
All of the links in the footnotes will work once you download the pdf.
Please read and comment!
Ask Your Members of Congress to send letters to the U.S. Department of Health and Human Services (HHS) and U.S. Department of Justice (DOJ) to express concern about these agencies using federal funding to evict individuals with intellectual and developmental disabilities from their Medicaid-licensed homes, contrary to individual choice and need.
Template letter for DOJ
Template letter for HHS
Abuse and Neglect of Vulnerable Populations Widely Recognized:
Mandatory National Background Checks for Direct Care Workers Needed
In support of its voluntary national background checks program for states, the Centers for Medicare & Medicaid Services (CMS), noted that “long term care (LTC) patient abuse, neglect and misappropriation of funds have been identified as a widespread problem for millions of Americans receiving LTC services.” (CMS National Background Checks Program).
VOR is grateful to Congress for its past support of national background checks. The 2003 Medicare Modernization Act (Section 307) provided for a demonstration program, and the Affordable Care Act’s national background check grant program was even more robust. According to CMS, "both actions point in the direction of potential national applicability." (National Background Check Program (NBCP) For Long Term Care Facilities and Providers: Frequently Asked Questions," CMS (Updated January 2014)).
We agree and now ask for Congressional support in making this necessary program mandatory.
Read full position paper
Safe at Home Developing Effective Criminal Background Checks and Other Screening Policies for Home Care Workers (AARP / NCSL, 2009)
Safe at Home: State Summaries (AARP /NCSL, 2009)
U.S. Department of Health and Human Services, Office of Inspector General: Memorandum Report: State Requirements for Conducting Background Checks on Home Health Agency Employees, OEI-07-14-00131 (May 29, 2014)
For the vast majority of people with intellectual and developmental disabilities (ID/DD), Medicaid is their only resource for accessing health care, assistance and residential supports. For these Americans, the Medicaid program ensures maximum independence and daily happiness.
Congressional proposals to cut or cap ("block grant") Medicaid will not save money.