VOR Comments To CMS' Request For Information
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.
CMS Requested answers to the following questions:
- What are the additional reforms that CMS can take to accelerate the progress of access to HCBS and achieve an appropriate balance of HCBS and institutional services in the Medicaid long-term services and supports (LTSS) system to meet the needs and preferences of beneficiaries?
- What actions can CMS take, independently or in partnership with states and stakeholders, to ensure quality of HCBS including beneficiary health and safety?
- What program integrity safeguards should states have in place to ensure beneficiary safety and reduce fraud, waste, and abuse in HCBS?
- What are specific steps CMS could take to strengthen the HCBS home care workforce, including establishing requirements, standards or procedures to ensure rates paid to home care providers are sufficient to attract enough providers to meet service needs of beneficiaries and that wages supported by those rates are sufficient to attract enough qualified home care workers?