Congressman Mike Thompson calls on Feds to reject proposal which defines "community"
In an April 4, 2013 letter to Marilyn Tavenner, the Acting Administrator for the Centers for Medicare & Medicaid Services (CMS), Congressman Mike Thompson calls on the agency to rethink its pending proposal to narrowly define "community" for the purpose of licensing certain Medicaid programs.
"I share my constituents' concerns that the CMS proposal relies on arbitrary criteria to determine whether a setting is 'community enough," Congressman Thompson writes. "Of particular concern is the proposed requirement that the Secretary of the Department of Health and Human Services 'apply a rebuttal presumption that a setting is not a home and community-based setting, and engage in heightened scrutiny' with regard to homes 'on the grounds of, or immediately adjacent to, a public institution,' or homes that are part of a 'housing complex designed expressly around an individual's diagnosis or disability’,” he writes.
The Congressman expresses concern that the proposed definition is so narrowly written that it is "antithetical to individual choice," threatens the viability of existing housing communities, and discourages future innovation and expansion of services.