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1995 June

The Home- and Community-Based Waiver Program Under Medicaid

An Update

By Michele Melden & The National Health Law Program

One of the most common ways that states cover home health services for Medicaid recipients is to operate "home- and community-based waiver" (HCBW) programs. These programs target specific population groups and often are capped, financially or through enrollment limits or limits on geographic areas served. This article, which updates an earlier article on Medicaid home health resources, focuses on case law that has evolved as a result of recipients challenging denials or limitations of services under HCBW programs, and provides strategies for addressing such denials.

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Final Survey, Certification, and Enforcement Rules for Nursing Facilities

By Toby Edelman & The National Senior Citizens Law Center

The final rules governing survey, certification, and enforcement of Requirements of Participation for Medicare skilled nursing facilities and Medicaid nursing facilities have been published by the Health Care Financing Administration (HCFA). This article describes the background of the rules, their major provisions, and HCFA's plans for implementation of its new enforcement system.

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