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1995 June

Medicare Discharge-Planning Regulations

An Advocacy Tool for Beneficiaries

By Alfred J. Chiplin Jr. & The National Senior Citizens Law Center

Regulations implementing Medicare hospital discharge requirements, published late last year, are a useful advocacy and education tool for obtaining posthospital care services in the least restrictive setting of choice.

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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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Intervenor Funding in Public-Utility Rate Cases

By Nancy Brockway & The National Consumer Law Center

This column identifies resources that may be available to enable low-income consumers and their advocates to participate in regulatory proceedings that dictate utility rates and practices.

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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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