Medicaid is the nation’s primary payer for long-term services and supports (LTSS) for individuals with physical and cognitive disabilities. Although beneficiaries residing in nursing facilities are required to receive the same assessment for care planning, the federal government does not require state Medicaid programs to use a standard tool to determine eligibility for Medicaid-covered LTSS or to develop a care plan for beneficiaries served in home and community-based settings.
This presentation reviews the draft chapter for the June 2016 report, which contains the results of new research conducted for MACPAC that documents the wide variation functional assessment across all 50 states and the District of Columbia, and discusses the advantages and disadvantages of moving toward a national assessment tool.
