Timely access to home- and community-based services (HCBS) is essential to ensure individuals receive care in the setting of their choice. To receive HCBS, individuals must undergo a multi-step eligibility and enrollment process that includes an eligibility determination based on financial and functional eligibility criteria and the development of a person-centered service plan (PCSP). States have a number of options available to streamline Medicaid enrollment for people in need of HCBS, such as presumptive eligibility, expedited eligibility, and setting timeline requirements for completing level of care assessments and developing PCSPs.
In this presentation, the Commission reviewed findings from an environmental scan of all 50 states and the District of Columbia’s policies that affect individuals’ timely access to HCBS.