Medicaid

Budget pressures are forcing many governors and legislators to find ways to trim their Medicaid expenses.  Through tightening eligibility or cutting benefits, states seek to lower their costs. Often, these changes are illegal. NSCLC seeks to protect Medicaid services (especially those which are home and community based) and the millions of low-income older adults and persons with disabilities who depend on them, through administrative advocacy and litigation.

For more Medicaid related information visit our Long-Term Services & Supports page.

• Medicaid Payment for Assisted Living
  The federal government should take a more active role in oversight of assisted living facilities in light of current common practice that allows facilities to kick out or refuse to admit Medicaid-eligible residents even though the facilities themselves...



• Table Helps Calculate Medicaid Eligibility Under Pickle Amendment
  (11/15/12) The Social Security Administration recently announced its cost of living adjustment for Social Security and SSI benefits effective January 1. This adjustment affects the calculation of Pickle Amendment eligibility for Medicaid in 2013. This ...



• Analysis: North Dakota Medicaid Program Improperly Limited Use of Annuities
  (6/1/2012) A federal district court in North Dakota ruled in Geston v Olson that a state Medicaid regulation related to annuities is inconsistent with federal law. Prior to reaching the underlying merits, the court ruled that the plaintiff had a right ...



• Policy Issue Brief: CMS Notifies States of Limited MOE Flexibility in HCBS Waiver Programs
  (9/19/11) Advocates in states that may be contemplating cuts to HCBS waiver programs should be aware of the limits of the states' authority to make changes, both under the Affordable Care Act and other sources of federal law. Policy Issue Brief.  



• Comments on Medicaid Home Health Services Requirements
  (9/8/11) In comments made to the Centers for Medicare and Medicaid Services, NSCLC says that home health services should not be limited to "homebound" persons To read NSCLC's extensive comments on proposed regulations Click Here.  



• Issue Brief: CMS Issues Guidance on Medicaid Rules for Same Sex Partners
  (7/7/11) CMS has issued a letter to state Medicaid directors entitled "Same Sex Partners and Medicaid Liens, Transfer of Assets, and Estate Recovery." The letter identifies strategies states may employ to broaden the federal law's narrow application of...



• Medicaid Brief Circulated with White House, Congress
  (6/16/11) A Policy Issue Brief entitled Medicaid Block Grants: Attacking the Safety Net for Low-income Older Adults got the attention of the White House and Democratic members of Congress. In the brief, NSCLC includes eight ways that block granting of ...



• Medicaid Block Grants Mean Low Income Adults Could Lose Benefits
  (4/26/11) In a policy issue brief and news release, NSCLC says that the result of block granting Medicaid would mean taking health care coverage away from millions of low-income older adults and people with disabilities. Read the News Release. Read the...



• NSCLC Calls for More Oversight of Assisted Living
  (11/23/10) In a policy issue brief and white paper, NSCLC says the federal government should take a more active role in oversight of assisted living facilities in light of current common practice that allows them to kick out or refuse to admit people w...



• To be or not to be Homebound: The Limits of States’ Discretion in Medicaid’s Coverage for Home Health Services
  This issue brief provides an overview of the boundaries of a state’s home health service standard, including a discussion of the controversy in Missouri, in order to provide useful background for advocates trying to maximize the community-based optio...