AZ-Kathleen Petty

Document ID: CMS-2011-0080-0007
Document Type: Public Submission
Agency: Centers For Medicare & Medicaid Services
Received Date: June 13 2011, at 12:00 AM Eastern Daylight Time
Date Posted: June 24 2011, at 12:00 AM Eastern Standard Time
Comment Start Date: May 16 2011, at 12:00 AM Eastern Standard Time
Comment Due Date: July 11 2011, at 11:59 PM Eastern Standard Time
Tracking Number: 80e4eb68
View Document:

This is comment on Proposed Rule

Medicare and Medicaid Programs: Opportunities for Alignment under Medicaid and Medicare

View Comment

Permit states to serve individuals with different types of disabilities in one waiver. Define "home and community-based." Include requirements for person-centered planning. Indicate that waiver services must not be provided in "a building that is also a publicly or privately operated facility that provides inpatient institutional treatment or custodial care; in a building on the grounds of, or immediately adjacent to, a public institution; or a housing complex designed expressly around an individual's diagnosis or disability, as determined by the Secretary." And, among other things, indicate that waiver services must not be provided in a setting that "has qualities of an institutional setting." CMS notes that such qualities may include regimented meal and sleep times, limitations on visitors, lack of privacy and other attributes that limit individuals' ability to engage freely in the community.