In passing the Patient Protections and Affordable Care Act (ACA) in 2010, Congress took arguably its most aggressive action toward rebalancing Medicaid long term services and supports (LTSS) spending in nearly three decades. However, since then, many states under budget pressure have put many Medicaid home and community-based care programs (HCBS) at risk.

This new guide from the National Senior Citizens Law Center offers advocates a primer on the law that impacts Medicaid-funded HCBS. It also explains the different programs states can use to provide HCBS, including those created by the ACA. The guide highlights key resources and tools to use when advocating to expand and preserve Medicaid coverage of crucial LTSS services in individual states.

The guide, authored by Borchard Law and Aging Fellow Evin Isaacson, NSCLC Directing Attorney Eric Carlson and Senior Staff Attorney Anna Rich, is available online. 

Medicaid Long Term Services & Supports 101: Emerging Opportunities and Challenges