Home & Community Based Services

NSCLC advocates for more use of home and community-based services versus institutionalization, especially for low-income older adults needing long term services and supports.

Darling et al v. Douglas, Ninth District, California, is a class action suit that challenged the State’s planned elimination of Adult Day Health Care (ADHC) as a Medi-Cal benefit. Read more about the suit.

• New Fact Sheet: Update on Requirements of the Americans with Disabilities Act and Olmstead
  (12/18/2014)  Effective January 1, 2015, the Department of Labor’s new Home Care Rule, depending on how it is implemented, could result in unintended consequences such as cuts to services, dismantling of programs that allow consumers to control thei...



• Health Network Alert: How to Make Sure the Home Care Rule Helps, Not Harms
  (09/05/2014)  The U.S. Department of Labor (DOL) recently issued a new rule governing home care services for people with disabilities and seniors. This rule may impact some of your state’s long term care programs, particularly your state’s “cons...



• WEBINAR: Community-Based Settings and the New Medicaid HCBS Standards: Views from the States, 6 Months In
  Free Webinar When: Tuesday, September 9, 2014  2-3 PM EDT On March 15, 2014, the new federal home and community-based services (HCBS) rule went into effect, and the countdown clock for states to craft a transition plan began running. Six months la...



• Health Network Alert – State Transition Plans for New Medicaid HCBS Regulations: Four Tips for Consumer Advocates
  (07/22/2014)  States now are beginning to release their transition plans to bring their Medicaid home and community-based services (HCBS) systems into compliance with the new federal regulations on community-based settings. It is essential that consum...



• State Transition Plans for New Medicaid HCBS Regulations: Four Tips for Consumer Advocates
  In this July tool for consumers, NSCLC shares four tips regarding state transition plans for new Medicaid HCBS regulations. States now are beginning to release their transition plans to bring their Medicaid HCBS systems into compliance with the n...



• Just Like Home: An Advocate’s Guide for State Transitions Under the New Medicaid HCBS Rules
  June 2014 -- To assist government officials and stakeholders, NSCLC has written Just Like Home: An Advocate’s Guide for State Transitions Under the New Medicaid HCBS Rules.  The guide provides analysis and recommendations for multiple aspects of the...



• Just Like Home: Consumer Rights in Medicaid HCBS
  April 2014 -- The National Senior Citizens Law Center (NSCLC) believes that home and community-based services (HCBS) should be provided as an option to every Medicaid beneficiary (consumer) who needs such services, allowing more seniors and persons wit...



• 2014 Home and Community-Based Services Policy Brief
  This brief describes how Medicaid continues to give preference to long term services and supports in institutional settings, and provides recommendations to expand and improve home and community-based services for every eligible Medicaid beneficiary.



• 2014 Home and Community-Based Services Fact Sheet
  This fact sheet shares national data on home and community-based services including who provides services, how much states are spending on long term services and supports for elders, and more.



• Statement on Long Term Services and Supports
  In a statement shared with the Senate Special Committee on Aging Dec. 19, 2013, NSCLC says that the first step in improving Long Term Services and Supports is addressing the imbalance that exists in  financing of services.  Medicaid, for example, con...