Webinar 10/12/11. Congress acknowledged in the ACA that Medicaid’s coverage for home and community-based services remains insufficient, and it authorized several new Medicaid programs and services in order to help shift Medicaid’s spending balance from institutional care to HCBS. Independent of the ACA, however, CMS has proposed or advanced new policies that are aimed at increasing and enhancing HCBS access. This webinar will provide an overview of policies such as a proposed rule on the character of HCBS and the medically needy spend down and spousal impoverishment and same sex/domestic partners.