Liz Carroll and representatives of INCAL, LeadingAge Indiana and the Alzheimer’s Association met with staff for Sen. Joe Donnelly regarding concerns with implementation of the CMS Home and Community Based Waiver Settings rule. Sen. Donnelly serves on the Senate Aging Committee.
The meeting was to increase awareness by the Senator’s staff of possible negative implications of this rule on Medicaid Waiver consumers served in assisted living and adult day care which have secure units or are physically attached to or are on the same campus as a nursing facility. The Division of Aging is struggling to get clear direction from CMS on interpretation of the rule. The rule is designed to eliminate settings that are institutional in nature.
Some of the key questions regarding this rule are whether secured dementia units or adult day settings will continue to be eligible for Medicaid Waiver funding. In addition, it is not clear whether assisted living or adult day care connected or on the campus of a nursing home would be eligible. If determined to be ineligible, these individuals would no longer be eligible for Medicaid Waiver funding and may need to move into a nursing home.