Key Points
- Medicaid: Section 1915 home and community-based services programs (1915(c), 1915(i), 1915(j), 1915(k)) gives states the option to provide a robust array of services and supports to facilitate beneficiary independence and community integration.
- Each authority has specific functional eligibility requirements.
- Section 1915(c) and 1915(k) programs allow states to provide home and community-based services to individuals who would otherwise need institutional care. 1915(i) required individuals to meet state-defined needs-based criteria.
- CMS currently allows states to propose covering certain nutrition services as part of home and community-based services programs.
FIM Opportunities
The November 2023 framework for Coverage of HRSN services in Medicaid and CHIP specifies that Medicaid-covered HRSN services and supports must not supplant the work or funding of another federal or state non-Medicaid agency and must be integrated with existing social services and housing assistance.
