Sec. 2402 Removal of Barriers to Providing Home and Community-Based Services
The Secretary of Health and Human Services must establish regulations “to ensure that all states develop service systems….” These systems must (1) allocate resources in a way that accounts for “the changing needs and choices of beneficiaries receiving non-institutionally-based long-term services and supports” and maximizes beneficiary independence;” (2) support beneficiaries in designing “an individualized, self-directed, community-supported life;” and (3) improve coordination among providers in order to “achieve more consistent administration” of federal and state programs and monitor the service system functions. Such monitoring must assure (1) the “coordination of, and effectiveness of, eligibility determinations and individual assessments;” (2) that a complaint system, management system, provider monitoring system, and role-setting and budget determination system are developed; and (3) that there are an “adequate number of qualified direct care workers to provide self-directed personal assistance services.”26
Sec. 2703 State Option to Provide Health Homes for Enrollees with Chronic Conditions
The ACA establishes “Health Homes” for the care of Medicaid eligible individuals with chronic conditions.27 In order to receive payment for health home care, providers must submit quality information to the Secretary of Health and Human Services. Providers must utilize Health Information Technology, to the extent feasible, when submitting such information.28 Please see the Medicaid section for more information.
Sec. 2801 MACPAC Assessment of Policies affecting all Medicaid Beneficiaries
The Social Security Act defines the qualifications for members of Medicaid and CHIP Advisory Commission (MACPAC).29 Experience with Health Information Technology is one of the listed criteria.30 Please see the section on Medicaid for more information.
Sec. 2951 Maternal, Infant, and Early Childhood Home Visiting Programs
The Secretary of Health and Human Services will provide funds to States and eligible entities to conduct activities aimed at improving and increasing the support provided to families living in at risk communities. Entities that receive funding for early childhood home visitation programs must demonstrate “quantifiable, measurable improvement in benchmark areas.” These areas include improved health and reduced rates of domestic violence.31 Please see the Medicaid section for more information.
Footnotes
- 26. Affordable Care Act § 2402(a).
- 27. Affordable Care Act §2703(a); 42 U.S.C.S. 1396w-4.
- 28. Affordable Care Act §2703(a); 42 U.S.C.S. 1396w-4(g).
- 29. Affordable Care Act §2801(a)(2)(A); 42 U.S.C. 1396(c)(2)(A)-(B).
- 30. Affordable Care Act §2801(a)(2)(A); 42 U.S.C. 1396(c)(2)(B).
- 31. Affordable Care Act §2951; 42 U.S.C. 711.
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