Who's behind
Freedom
Clearinghouse?
Recommendations of the
Robert Wood Johnson
National Blue Ribbon Panel
on Personal Assistance Services
A nationwide program of technical assistance should be established to assist states in reaching the goal of "most integrated setting" and community-based placement . . . . conducted by the Department of Health and Human Services (including the Assistant Secretary for Planning and Evaluation), in conjunction with the Health Care Financing Administration and other federal agencies . . . . to insure that every state develops policies and programs to achieve the goal of "most integrated setting" . . .
A series of public "summit" discussions on the subject of "most integrated setting" should be conducted by the Department of Health and Human Services (including the Assistant Secretary for Planning and Evaluation), in conjunction with the Health Care Financing Administration and other federal agencies . . .
In order to create real choice, . . . differences should be eliminated between the basic financial eligibility and spousal impoverishment rules for home- and community-based and institutional services. The financial eligibility criteria for receiving personal care services in the community should not be more stringent than the financial eligibility criteria for institutional placement. Medicaid and SSI asset and income limits for persons receiving long-term services in the community should be changed to allow individuals the greatest opportunity to remain in the community and not be forced into an institution.
Incentives should be established for states to make home- and community-based long-term services the primary option in their long-term care service system. Federal statutes must be changed so that they no longer provide incentives among the states to provide long-term care systems biased toward institutional services.
The Health Care Financing Administration should abandon the link between Medicare and Medicaid certification requirements for providers of home and community based services.
From Consumer Choice and Control: Personal Attendant Services and Supports in America: Report of the National Blue Ribbon Panel on Personal Assistance Services, August, 1999
About The Blue Ribbon Panel on Personal Assistance Services:
The Blue Ribbon Panel on Personal Assistance Services was convened in March of 1997, funded by the Robert Wood Johnson Foundation with a grant to the Independent Living Research Utilization (ILRU) program at The Institute for Rehabilitation and Research (TIRR). Its purpose is to propose policy recommendations and strategies for implementing and promoting consumer-directed, community-based programs that address long-term care and other support needs of persons with physical and cognitive disabilities. More than 30 experts from across the country, representing a wide variety of organizations for people with disabilities or the elderly, are part of the Blue Ribbon Panel.
Freedom Clearinghouse is a project of
Free Hand Press, publisher of Mouth magazine.
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