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ARTICLE

Date ArticleType
6/9/2016 INCAL
Congressional Briefing on Assisted Living

A team of IHCA/INCAL staff and members flew to Washington D.C. in May to meet with the Indiana Congressional delegation. The team met with Members of Congress and/or their staffs from all 11 members of Indiana’s delegation (2 U.S. Senators, 9 U.S. Representatives). One important issue that was addressed in each meeting is the growing importance of Assisted Living as part of the state’s Medicaid program and in particular the frustrations that providers are experiencing with CMS’s new Home and Community Based Services (HCBS) regulation and subsequent transition plans being developed by state agencies. Of note, the team highlighted issues with how CMS is interpreting the law and it’s regulation to potentially prohibit secured units for memory care/Alzheimer’s/Dementia residents that need such security, and also addressed the current vagueness of CMS’s heightened scrutiny process, as implemented by each state, that is aimed at determining whether facility that have qualities of institutions can even participate in the Medicaid program for HCBS programs. Our messages were well received and each of our delegation member’s expressed a willingness to help. To that end, IHCA/INCAL staff is coordinating with NCAL staff to ensure that letter writing campaigns from Members of Congress to CMS are be coordinated.