Medicaid, Money Follows the Person and Community Choice Act

Editorials and Op-eds

Author: Thomas C. Weiss
Published: 2012/04/25 - Updated: 2021/09/18
Contents: Summary - Introduction - Main - Related

Synopsis: Money Follows the Person is an initiative program giving people the freedom to choose and take advantage of opportunities in America. The Community Choice Act is an exceptionally important Act - it gives people real choice in relation to long-term care options by reforming Title XIX of the Social Security Act (Medicaid) and ends institutional bias. One of the most basic facts about health care is that everyone in the world needs it; able-bodied or not. Health care also does not simply stop based upon the economy; health care is something that continues on a 24/7 basis.

Introduction

In America today people who rely upon Medicaid for health care coverage are fighting for the programs that enable them to remain in their own communities and receive the health care they need. The people I am referring to are not only those who experience forms of disabilities from birth; disability can affect anyone at any point during their lifetime. Every single day in America, people experience everything from motor vehicle accidents to work-related accidents that find them with injuries serious enough they require assistance from the state through Medicaid.

Main Digest

Two of the things people are fighting for in relation to Medicaid include, 'Money Follows the Person,' and the Community Choice Act. Perhaps the most vocal of the groups fighting for these things is ADAPT. The voices of ADAPT members are up against a Republican Congress that controls the budget strings, so to speak, as well as those who put money before health care during a time of national financial strife.

One of the most basic facts about health care is that everyone in the world needs it; able-bodied or not. Health care also does not simply stop based upon the economy; health care is something that continues on a 24/7 basis. The provision of health care, as well as the settings in which it is provided, cannot be based upon monetary perspectives - health care is a human right.

What is, 'Money Follows the Person'?

The "Money Follows the Person" Re-balancing Demonstration Program (MFP) helps States re-balance their long-term care systems to transition people with Medicaid from institutions to the community. Forty-three States and the District of Columbia have implemented MFP Programs. States participating in MFP are: AR, CA CO, CT, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, NC, ND, NE, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, TN, TX, VA, VT, WA, WI, WV and the District of Columbia.

The, 'Money Follows the Person,' is an initiative; one that is a part of former President Bush's proposal for a Money Follows the Person Program. The program gives people the freedom to choose where they want to live, allowing them to take advantage of opportunities others in America take for granted such as:

Money Follows the Person is a win-win because people with disabilities receive the opportunity to live in their own communities, while states in America receive the resources they need to re-balance their long-term services systems and increase the availability of their community-based services. The Olmstead decision, through the Supreme Court, said that needlessly institutionalizing people with disabilities is discrimination under the Americans with Disabilities Act (ADA), and the Money Follows the Person initiative helps states to comply with both the ADA and the Olmstead decision.

The states in America are dealing with major budgetary shortfalls and major Medicaid cuts at the federal level are involved in the majority; if not every, state in this nation. One of the largest barriers to compliance with the ADA and the Olmstead decision is funding, to be plain. As the states in America work to deal with their budgets and restrict spending they must also fund nursing homes, which are entitlement. States have to fund nursing home services with a minimum of dollars - they are looking towards community services to stay at the same level of funding or lower.

The Money Follows the Person initiative has some important benefits, to include:

The Community Choice Act (CCA)

The Community Choice Act is an exceptionally important Act - it gives people real choice in relation to long-term care options by reforming Title XIX of the Social Security Act (Medicaid) and ends institutional bias. The CCA permits people who are eligible for Nursing Facility Services or Intermediate Care Facility Services for the Mentally Retarded (ICF-MR) the ability to choose the alternative of, 'Community-based Attendant Services and Supports.'

Yes - The Money Follows the Person. What; specifically, does the CCA do for people with disabilities? Well... a number of things such as:

Through the Community Choice Act, people with disabilities can receive Attendant Services and supports that are:

The Community Choice Act provides grants for Systems Change Initiatives with the goal of helping states to transition from their current, institutionally-dominated service systems to ones that are focused on community-based services and supports. The initiatives are guided by a Consumer Task Force. The CCA requires services and supports for people with disabilities to be provided in the most integrated setting appropriate to meet the needs of the individual.

The United States of America is experiencing rough financial times, no questions about it. Disability is also a fact of life; so is the human right and need for health care - something that does not recognize the economy. The Americans with Disabilities Act is law, and the Supreme Court of this nation has stated that unnecessary institutionalization of people with disabilities is discrimination.

The Community Choice Act and Money Follows the Person are two very clear solutions to the issues facing America in relation to people with disabilities and the provision of health care. Providing health care in our own communities for people with disabilities costs around two-thirds of what it does to do so for the same people in nursing homes or similar institutions. America cannot afford to continue institutionalizing people with disabilities, and the Medicaid programs that we need must not be destroyed by politicians. Failure to pursue the Community Choice Act, Money Follows the Person, and support of Medicaid and Medicare is equivalent to disability discrimination and failure to recognize our human right to health care.

Author Credentials:

Thomas C. Weiss is a researcher and editor for Disabled World. Thomas attended college and university courses earning a Masters, Bachelors and two Associate degrees, as well as pursing Disability Studies. As a Nursing Assistant Thomas has assisted people from a variety of racial, religious, gender, class, and age groups by providing care for people with all forms of disabilities from Multiple Sclerosis to Parkinson's; para and quadriplegia to Spina Bifida. Explore Thomas' complete biography for comprehensive insights into his background, expertise, and accomplishments.

Related Publications

Share This Information To:
𝕏.com Facebook Reddit

Page Information, Citing and Disclaimer

Disabled World is an independent disability community founded in 2004 to provide news and information to people with disabilities, seniors, their family and carers. We'd love for you to follow and connect with us on social media!

Cite This Page (APA): Weiss, T. C. (2012, April 25 - Last revised: 2021, September 18). Medicaid, Money Follows the Person and Community Choice Act. Disabled World. Retrieved July 13, 2024 from www.disabled-world.com/editorials/mfp-cca.php

Permalink: <a href="https://www.disabled-world.com/editorials/mfp-cca.php">Medicaid, Money Follows the Person and Community Choice Act</a>: Money Follows the Person is an initiative program giving people the freedom to choose and take advantage of opportunities in America.

Disabled World provides general information only. Materials presented are never meant to substitute for qualified medical care. Any 3rd party offering or advertising does not constitute an endorsement.