Personal Care Services Guidelines
This past fall the President met with representatives from the disability community to
discuss increasing access to home and community-based services under Medicaid,
including personal care services. In response to the President's meeting, Secretary
Shalala established a workgroup which I co-chair with Bob Williams, Deputy Assistant
Secretary for Disability, Aging, and Long Term Care. The general goals of the group
are to study and make recommendations about how to reduce the institutional bias in
Medicaid long-term care spending and service delivery to promote home and
community-based care, with a particular emphasis on consumer directed services. This
letter is to inform you of some of the initiatives that are underway as a result of the
workgroup's direction. Copies of this letter also will be sent to other persons and
organizations that have assisted the workgroup in its efforts.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 28, 1998
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.