Medicaid is the nation's primary way of financing and delivering community-based health and long-term services to children and adults with disabilities.  It is the nation's largest health care program, and serves nearly 60 million low-income Americans, including an estimated 9.9 million people with disabilities.  AUCD advocates for the maintenance of the individual entitlement to a full range of Medicaid health and long-term supports and services for all eligible children and adults with disabilities.





Six by '15: Community Living

At least six states will elect to implement the Community First Choice Option so that their Medicaid recipients with disabilities have access to long-term services and supports in the community

The Affordable Care Act included a new Medicaid option for states called Community First Choice. States that take up the option can provide home and community-based services without a waiver or waiting list and receive increased federal financial support for the services. As of the end of 2013, only California and Oregon had been approved to implement the option by the Centers for Medicare and Medicaid Services (CMS). By the end of 2015, the Six by '15 Campaign would like to see four more states join them in implementing the Community First Choice Option and addressing the institutional bias in their Medicaid programs.



CMS Announces new Medicaid Innovation Accelerator Program

The Medicaid Innovation Accelerator Program (IAP) is a new technical assistance program launched by the Centers for Medicare & Medicaid Services (CMS). The goal of IAP is to improve health and health care for Medicaid beneficiaries by supporting states' efforts to accelerate new payment and service delivery reforms.



Person-Centered Planning and Self-Direction: HHS Issues New Guidance on Implementing Section 2402(a) of the ACA

As a first step in implementing Section 2402(a), the Secretary issued this HHS-wide guidance on person-centered planning and self-direction.



Clarification of Medicaid Coverage of Services to Children with Autism

A CMS Informational Bulletin

Today The Centers for Medicare & Medicaid Services (CMS) released an informational bulletin with respect to services available under the Medicaid program to children with autism spectrum disorder (ASD).



DD Network Writes to CMS on HCBS Rule Implementation

The DD Network partners - AUCD, NACDD, and NDRN - wrote to Cindy Mann, Director of the Center for Medicaid and CHIP Services, regarding the new home and community-based services (HCBS) settings rule.

pdf File DD Network Letter HCBS Rule.pdf [download]


  • Community Integration Act

    A bill to reverse the institutional bias in Medicaid and ensure that Medicaid beneficiaries have an opportunity to receive care in a home and community-based setting.





A State Policy Framework for Integrating Health and Social Services

This brief from The Commonwealth Fund, authored by the Center for Health Care Strategies, describes three essential components for integrating health - encompassing physical and behavioral health services and public health - and social services. These components are: (1) a coordinating mechanism; (2) quality measurement and data-sharing tools; and (3) aligned financing and payment.



Olmstead's Role in Community Integration for People with Disabilities Under Medicaid: 15 Years After the Supreme Court Decision

Website  from

This Kaiser Family Foundation issue brief examines the legacy of Olmstead, with an emphasis on legal case developments and policy trends emerging in the last five years and the related contributions of the Medicaid program.



New Tool from Community Catalyst to Assess and Improve Medicaid Managed Long-Term Services and Supports

A new tool from Community Catalyst can help advocates promote more consumer-focused Medicaid managed long-term services and supports by making it easier to identify weaknesses and promote better practices.


Related Links



Kaiser Commission on Medicaid and the Uninsured

The Kaiser Commission on Medicaid and the Uninsured provides information and analysis on health care coverage and access for the low-income population, with a special focus on Medicaid's role and coverage of the uninsured.



Centers for Medicare and Medicaid Services

Information on CMS programs