Money Follows the Person

Current Medicaid policies leave most low-income elderly Alabamians and low-income people with disabilities no choice in subsidized long-term care. The U.S. Supreme Court ruled in 1999 (Olmstead v. L.C.) that the Americans with Disabilities Act may require states to provide community-based alternatives to institutionalized care for people with disabilities. More recently, the federal government has encouraged states to reduce the "institutional bias" of Medicaid long-term care by allowing Medicaid dollars to "follow the person" into home- and community-based care settings. Home- and community-based carehelps keep families together and gives recipients more control over their daily lives -- from household routines to activities in the community, such as recreation, shopping, school or work.

 This fact sheet  This fact sheet outlines proposed 2007 legislation to reform Alabama Medicaid's long-term care policy.

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