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Details for ADA and Quality Initiatives
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| Title |
ADA and Quality Initiatives |
| Project Number |
500-00-0021/01 |
| Project Officr(s) |
Adrienne Delozier |
| Start Date |
September 2003 |
| End Date |
September 2008 |
| Funding |
$5,083,486.00 |
| Award |
Task Order (RADSTO) |
| Principal Investigator(s) |
Brian Burwell |
| Awardee Name |
MEDSTAT Group (DC - Conn. Ave.) |
| Awardee Street |
4301 Connecticut Ave., NW, Suite 330 |
| Awardee City/State/Zip |
Washington, DC 20008 |
| Description |
On June 22, 1999, the U.S. Supreme Court, in Olmstead v. L.C., provided an important legal framework for State and Federal efforts to enable individuals with disabilities to live in the most integrated setting appropriate to their needs. This decision affirmed that no one should have to live in an institution or nursing home if they can live in the community with the right mix of supportive services for their long-term care. The Americans with Disabilities Act of 1990 (ADA) is both reinforced and clarified with the Olmstead decision. This decision has challenged the Federal Government and States to develop more opportunities for individuals with disabilities to live and participate in the community through more accessible systems of cost-effective community-based services. The Medicaid Program plays a critical role in making long-term care available in the community by offering States many opportunities to deliver this care through mandatory State plan services like home health and optional services such as personal care. In addition, most States rely heavily on the Medicaid 1915(c), 1915(b) and 1115 waiver authorities to provide long-term care in the community. On June 19, 2001, the President released an Executive Order aimed at expanding community-based alternatives for people with disabilities. He directed a number of Cabinet Secretaries, including the Secretary of Health and Human Services (HHS), to "swift(ly) implement the Olmstead Decision (and) evaluate the policies, programs, statutes and regulations . to determine whether any should be revised or modified to improve the availability of community-based service for qualified individuals with disabilities." Each agency head was required to report to the President, through the Secretary of HHS, the results of their evaluation. A preliminary report, entitled Delivering on the Promise, was sent to the President on December 21, 2001. Individual Agency and Department Reports were sent on March 25, 2002. The HHS Report is entitled "Progress on the Promise." This contract supports several tasks that further the goals of the ADA, the Olmstead Decision, and the New Freedom Initiative including: 1. Ensuring Quality in the Medicaid Home and Community Based Services (HCBS) Waiver Program - Provides a National Technical Assistance Contractor for the provision of technical assistance to States, the Centers for Medicare & Medicaid Services (CMS) Central Office, and CMS Regional Offices in the areas of quality management, including quality assurance and improvement. 2. Resource Network for ADA/Olmstead - Supports the website HCBS.org which facilities communication between States and consumers, provides seminal research and summaries on HCBS programs or initiatives, and provides important HCBS data. 3. Olmstead-Informational Tools for States - Funds efforts by the National Conference of State Legislatures to help legislators understand their responsibilities and opportunities to provide cost-effective, high quality community-based services, develop systems that support employment of people with disabilities, and understand then comply with the Olmstead v. L.C. Supreme Court decision. 4. Executive Order Administrative Costs - Will support the logistical planning and convening of two New Freedom Initiative Policy Summits. 5. New Model Waivers - Will develop a training curriculum for CMS to present to States on self-direction in the context of Independence Plus waivers and demonstrations and implementing the required standards. Will also support technical assistance to states on implementation and CMS requirements related to Independence Plus. Option II was exercised in April 2006. |
| Status |
The period of performance ended September 2008. The contract deliverables have been completed. |
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Last Modified Date : 03/25/2009
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