2019 Self-Direction Conference Breakout Session: The implementation of the requirements of the home care rule present a number of challenges to state Medicaid program administrators with regard to potential increases in expenditures. Costs may be greater or lesser based in part on the design features of the program, especially employer authority versus budget authority. This session shares the findings of interviews with key informants, key descriptive findings from an environmental data scan, and select findings and promising practices from state case studies.
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