On March 11, 2021, President Biden signed the American Rescue Plan Act of 2021 (ARPA) into law to address the impact of the COVID-19 pandemic. Section 9817 of the ARPA offers an unprecedented opportunity to enhance, expand, or strengthen Home and Community Based Services (HCBS) under the Medicaid program by authorizing states a 10 percent increase in the federal medical assistance percentage. This increase is for a limited time beginning April 1, 2021 through March 31, 2022 and must be used to implement or supplement one or more HCBS activities offered through Medicaid.
The Division has categorized ARPA initiatives into four primary areas. Below is a summary of the initiatives that directly impact HCSB services. A Frequently Asked Questions document will be developed including implementation steps and timelines.
1. Strengthening the HCBS Workforce
2. Enhancing HCBS Reimbursement Rates
- Alignment of Rates to Minimum Wage Standards
- Supplemental Payments to HCBS Providers
- Supplemental Payments to Restore Waiver
3. Expanding HCBS Services
- Enhancement of Environmental Adaptation Services
- Establishment of a PACE program
- Expansion of Home Delivered Meals in the Frail Elderly Waiver
- Expansion of In-Home COVID Vaccinations
4. Providing Infrastructure Support for HCBS Programs
- Study on Development of Value Based Payment Model for HCBS
- Study to Evaluate HCBS Rates and Methodology
- Study to Improve Care for Aged, Blind and Disabled Populations
None at this time, please check back again soon.
Information on Nevada Initial and Quarterly Spending Plans, Partial and Conditional Approvals and CMS letters to Nevada can be found here on The Centers for Medicare and Medicaid Services website.
- July 13, 2021- submission to CMS of Nevada’s Initial Spending Plan
- September 30, 2021- received a Partial Approval from CMS of the Initial Spending Plan
- Implementation Dates of Initiatives- TBD