A History of Making Long-Term Services & Supports Accessible.

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1980

Mental Health Systems Act provides federal funding for ongoing support and development of community mental health programs with an emphasis on deinstitutionalization.

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1981

Home and Community-Based Services (HCBS) waiver program is enacted under Section 1915(c) of the Social Security Act, allowing states to offer home and community-based services that are not strictly medical in nature through Medicaid as an alternative to institutional care.

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1982

Established under the Tax Equity and Fiscal Responsibility Act, the Katie Beckett Medicaid state plan option permits states to cover children with disabilities living in the community; previously, these children were eligible for Medicaid only if institutionalized.

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1990

American with Disabilities Act (ADA) signed into law. Prohibits discrimination and guarantees that people with disabilities have the same opportunities as everyone else.

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1999

U.S. Supreme Court’s Olmstead decision promotes broader HCBS coverage for people with disabilities, per ADA’s community integration mandate.

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2005

The Deficit Reduction Act (DRA) of 2005 (P.L. 109-171) made several changes to Medicaid policies governing state financing and provision of long-term care services. Among its other provisions, it created the Money Follows the Person (MFP) demonstration program.

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2007

Connecticut awards a CMS grant for MFP program, which allows states to help remove barriers for people with disabilities who choose to receive services in the home.

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2010

The Affordable Care Act (ACA) provides new access to health insurance and options to states under the Medicaid program to incentivize the improvement of their Long-Term Services and Support (LTSS) infrastructures and expand HCBS. Provisions include the Balancing Incentive Program, the Community First Choice (CFC) state plan option and an MFP extension, among others.

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2013

As a result of ACA, Connecticut works to create a health insurance exchange, known as Access Health CT, that allows access to health care in the state through both private and public coverage options.

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2013

Governor’s Rebalancing Plan

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2016

Connecticut launches Community First Choice, an option provided by the ACA, which represents a huge shift in person-centered care. It promotes choice, purpose and meaning in daily life. The individual decides what his or her goals are.

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2017

Connecticut uninsured rate dropped by 45% due to ACA / Access Health CT (according to the CT Health Foundation) .

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2018

Connecticut reached goal of 5,000 people who have transitioned out of nursing homes and into the community through MFP.

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2019

MyPlaceCT.org relaunch