The recent Supreme Court decision in Olmstead v L.C. These programs enable people with significant disabilities to live in their communities and offer consumers more control over the services they receive. Many states have led the way in using Medicaid to design innovative and fiscally responsible long-term service programs. Medicaid now pays for a comprehensive range of home and community services that provide alternatives to unnecessary institutional care. They asked for the resources they needed to live independently and the government responded. In the following decades, people with disabilities of all ages and their advocates played a significant role in the evolution of the Medicaid program. When Medicaid was first enacted, payment for long-term services was made solely to institutions such as nursing homes. Medicaid is the major public payer of long-term services and supports for millions of low-income Americans. Humphrey Building, 200 Independence Avenue, SW, Washington, DC 20201. For additional information about the study, you may visit the DALTCP home page at or contact the ASPE Project Officer, Gavin Kennedy, at HHS/ASPE/DALTCP, Room 424E, H.H. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and George Washington University's Center for Health Policy Research. This report was prepared under contract #HHS-100-97-0015 between the U.S.
Gary Smith, Janet O'Keeffe, Letty Carpenter, Pamela Doty, Gavin Kennedy, Brian Burwell, Robert Mollica and Loretta Williams George Washington University, Center for Health Policy Research
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