There is a general lack of financial resources, beyond the Medicaid program, to help individuals with complex care needs afford non-medical services and supports to remain independent in their homes and communities and avoid expensive hospital admissions and/or institutionalization.  A promising start to covering this type of care through Medicare was enacted in the Bipartisan Budget Act of 2018, as part of the CHRONIC Care Act.  This provision allows Medicare Advantage (MA) plans greater flexibility in structuring and targeting supplemental benefits, so that plans could offer benefits to “maintain the health or function of chronically ill enrollees” that are not “primarily health-related.” LTQA is committed to ensuring that this law is implemented in a manner that improves healthcare for beneficiaries.



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