¢ [1]Nkwụsị ọrụ n'iche na nke obodo (HCBS waivers) ma ọ bụ Nkebi 1915(c) ihe, 42 USC Ch. 7, § 1396n §§ 1915(c), bụ ụdị nhapụ Medicaid . Mwepu HCBS na-agbasawanye ụdị ntọala nke ndị mmadụ nwere ike akwụkwọ ogologo oge zuru oke n'okpuru Medicaid. Tupu e kee ntọhapụ HCBS, ihe ogologo oge zuru oke dị site na Medicaid naanị na ntọala ụlọ ọrụ. N'okpuru nwere HCBS, steeti ike iji ego Medicaid nye ọtụtụ ọrụ na-akpata (e ụlọ ụlọ na bọọdụ) nke Medicaid kpuchitere ma ọ bụrụ na ọrụ ndị ahụ na-ekwe ka ndị nnata ndekọ na obodo na ebe obibi dịka ihe. ọzọ na nhazi ụlọ.
Akụkọ ihe mere eme
. [2] Nkebi nke 1915 (c) bụ ụmụaka na-ahụ maka Social Security Act nke emepụtara dị ka nke Omnibus Budget Reconciliation Act nke 1981 . Nkwenye nke ịwepụ HCBS site na steeti dị obere na mbụ, mana Congress emebela ụzọ mgbochi 1981 iji mee ka ojiji nke HCBS wepụrụ እምብዛም ya. Ikpeikpe Ndị Kasị Elu, Olmstead v. LC (1999), tara na ụlọ ọrụ na-enye isi bụ isi nke ikike obodo nke Americans with Disabilities Act nke 1990 na a ga-enye ọrụ mpaghara kacha nta . Olmstead kwere na steeti ahụ ike na-agba ọsọ iwu ndị America nwere ikike ma ọ bụrụ na ha nwere ike igosi na ha nwere ike zuru oke, na-arụ ọrụ iji mee ka ndị nwere ikike na ntọala ndị na-enweghị mma. Ndokwa a yana erslọ Ọrụ maka Medicare na malite Medicaid na nrube isi nke Olmstead butere ụmụaka ngwa site na steeti nke ịwepụ HCBS.
Iwu Ntọala HCBS
Iwu ntọala bụ ụkpụrụ na-achọ ịhụ na ikike nke ndị nwere nkwarụ na-enweta ọrụ site na nkwụsị HCBS. Edere iwu a site na erslọ Ọrụ Maka Ọrụ Medicare na Medicaid wee bata na Maachị 17, 2023 zuru oke. [3]
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