Six Strategies for States to Manage HCBS Growth Amid Workforce Shortages and Rising Costs

Sellers Dorsey outlines approaches for state Medicaid programs to balance community integration commitments with fiscal pressures in home and community-based services. The piece addresses operational challenges including 607,000 people on HCBS waiting lists, workforce shortages, and cost growth outpacing enrollment, while noting evolving federal expectations for transparency and program integrity. The analysis is framed around maintaining ADA compliance while managing waiver capacity constraints and rising per-member costs.

LTSS · Managed Care

This is outside commentary from Sellers Dorsey, not part of Medicaid Monitor's independently scored news coverage.

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