Key Services Potentially Affected: Supported Living Services (SLS)

Changes under discussion include the implementation of a “soft cap” on certain HCBS services. Under this approach, case managers may be required to provide additional justification when service plans exceed certain expected utilization levels. The goal is to manage overall Medicaid spending while maintaining flexibility for individuals with higher needs. A separate proposal that would have significantly reduced weekly caregiver hours was discussed but has not been approved at this time.