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Welcome to Access to Independence of Cortland County Inc
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OLMSTEAD DECISION IMPLEMENTATION

An historic Supreme Court decision, Olmstead vs. LC (1999), encourages states to reevaluate how they deliver publicly funded long-term care services to people with disabilities. The court ruled that it is a violation of the Americans with Disabilities Act to discriminate against people with disabilities by providing services only in institutions when they could be served in a community-based setting, and certain conditions are met.

As a result, legislators, executive branch officials, consumer advocacy groups and individual citizens are working together to implement the Olmstead decision.

Overview of Olmstead Decision  

Overview of CMS

Medicaid Spending for Community-based Long-term Care

Community Based Long Term Care Solutions

National Governors Association - PBS Broadcast on Long-term care alternatives

Cortland County Coalition for Long Term Care has formed a committee to identify opportunities to identify existing resources to keep people in the most integrated setting and to identify barriers to that goal.  Olmstead implementation requires:
 - Flexibility in long-term care funding (Medicaid and private insurance),
 - affordable, accessible housing,
 - recruitment of personal care assistants
 - support services such as transportation
 - training of human services professionals and the public in available services and alternatives to nursing home care.

Cortland County has one agency able to assist Medicaid recipients to direct their own care independently in their homes: CAPCO Consumer Directed Personal Assistance.

NYS Olmstead Implementation - New York has lagged other states in developing a plan to implement Olmstead.  The members of the Most Integrated Setting Council were named in September 2003 and are slowly developing a statewide plan.

New York's Most Integrated Setting Law

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Bobby WorldWide Approved AAA      transparent separator      Bobby WorldWide Approved 508