ADvancing States, in consultation with the Centers for Medicare and Medicaid Services (CMS) and the Administration for Community Living (ACL) published a fact sheet regarding coordination of benefits between Older Americans Act programs and Medicaid LTSS services.  Medicaid generally serves as the “payer of last resort” and individuals must exhaust all other sources of funding prior to receiving Medicaid payment for a service.  However, there are particular exemptions to this requirement – leading to some confusion about the interactions between Older Americans Act funding and similar services that may be covered by LTSS options such as 1915(c) waivers, 1915(i) or Managed LTSS programs.

Click here to view the fact sheet.