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ACCESSIBLE, AFFORDABLE INTEGRATED HOUSING
ACCESS ACROSS AMERICA (AAA)
SCOPE OF PROBLEM
Even with the increased availability of Medicaid community-based services and supports, people with disabilities are being stopped from relocating to housing in the community because they cannot get access to vouchers or accessible, affordable, and integrated housing options. This affects all disabled people who have gone into nursing homes and due to Katrina the situation has worsened. There are thousands of disabled and elderly people who were waiting to get out before Katrina and continue to wait. Many people have dropped out of transitioning programs, losing hope when they could not get any assistance to coordinate their Medicaid community-based services and supports with any real access to affordable, accessible, integrated housing.
WHAT IS ACCESS ACROSS AMERICA?
Access Across America is a proposal to HUD for a national program that would help people coming out of nursing homes or at risk of going into a nursing homes because they cannot access affordable, safe, and accessible housing. This program coordinates the receipt of subsidized housing vouchers with Medicaid-eligible persons transitioning out of nursing homes or at risk of going into a nursing home due to a housing crisis, who are receiving home and community-based services and supports.
WHY ACCESS ACROSS AMERICA?
Directs HUD and HHS/CMS to collaborate, coordinate and improve services to low income persons with disabilities, thus ensuring that they can truly live in the most integrated setting.
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Improve the timing and coordination of affordable, accessible, integrated housing with the receipt of home and community support services;
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To facilitate the rebalancing of the long term care system;
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Implement the goals of the New Freedom Initiative;
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Assist states in implementing the Supreme Court’s Olmstead decision.

WHO IS ELIGIBLE FOR ACCESS ACROSS AMERICA?
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Individuals with disabilities and older Americans who are in nursing homes or other institutions;
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Those who have chosen to leave the nursing home or other institution;
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Individuals who will be transitioning from the nursing home or other institution within the next 60 days or may be forced back into a nursing home over a housing problem.
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Individuals at imminent risk of going into nursing homes or other institutions
HOW WILL ACCESS ACROSS AMERICA BE IMPLEMENTED?
HUD in coordination with HHS/CMS will work at the state level and local levels with federally authorized community-based organizations such as Independent Living Centers and Area Agencies on Aging, to facilitate the coordination of and implementation of the ACCESS ACROSS AMERICA program.
For information: Cassie James, ADAPT, 215/634-2000 www.adapt.org
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