WEBVTT

00:00:00.176 --> 00:00:02.434
Olmstead asks whether people with disabilities

00:00:02.434 --> 00:00:05.445
receive services in the most integrated setting appropriate.

00:00:05.445 --> 00:00:09.208
Hidden provider information alone does not prove an Olmstead violation.

00:00:09.208 --> 00:00:11.091
But missing options, inaccessible planning,

00:00:11.091 --> 00:00:13.348
service gaps, or delays can matter

00:00:13.348 --> 00:00:16.359
when they create a serious risk of institutionalization.

00:00:16.359 --> 00:00:18.994
Medicaid person-centered planning should support informed choice,

00:00:18.994 --> 00:00:23.134
and the plan should reflect the setting selected by the individual.

00:00:23.134 --> 00:00:26.521
Keep the provider list, care plan, assessments, service notices,

00:00:26.521 --> 00:00:28.779
waitlist dates, housing terms, and appeals.

00:00:28.779 --> 00:00:30.661
Ask: were community services appropriate,

00:00:30.661 --> 00:00:32.543
not opposed, and reasonably available?

00:00:32.543 --> 00:00:35.930
Then compare the record with the ADA integration mandate.

00:00:35.930 --> 00:00:37.812
A risk map organizes questions;

00:00:37.812 --> 00:00:40.823
it is not an audit or legal finding.

00:00:40.823 --> 00:00:43.081
Read the source-linked record at david-medeiros.com.