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Can I develop a continuum of care facilities that combines independent living, assisted living and skilled nursing in one facility as part of a HOPE VI development?

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Can I develop a continuum of care facilities that combines independent living, assisted living and skilled nursing in one facility as part of a HOPE VI development?

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You may develop a continuum of care facility that combines independent living, assisted living, and skilled nursing in one facility as part of a HOPE VI development. You will need a Medicaid waiver. There are three types of Medicaid waivers: 1. 1915 (b); 2. 1915 (c); and 3. 1115 With the appropriate waivers, the HA could enable the elderly poor to receive some 52 services including the following: • Case management; • Homemaker; • Private duty nursing; • Diet/nutrition meal service; • Counseling; • Mental health services; and • Transportation. The Home and Community Based Waivers (1915 (c)) appear to be an appropriate tool for using HOPE VI to create a continuum of care for a varied low-income population. Therefore, it is certainly possible to provide services to a varied population within a public housing setting.

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