REAL CHOICE SYSTEMS CHANGE GRANTS
These systems change grants represent a major new initiative to promote the design and delivery of home and community-based services that support people with a disability or long term illness to live and participate in their communities. Congress and the Administration have made $50 million available for this initiative.
Medicaid home and community-based services play an increasingly critical role in enabling individuals of all ages who have a significant disability or long term illness to live fuller, more self-directed lives in their own homes and communities than ever before. Despite continuing progress on this front, however, States wishing to improve the availability and quality of these services still face significant challenges. Accordingly, Congress and the Administration have envisioned a new grant program to assist States and the disability and aging communities to work together to find viable ways to expand such services and supports. The new grant funds are meant to be used to bring about enduring system improvements in providing long term services and supports, including attendant care to individuals in the most integrated settings appropriate to their needs.
The "Starter Grants" represent the first grant opportunity under the Real Choice Systems Change initiative. Details of the "Starter Grants" and the four future grant solicitations, that we collectively refer to as the "Systems Change" grants, are further described in the Questions and Answers document.
Secretary Thompson's Announcement of the "Starter Grants"
Systems Change Grants for Community Living - May 17, 2001
HHS Press Release - February 25, 2001
State Medicaid Director Letter Describing Upcoming Grant Opportunities - January 10, 2001 - PDF 107KB
Conference Committee Report -
December 15, 2000
Furnishes information on the Congressional intent of the funding
Questions and Answers - About "Starter Grants" That Promote Systems Change for Community Living - PDF 85KB
State Representatives for "Starter Grants" - July 2, 2001 - PDF 148KB
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