Stop Unnecessary Institutionalization
Below are three minimal requirements to achieve an end to unnecessary institutionalization and to genuinely establish self-directed homecare in Nevada.
1. That all persons who are currently institutionalized, (or their responsible person), be clearly and routinely informed of their right, under the ADA and the Olmstead ruling, to choose alternative home and community-based services.
2. That every unnecessarily institutionalized person would, with all due urgency, be afforded equal access to those supports necessary to live comfortably and safely outside of the institution.
3. That, because the Independent Caregiver Option, (in Nevada Medicaid lingo, "58 PROVIDER"), grants a more functional means to accommodate the prompt discharge of some unnecessarily institutionalized individuals, this choice of home care provider should immediately be made available for them.
Also for the sake of other people, who are already receiving more costly corporate homecare services, but who desire to use these better paid, recipient-directed, individual homecare providers––– that choice of homecare service provider should not be deprived, but should be made fairly and equally available, as it now is for other, equally eligible recipients. (The legal basis, the cost-effectiveness, and other functional benefits of this option are detailed in the February 22, 2012 letter to Governor Brian Sandoval.)