1. 1 Demystifying Medicaid Funding Presented by: Steven Lutzky, PH.D. To: aaa+ Annual Conference December 5, 2008

2. Agenda HCBS Strategies, Inc. 2 Who I am Review Medicaid Funding Authorities Brainstorm on feasibility for Medicaid funding for HIV/AIDS services

3. HCBS Strategies, Inc. 3 HCBS Strategies Founded in May, 2004 by Steven Lutzky, Ph.D., with headquarters in Baltimore Dr. Lutzky has over a decade of experience as a consultant Division Director at CMS Headed up all Medicaid funded LTC for DC

4. HCBS Strategies, Inc. 4 Major Clients State Alaska Department of Heath and Social Services Illinois Department of Healthcare and Family Services Illinois Department on Aging Minnesota Department of Human Services Maryland Department of Aging DC Department of Mental Health Federal Administration on Aging Centers for Medicare and Medicaid Services

5. HIV/AIDS Background Support group facilitator/buddy Oversaw Medicaid funded HIV/AIDS services for DC Expansions to HIV only 1115 Demonstration Demonstration to Support Employment & Independence Integrating access to different programs HCBS Strategies, Inc. 5

6. Understanding Medicaid Funding Refer to Crosswalk HCBS Strategies, Inc. 6

7. BRAINSTORM ON FEASIBILITY FOR MEDICAID FUNDING FOR HIV/AIDS SERVICES HCBS Strategies, Inc. 7