Olmstead Ruling

The ADAPT Community

10 Years After the Olmstead Decision Components of a Comprehensive Plan


  • Commitment of Governor /State Agency(s) Directors
  • Statement of support of the ADA “most integrated setting”
  • Includes nursing facilities, ICF-MR’s and all other institutions Identifies all affected populations – physical/cognitive/mental Children, young adults, older folks
  • Identifies lead agency – Olmstead Plan coordination
  • Identifies funding to implement plan Federal Money follow the Person (MFP) request State MFP process and/or policy Budget request(s) to State Legislature for transitioning folks
    Provides for input from people with disabilities/older folks

Plan development Plan implementation Oversight

  • Data Collection

Number in nursing facilities, ICF-MR’s and other institutions Number in waivers, Personal Care Option, Home Health, State funded programs Number on all waiting lists Number of people who have transitioned out

  • Development of Identification Process

State request for Data Use Agreement from HHS/CMS Use of Community Based Organizations Identifies all populations – public/private Interest Assessment – Service Coordination Dispute Resolution

  • Community Integration Assessment/Plan

Assess what community services are currently available Identifies community services/infrastructure needed to relocate or divert Identification of barriers to community integration (Nurse Practices Act, licensing, housing, funding transportation, employment, medical equipment, etc) Support Services needed to move/stay in community Timelines for moving to the community Number of people to transition each year

  • Review/Monitoring of Community Integration

Additional Links

ADAPT Community Olmstead Implementation Plan