| Summary: | Part of a special section on patient centered care. The writers present an overview of the results from the Evaluation of Medicaid's Community Supported Living Arrangements (CSLA) Program. They argue that the findings imply that CSLA yielded a useful model of beneficiary centered care for persons with developmental disabilities. In addition, they assert that heeding the specific lessons of CSLA can help Federal, State, and local agencies, advocates, service users, and families develop more beneficiary centered approaches to long-term care for people with disabilities. Furthermore, they contend that attending to the general lessons of CSLA may assist in defining new and valuable roles for the Federal government as more and more long-term care shifts from Federal to State control, either through State-initiated waiver programs or eventual alterations in the Federal Medicaid program.
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