id	author	title	date	pages	extension	mime	words	sentence	flesch	summary	cache	txt
ihlr-18812	Opsahl, Kimberly A.	Using Integrated Care to Meet the Challenge of the ADA's Integration Mandate: Is Managed Long-Term Care the Key to Addressing Access to Services	2012	38	.pdf	application/pdf	11030	566	46	Sess., Chap. 45 § 4(a) (Ind. 2011), available at http://www.in.gov/legislative/bills/2011/PDF/ HE/HE1001.1.pdf. 36 jd. 219 INDIANA HEALTH LAW REVIEW valuable ground in the provision of community-based services and significantly increase the risk of institutionalization for both those in community services and those waiting for services. A common argument for such cases is that the limitation creates a greater risk for institutionalization for those individuals who require [services beyond the limitation].74 Whether a challenge is raised as an at risk of institutionalization claim or is focused on the question of deinstitutionalization, many cases end with a settlement agreement, whereby the State agrees to modify its policies to increase the avail-ability of community services or to remove limitations.7 5 Often, these agreements are on a scale that essentially rebalances the system of care away from institutional care and toward community-based services.	cache/ihlr-18812.pdf	txt/ihlr-18812.txt