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Section 1115 Research & Demonstration Projects: States can apply for program flexibility to test new or existing approaches to financing and delivering Medicaid and CHIP. Section 1915(b) Managed Care Waivers: States can apply for waivers to provide services through managed care delivery systems or otherwise limit people's choice of providers.
Under an HCBS waiver, states can use Medicaid funds to provide a broad array of non-medical services (excluding room and board) not otherwise covered by Medicaid, if those services allow recipients to receive care in community and residential settings as an alternative to institutionalization. [1]
Medicaid waiver programs are available in all states to people with specific healthcare needs, allowing home and community care. Learn more here.
A Katie Beckett waiver or TEFRA waiver is a Medicaid waiver concerning the income eligibility for home-based Medicaid services for children under the age of nineteen. Prior to the Katie Beckett waiver, if a child with significant medical needs received treatment at home, the child's income would be deemed to include the parents' entire ...
Some states offer home and community based services (HCBS) waiver programs through Medicaid that pay family caregivers for providing in-home care. HCBS waivers intend to help seniors receive the ...
When officials initially applied for the waiver in 2018, the agency predicted roughly 32,000 parents in the coverage gap would be newly eligible for Medicaid. Under Trump, many states might pursue ...
All states except Alaska, and Wyoming have all, or a portion of, their Medicaid population enrolled in an MCO. [4] States can make managed care enrollment voluntary, or seek a waiver from CMS to require certain populations to enroll in an MCO. If states provide a choice of at least two plans, they can mandate enrollment in managed care.
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...