An Overview of Medicaid Section 1915(c) Home and Community-Based Services Policy Flexibilities States Adopted During the COVID-19 Public Health Emergency
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An Overview of Medicaid Section 1915(c) Home and Community-Based Services Policy Flexibilities States Adopted During the COVID-19 Public Health Emergency

Published: Sep 12, 2023
Publisher: U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation
Health COVID-19 Long-Term Services and Supports Medicaid and CHIP State Health Policy Federal State and Local Research and Evaluation Policy Analysis
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Associated Project

Analyzing Medicaid’s T-MSIS Data to Inform Behavioral Health, Disability, and Aging Policy

Time frame: 2021 – 2026

Prepared for:

U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation

Authors

Chandra Couzens

Laura Nolan

Jeral Self

Melissa Sanchez

William Haltermann III

During the COVID-19 public health emergency, states used Appendix K, a standalone appendix available during emergency situations, to modify their existing Medicaid HCBS 1915(c) waiver programs. Using Appendix K, states can make temporary changes to access and eligibility, payment, services, and other aspects of their waiver programs. This study reviewed and summarized modifications states made to their 1915(c) waiver programs between March 2020 and January 2022.

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