Medicaid Home and Community-Based Services Waivers

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Home and Community-Based Services waivers (HCBS waivers) or Section 1915(c) waivers, 42 U.S.C. Ch. 7, § 1396n §§ 1915(c), are a type of Medicaid waiver. HCBS waivers expand the types of settings in which people can receive comprehensive long-term care under Medicaid. Prior to the creation of HCBS waivers, comprehensive long-term care was available through Medicaid only in institutional settings. 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]

History

Section 1915(c) was an amendment to the

Centers for Medicare and Medicaid Services guidance on Olmstead compliance led to rapid adoption by the states of the HCBS waiver.[2]

HCBS Settings rule

The settings rule is a regulation that seeks to ensure the rights of people with disabilities receiving services through an HCBS waiver. This rule is written by the Centers for Medicare and Medicaid Services and came into full effect March 17, 2023.[3]

See also

References

  1. ^ "Home and community-based services waivers. | CMS". www.cms.gov. Retrieved 2023-02-10.
  2. ^ Shirk, Cynthia (2006-03-03). "Rebalancing Long-Term Care: The Role of the Medicaid HCBS Waiver Program". National Health Policy Forum.
  3. ^ "Home & Community Based Services Final Regulation | Medicaid". www.medicaid.gov. Retrieved 2023-02-10.
  • Smith, David G.; Moore, Judith D. (2015). Medicaid Politics and Policy (Second ed.). New Brunswick, N.J.: Transaction Publishers. .

External links

  • HCBS Advocacy – Information for advocates about the new home and community-based services rules