Medicaid Waivers

NASHP has published an Appendix K interactive map, supported by The John A. Hartford Foundation, to track each state’s new flexibilities in modified 1915 (c) and 1115 waivers. States are using these waivers and amendments to ensure that their older adults and family caregivers are receiveing the LTSS services they need during the pandemic.

The Institute for Medicaid Innovation has released a new report on how amendments and waivers are used to support innovative Medicaid program payment and delivery system models. The report is the second release in IMI’s “Introduction to Medicaid” series. The resource outlines 5 ccommon Medicaid waivers including a comparison table of all waivers implemented throughout the country. The report also explores the current use of 1135 waivers to respond to the COVID-19 pandemic.

This report highlights Medicaid waiver policies that could result in many people losing coverage, even as states incur greater costs. This report offers a detailed assessment of emerging waiver trends, providing insights into its critical implications. The report also describes how examining the research literature and evaluations of programs that impose similar policies can provide guidance on predicting the coverage and cost impacts of emerging waivers on Medicaid beneficiaries and states.

This paper focuses on how state-funded home and community-based services programs can support low-income older adults. It highlights promising practices that support maximum independence for low-income older adults and/or people with physical disabilities and their family caregivers. The paper explores programs across nine states, including Washington state’s emerging innovation: the Medicaid Transformation demonstration.