Medicaid Waivers

Self Determination in Long Term Care (SDLTC) is a MI Choice waiver program option. The following forms are used for this program: Budget worksheet, Disenrollment form, Right to Hire form, Right to Hire with Driving Record, Job description form for a PCA/HHA, and Backup Worker form.

This series of chart books summarizes demographic, service utilization, and expenditure data for state fiscal years 2001 through 2008 on three Maryland Medicaid waiver programs — Older Adults, Living at Home, and Autism, and on nursing facility utilization among Maryland Medicaid recipients. These books are now available to the public online to monitor trends in these programs.

A description of Florida's Cash & Counseling program implemented under an Independence Plus 1115 waiver amendment including information on organization and structural administration, reporting items, and benefits.

This presentation was given to state grantees via teleconference. The presentation highlights key steps in creating an operational protocol, including identifying eligibility requirements, communications and marketing work, and developing a budget amount.

This presentation provides an overview of the Cash & Counseling design and research results.

States are increasingly interested in the individual budget model for older Medicaid beneficiaries as a mechanism to improve responsiveness of benefits to beneficiaries’ needs and preferences and to increase their ability to remain outside or leave nursing homes. This report describes 10 operating individual budget model programs that serve older persons and identifies four areas of program design that are of particular importance to the success of the individual budget model.

This report and tables present Medicaid 1915(c) Home and Community-Based Services (HCBS) Waiver expenditures data from Federal Fiscal Years 2003 through 2008. Each HCBS waiver is classified by population served in order to show the distribution of expenditures across long-term care populations. This report includes new target population categories to identify waivers that target particular developmental disabilities such as intellectual disabilities and autism spectrum disorders.

 This is Alabama's application for a Self-Directed Personal Assistance Services State Plan, used to implement their Cash & Counseling project.

Waivers allow people to pay for needed home health and personal assistance so they may live in community rather than institutional settings. Little research has examined how effectively these programs ensure proper use of health care services or how they improve the health of people with disabilities or at how effective these programs are when people move from institutional to community settings. The bottom line? People with disabilities continue to have unacceptably high rates of disease.

In 2006, Congress authorized states to add HCBS as an optional state plan benefit. Because the new benefits (referred to as 1915i) expands access, its addition to the Medicaid service menu has been welcomed by enrollees and advocates alike. This webinar will present an analysis of Medicaid’s new HCBS state plan option, which will include a discussion of the issues surrounding it, the states that have adopted it, and legislative proposals to modify it to ensure it achieves its intended purpose.