Medicaid Waivers

In these reports, the National Conference of State Legislatures (NCSL) traces the budget issues that states confronted in 2002 & 2003 and examines how they addressed those issues. The report also describes long-term care legislation enacted in 2002 & 2003 and long-term care planning work that is under way in many states.

This site provides information and links to health care services and programs offered in the state of Alaska. Available resources include: Breast and Cervical Cancer Screening, Denali KidCare, Family Planning, Genetic and Specialty Clinics, Infant Screening and Testing Programs, and Medicaid.

The data presented in Tables A through N are derived from HCFA 64 reports submitted by states to the Health Care Financing Administration. The HCFA 64 is the form used by states to claim Federal Financial Participation (FFP) for state Medicaid outlays, and is audited by the Federal government. It is thus considered to be one of the most reliable sources of information on state Medicaid spending.

The accompanying tables and graphs present data on Medicaid expenditures for 1915(c) Home and Community-Based Services waivers from FY 1995 through FY 2000. The memo provides detailed data on expenditures for individual waivers. In addition, the materials classify each 1915(c) waiver by target population, and present information on the distribution of expenditures for HCBS services across long term care populations.

This report updates and builds upon the Medicaid 1915(c) home and community based waiver data collected for 1992-1997 and for part of 1998 in two previous studies by Charlene Harrington, Ph.D., for the Health Care Financing Administration (Contract 500-97-0002). This work is part of a larger study on the home and community based service program being conducted for The Kaiser Commission on Medicaid and the Uninsured.

This memorandum and the accompanying tables present data on Medicaid 1915(c) Home and Community-Based Services (HCBS) waiver expenditures from Federal Fiscal Years 1997 through 2002.

This memorandum presents data on Medicaid long term care expenditures in Federal Fiscal Year 2002 (September 2001 through September 2002). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1990 to 2002.

This report describes Community Living Excahnge Collaborative's technical assistance needs assessment of the 52 Real Choice Systems Change grantees operating in 37 states and one territory (Guam). The report also describes the findings of the needs assessment.

The HCBS Promising Practices in Quality bulletin describes Michigan’s Mission-Based Performance Indicator System. The system provides comparative reports on the performance of Prepaid Health Plans (PHPs) in serving and supporting persons with developmental disabilities in Michigan’s Medicaid 1915 b/c Waiver. Performance measure data are used by the state to identify problems and serve as the basis for quality improvement activities.

Sixteen Regional Office waiver review reports were reviewed to identify the areas most frequently cited using the HCBS Quality Framework categories as a guide. States included in the sample represented all regions of the country, as well as sparsely and densely populated states.