Shaping Medicaid and SCHIP Through Waivers: The Fundamentals

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Article Publication Date: 
7/22/2008
Summary: 
This paper examines the use of research, demonstration, and program waivers as vehicles for innovation in the delivery and payment of health care and long-term care. It summarizes the context of the creation of the programs and reviews their legal underpinnings. It also analyzes the dynamics between state and federal authorities. Finally, the paper examines the impact of the Deficit Reduction Act of 2005 on the need for or desirability of waivers.
Article Author: 
Shirk, Cynthia
Types/Tools: 
Populations: 
Children and Families
Sources: 
National Health Policy Forum
Programs/Initiatives: 
Deficit Reduction Act (DRA)
Keywords: 
Long-Term Care
SCHIP; budget neutrality; Freedom of Choice; waivers; HIFA; Health Insurance Flexibility and Accountability; 1115; innovation; tiered benefit packages; HCBS State Plan Option; Self-Directed Services Option; Cost share

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Jennifer Ryan
Principal Policy Analyst / Project Manager
National Health Policy Forum
Phone: 
202-872-1390

Short URL: http://www.advancingstates.org/node/51724