Term State Medicaid Waiver Programs
Code NL-5000.5000-800
Definition Medicaid programs offered by states that have been authorized by the Secretary of the U.S. Department of Health and Human Services (HHS) to waive certain Medicaid statutory requirements giving them more flexibility in Medicaid program operation. Included are home and community care based (HCBC) waiver programs operated under Section 1915(c) of the Social Security Act that allow long-term care services to be delivered in community settings; managed care/freedom of choice waiver programs operated under Section 1915(b) of the Social Security Act which allow states to implement managed care delivery systems or otherwise limit individuals' choice of provider under Medicaid; and research and demonstration project waiver programs operated under Section 1115 of the Social Security Act to projects that test policy innovations likely to further the objectives of the Medicaid program. Each of the states has developed waivers to meet their needs; and while every state's waiver programs have their own unique characteristics, there may also be common threads.
Created 1/12/98
Changed 10/27/15
Use References MSSP Programs
State BadgerCare Waiver Programs
State Medi-Cal Waiver Programs
State Title 19 Waiver Programs
State Title XIX Waiver Programs
See Also References Home and Asset Protection (LH-4000)
Medicaid Managed Care Ombudsman Programs (FT-5410)
State Medicaid Waiver Appeals/Complaints (NL-5000.5000-780)
External Classification Terms Financial (ACH F-01)
Financial Aid for Medical Care (MEDICAID) (UW 2.4.14.03)
Government & Public Administration (NTE W20)
Health (CAN HC-300)
Health Care (USA HC-300)
Public Assistance (NPC W08.03)
Related Concepts Financial Services/Benefits
Insurance
Long Term Care
Named Programs
Older Adults
U.S. Services/Targets
Facet Named Programs
Comments
Bibliographic References "Medicaid State Waiver Program Demonstration Projects - General Information", Centers for Medicaid & Medicare Services (CMS) website, http://www.cms.hhs.gov/MedicaidStWaivProgDemoPGI/

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