Medicaid 1915(c) Home and Community-Based Services Waivers: A National Survey of Eligibility Criteria, Caps, and Waiting Lists

Kitchener, Martin James ORCID: https://orcid.org/0000-0001-6249-557X, Ng, Terence and Harrington, Charlene 2004. Medicaid 1915(c) Home and Community-Based Services Waivers: A National Survey of Eligibility Criteria, Caps, and Waiting Lists. Home Health Care Services Quarterly 23 (2) , pp. 55-69. 10.1300/J027v23n02_04

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Abstract

With 43 states reporting budget deficits in 2002, there is increasing interest in the cost controls methods that state governments use on the 229 Medicaid home and community-based services (HCBS) waiver programs which, in 2001, provided services to more than 830,000 persons and cost more than $14.2 billion. This paper reports findings from a national survey of all waiver programs regarding cost containment strategies used in 2002. Responses from 76 percent of all waivers show that 57 percent used some type of financial cap, 33 percent used more restrictive financial eligibility criteria than for institutional services, and the vast majority of states limited the number of waiver slots available. Overall, the waiver programs reported that 157,640 persons were on waiting lists in 2002. These findings provide an important basis for comparison between states because the use of these strategies may restrict individuals' choice of services and result in unnecessary institutionalization.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Business (Including Economics)
Subjects:	H Social Sciences > HD Industries. Land use. Labor H Social Sciences > HJ Public Finance R Medicine > RA Public aspects of medicine
Uncontrolled Keywords:	Medicaid; long-term care; home and community-based services; waivers; eligibility criteria; cost caps; waiting lists
Publisher:	Taylor & Francis
ISSN:	0162-1424
Last Modified:	21 Oct 2022 10:33
URI:	https://orca.cardiff.ac.uk/id/eprint/40576

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