Recent Growth in Medicaid Home and Community-Based Service Waivers April 30, 2004 Report Medicaid spending on home and community-based service (HCBS) waivers dominates spending on community-based long-term care services offered through the Medicaid program. This paper examines trends in HCBS waiver enrollment and spending in recent years. Report (.pdf)
Assessing the Role of Recent Waivers in Providing New Coverage November 30, 2003 Issue Brief This analysis finds that recent waivers have expanded coverage in important ways in a few states, but, overall, the number of people who have gained new coverage under recent waivers has been quite limited, well below projections and small compared to overall growth in Medicaid enrollment.Issue Paper (.pdf)
An Overview of the Independence Plus Initiative to Promote Consumer-Direction of Services in Medicaid November 30, 2003 Issue Brief This issue brief provides an overview of the Independence Plus Initiative, compares core program features with the Cash and Counseling Demonstration program, and discusses several policy issues that arise in the implementation of this initiative.Issue Paper (.pdf)
Medicaid: Current Benefits and Flexibility November 29, 2003 Issue Brief Medicaid: Current Benefits and FlexibilityTwo issue briefs discuss the minimum requirements for states to receive federal Medicaid matching funds and the options states have under federal law and waivers to tailor their Medicaid programs.Medicaid as a Health Insurer: Current Benefits and FlexibilityMedicaid as a Long-term Care Program: Current Benefits and…
Medicaid as a Health Insurer: Current Benefits and Flexibility November 29, 2003 Issue Brief This issue brief focuses on one subset of “flexibility” issues: the current federal benefits and cost-sharing rules that apply with respect to acute care. Issue Paper (.pdf)
Medicaid as a Long-Term Care Program: Current Benefits and Flexibility November 29, 2003 Issue Brief This brief focuses on one subset of “flexibility” issues: the current federal benefits and cost-sharing rules that apply with respect to long-term care.Issue Paper (.pdf)
Serving Low-Income Families Through Premium Assistance: A Look At Recent State Activity September 29, 2003 Issue Brief This issue paper examines the policies in the HIFA waiver initiative that provide incentives for states to use Medicaid/SCHIP funds to assist in the purchase of private insurance options. It also reports on how states have responded to these new policies and what key policy questions are raised about premium…
Section 1115 Medicaid and SCHIP Waivers: Policy Implications of Recent Activities May 31, 2003 Issue Brief This policy brief provides an overview of recent Section 1115 waivers and a discussion of key issues. The HIFA initiative, combined with state fiscal pressures, have led to an increase in the number of states seeking Section 1115 waivers. Many of these recent waivers stake out new ground in terms of the scope of changes in coverage that they permit.
