Medicaid 1915(c) Home and Community-Based Services Waivers Across the States
- 1 January 2000
- journal article
- research article
- Vol. 22 (2) , 159-174
Abstract
This article provides State-level data on the Medicaid 1915(c) home and community-based services (HCBS) waivers program. Medicaid 1915(c) waiver participants were 32 percent of the Medicaid participants in institutional care in 1997. These data document wide interstate variation in organizational oversight and program policies for the waivers. Many structural barriers to HCBS waiver growth existed. Case management services, in some form, were normative for most HCBS waiver participants, but formal mechanisms to assess client satisfaction and service quality were less common. Substantial new growth in this program may require fundamental changes in HCBS waiver policies.Keywords
This publication has 18 references indexed in Scilit:
- State Long-Term Care Screening and Assessment ProgramsHome Health Care Services Quarterly, 2001
- State Medicaid Programs Offering Personal Care Services2001
- Predicting State Medicaid Home and Community Based Waiver Participants and Expenditures, 1992–1997The Gerontologist, 2000
- Comparing consumer-directed and agency models for providing supportive services at home.2000
- The Medicaid Home and Community-Based Waiver and Supported EmploymentAmerican Journal on Mental Retardation, 1999
- Trends and Issues in the Medicaid 1915(c) Waiver Program1999
- Care-Related Preferences and Values of Elderly Community-Based LTC Consumers: Can Case Managers Learn What's Important to Clients?The Gerontologist, 1997
- Expenditures on Services for Persons with Acquired Immunodeficiency Syndrome Under a Medicaid Home and Community-Based Waiver ProgramMedical Care, 1997
- Medicaid 2176 Home and Community-Based Care Waivers: The First Ten YearsHealth Affairs, 1992
- A Profile of Medicaid Home and Community-Based Care Waivers, 1985: Findings of a National SurveyJournal of Health Politics, Policy and Law, 1988