What is a Medicaid Waiver?

A Medicaid program essentially provides people who would otherwise be in an institution, nursing home, or hospital to receive long-term care in the community. These waivers are filled out by Americans of all ages and can make life a lot easier. These waivers are essentially “applications” that are filled out so you or your loved one can gain benefits and financial support from the Medicare program.

Each state has a different waiver with varying requirements and benefits, so it’s important to fill out the waiver for the state you or your elder will be residing in.

Types of Medicaid Waivers

Section 1115 Research & Demonstration Projects: States can apply for program flexibility to test new or existing approaches to financing and delivering Medicaid and CHIP.
Section 1915(b) Managed Care Waivers: States can apply for waivers to provide services through managed care delivery systems or otherwise limit people’s choice of providers.
Section 1915(c) Home and Community-Based Services Waivers: States can apply for waivers to provide long-term care services in home and community settings rather than institutional settings.
Concurrent Section 1915(b) and 1915(c) Waivers: States can apply to simultaneously implement two types of waivers to provide a continuum of services to the elderly and people with disabilities, as long as all Federal requirements for both programs are met.

What is a Medicaid Waiver?

Types of Medicaid Waivers

Medicaid Waivers by State