During the COVID-19 public health emergency, states used Appendix K, a standalone appendix available during emergency situations, to modify their existing Medicaid HCBS 1915(c) waiver programs. Using Appendix K, states can make to make temporary changes to access and eligibility, payment, services, and other aspects of their waiver programs. This study reviewed and summarized modifications states made to their 1915(c) waiver programs between March 2020 and January 2022.
This research was conducted under contract between HHS/ASPE’s Office of Behavioral Health, Disability, and Aging Policy (BHDAP) and Mathematica Policy Research. Additional research in this area is available at the ASPE Aging & Disability page, the ASPE Behavioral Health page, the ASPE Long-Term Services & Supports/Long-Term Care page, and the ASPE COVID-19 page.
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