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Medicaid HCBS State Policy Flexibilities During COVID

Publication Date
Chandra Couzens, Laura Nolan, Jeral Self, Melissa Sanchez, William Haltermann III

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.

*This content is in the process of Section 508 review. If you need immediate assistance accessing this content, please submit a request to Brenda Veazey, (202) 260-6158, Content will be updated pending the outcome of the Section 508 review.

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