Trends and issues in the Medicaid 1915(c) waiver program
Miller, Nancy A
Date of Pub
Harrington, Charlene; Ramsland, Sarah
Over the past 15 years, Medicaid 1915(c) home and community-based waivers have made a substantial contribution to States'
efforts to transform their long-term care (LTC) systems from largely institutional to community-based systems. By 1997, every
State had implemented a waiver program for at least some subgroups of individuals with disabilities, and expenditures increased
from $3.8 million in 1982 to more than $8.1 billion in 1997. Emerging, as well as long-standing, policy issues related to
the waiver program include concerns with access, variation in availability by disability group, State decisions related to
the provision of community-based LTC, and evidence on effectiveness.
Health Expenditures : Health Services Accessibility : Community Health Services/utilization : Disabled Persons : Institutional
Practice : Long-Term Care : Medicaid/statistics & numerical data : United States