Medicaid 1915 (c) home and community-based services waivers across States.
LeBlanc, Allen J
Date of Pub
Harrington, Charlene; Tonner, M Christine
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.
Case Management : Community Health Services/utilization : Health Care Reform : Health Policy/economics : Medicaid : Program
Evaluation/statistics & numerical data : Quality Assurance, Health Care : State Health Plans : Support, U.S. Gov't, Non-P.H.S.
: United States Health Care Financing Administration