What is a Medicaid Home and Community-Based Services Waiver? Medicaid home and community-based services waivers allow people with disabilities and chronic conditions to receive care in their homes and communities instead of in long-term care facilities, hospitals or intermediate care facilities. These programs are called waiver programs because, under current law, eligible people with disabilities and chronic conditions are entitled to facility-based care, but home and community-based care is considered optional. Therefore, states must apply for ‘waivers’ from the federal government in order for Medicaid to provide home and community-based services. Waivers allow individuals with disabilities and chronic conditions to have more control of their lives and remain active participants in their community.
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