Systematic Documentation of State Variation in Medicaid Home- and Community-based Services: The Medicaid Home and Community-based Services Dataset Initiative.

ABSTRACT:

Background and objectives

In the United States, Medicaid plays a prominent and growing role as a primary payer for home- and community-based services (HCBS) to help adults remain living independently in the community. While Medicaid HCBS programs vary significantly across states, limited historical, systematic data about Medicaid HCBS program components exist. We presented a systematic, reproducible approach to capture comprehensive characteristics of Medicaid HCBS waivers.

Research design and methods

We used current and historical documentation of Medicaid 1915(c) waivers serving adults ages 65 or older from 2010 to 2019. We described waiver services available over time, specifically respite, transport, meals/dietary/nutrition services, caregiver training, and payments to f

SUBMITTER: Miller KEM 

PROVIDER: S-EPMC12202006 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature