Definition:
Authorization for states to develop Medicaid programs that differ from the standard federal program.
States must apply for waivers if they want to develop a Medicaid program that has unique eligibility requirements or operates like a managed care organization.
There are three different types of Medicaid waivers:
- Section 1115 waivers for research and demonstration projects designed to temporarily test expanded eligibility or coverage options
- Section 1915(b) waivers which allow states to develop Medicaid managed care plans
- Section 1915(c) Home and Community-Based Services waivers which allow beneficiaries to receive long-term care benefits outside of institutional settings
