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Waiver

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Updated July 16, 2008

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

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