[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-167678-en":3,"doc-seo-167678-105":29,"detail-sidebar-cat-1-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":11,"category_id":12,"category_name":13,"doc_title":14,"doc_description":15,"doc_content":16,"file_id":17,"file_url":18,"file_type":19,"file_size":20,"view_count":4,"is_deleted":4,"is_public":11,"is_downloadable":11,"audit_status":11,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":15,"update_tm":28,"read_time":12},167678,8796095027276,"wps_ap_test_251126_0180","https://avatar.qwps.com/avatar/d3BzX2FwX3Rlc3RfMjUxMTI2XzAxODA=",1,11,"Presentations","Medicaid Waivers - 25 Years of Breaking Down Barriers to Health and Well-being","Medicaid Waivers explains how Medicaid states use federal waivers to customize eligibility rules, service comparability, and statewideness. It outlines why waivers exist, how they are created through collaboration with CMS, and highlights the public input process that can shape waiver priorities. The webinar reviews major waiver types, including 1915(c), 1915(i), and 1915(k), plus Sections 1115 and 1332, and details how engagement can support expansions or challenge restrictive changes.","Medicaid Waivers\n25 Years of Breaking Down Barriers to Health and Well-being\nOctober, 2017\nUnderstanding and Acting on Medicaid Policy\n25 Years of Breaking Down Barriers to Health and Well-being\nAgenda\nRecommendations\n25 Years of Breaking Down Barriers to Health and Well-being\nIntroduction\nIntroduction\nQ/A\nWaiver Summary\nWaiver Process\nMedicaid Waiver Summary\n25 Years of Breaking Down Barriers to Health and Well-being\nFamiliarize Yourself with State Medicaid Waivers\n25 Years of Breaking Down Barriers to Health and Well-being\nImportance of Understanding the Waiver Process\nA state’s decision to write a waiver can be based on budget needs, federal priorities, or advocacy at the local, state or federal level.\nAdvocates have often played a critical role in shaping priorities:\nMoney Follows the Person\nCommunity First Choice Option\nUnder the current administration, waiver priorities could shift towards programs that place added restrictions on Medicaid\nWork-requirements\nPremium/Cost sharing (see HIP 2.0)\nOnce you understand the public input process, you can effectively push for or against changes in your state’s Medicaid system.\nIntroduction\nWaiver Process\nQ/A\nWaiver Summary\n25 Years of Breaking Down Barriers to Health and Well-being\nBrief Background on Medicaid\nCreated in 1965\nAdministered at state level but guided by state and federal regulation.\nFunded through a combination of state and federal dollars (FMAP or ‘federal match’).\nLargest U.S. health care plan for low income individuals, including people with disabilities and children\nIntroduction\nWaiver Process\nQ/A\nWaiver Summary\n25 Years of Breaking Down Barriers to Health and Well-being\nWhy Do Waivers Exist?  How Are They Created?\nWaivers exist as a way for states to customize their Medicaid program.\nThey are called ‘waivers’ because, when approved, they have the power to waive federal requirements around things like:\neligibility,\ncomparability of services; and\nstatewidedness.\nStates can apply for waivers that tackle one issue (e.g., home and community based services) or a broad goal (e.g., shifting from fee-for-service to Medicaid managed care).\nWhile states can begin the process of writing a waiver, they must work with Centers for Medicare and Medicaid Services (CMS) before it is approved.\nIntroduction\nWaiver Process\nQ/A\nWaiver Summary\n25 Years of Breaking Down Barriers to Health and Well-being\nAn Incomplete List of Waivers\nIntroduction\nWaiver Process\nQ/A\nWaiver Summary\nSection 1115\nSection 1332\nSection 1915(c)\nSection 1915(i)\nSection 1915(k)\nHome and Community-Based Services\nCommunity First Choice Waiver\nMedicaid Demonstration Waivers\nState Innovation Waivers\n25 Years of Breaking Down Barriers to Health and Well-being\n1915(c) Home & Community Based Services Waiver\nIntroduction\nWaiver Process\nQ/A\nWaiver Summary\nAllows states to provide services to those who qualify for institutional levels of care\nTargets home and community-based services to specific populations based on age or diagnosis\n25 Years of Breaking Down Barriers to Health and Well-being\n1915(i) Home & Community Based Services\nIntroduction\nWaiver Process\nQ/A\nWaiver Summary\nCreated through the Affordable Care Act (ACA)\nAllows states to offer Home and Community Based Services as a part of the Medicaid state plan instead of through a waiver.\nSaves money in the long run\nServices cannot be limited by number of participants\nExpanded coverable services to include:\nany of the HCBS permitted under section 1915(c) HCBS waivers,\ncertain services for individuals with mental health and substance use disorders; and,\nother services requested by a state and approved by the Secretary of Health and Human Services.\n25 Years of Breaking Down Barriers to Health and Well-being\n1915(k) Community First Choice Waiver\nIntroduction\nWaiver Process\nQ/A\nWaiver Summary\n6% increase in matching federal dollars (FMAP) for HCBS provided under State Plan\nNo time limit or expiration date\nStatewide eligibility\nApplied in 5 states\nOregon example:\nCoverage f","cbCaifVjQs6e97ug","https://ap.wps.com/l/cbCaifVjQs6e97ug","pptx",358787,32,"English","en",105,"# Agenda\n## Recommendations\n# Introduction\n## Understanding and Acting on Medicaid Policy\n## Brief Background on Medicaid\n# Waiver Summary\n## Why Do Waivers Exist? How Are They Created?\n## An Incomplete List of Waivers\n## 1915(c) Home & Community Based Services Waiver\n## 1915(i) Home & Community Based Services\n## 1915(k) Community First Choice Waiver\n## Section 1115 Medicaid Demonstration Waivers\n## Section 1332 State Innovation Waivers\n# Importance of Engagement\n# Waiver Process\n## How to Get Involved in Waiver Creation and Approval\n## Medicaid Waiver Timeline\n## Who Decides a Waiver is Needed?","[{\"question\":\"Why do Medicaid waivers exist and what requirements can they waive?\",\"answer\":\"Waivers let states customize their Medicaid program. When approved, they can waive federal requirements related to eligibility, comparability of services, and statewideness.\"},{\"question\":\"What is the role of CMS in the waiver creation process?\",\"answer\":\"States can begin drafting waivers, but approval requires working with the Centers for Medicare and Medicaid Services (CMS) before the waiver can be finalized.\"},{\"question\":\"How do different waiver types (1915(c), 1915(i), 1915(k), 1115, and 1332) differ in purpose?\",\"answer\":\"1915(c) targets home and community-based services for specific populations needing institutional-level care, while 1915(i) offers HCBS through the state plan under ACA. 1915(k) increases FMAP for HCBS with statewide eligibility and no expiration, whereas 1115 supports broader Medicaid policy changes and 1332 enables state experimentation with coverage models for fixed renewal periods.\"}]","Medicaid Waivers - 25 Years of Breaking Down Barriers to Health and Well-being | PPTX",1788217714,{"code":4,"msg":30,"data":31},"ok",{"site_id":24,"language":23,"slug":32,"title":14,"keywords":33,"description":15,"schema_data":34,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"medicaid-waivers-25-years-of-breaking-down-barriers-to-health-and-well-being","",{"@graph":35,"@context":85},[36,53,68],{"@type":37,"itemListElement":38},"BreadcrumbList",[39,43,47,50],{"item":40,"name":41,"@type":42,"position":11},"https://docshare.wps.com","Home","ListItem",{"item":44,"name":45,"@type":42,"position":46},"https://docshare.wps.com/template/","Template",2,{"item":48,"name":13,"@type":42,"position":49},"https://docshare.wps.com/template/presentations/",3,{"item":51,"name":14,"@type":42,"position":52},"https://docshare.wps.com/template/medicaid-waivers-25-years-of-breaking-down-barriers-to-health-and-well-being/167678/",4,{"url":51,"name":14,"@type":54,"author":55,"headline":14,"publisher":57,"fileFormat":60,"inLanguage":23,"description":15,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":40,"name":58,"@type":59},"DocShare","Organization","application/vnd.openxmlformats-officedocument.presentationml.presentation","2026-09-05","2026-08-31",true,{"@type":65,"interactionType":66,"userInteractionCount":46},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"Why do Medicaid waivers exist and what requirements can they waive?","Question",{"text":75,"@type":76},"Waivers let states customize their Medicaid program. When approved, they can waive federal requirements related to eligibility, comparability of services, and statewideness.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"What is the role of CMS in the waiver creation process?",{"text":80,"@type":76},"States can begin drafting waivers, but approval requires working with the Centers for Medicare and Medicaid Services (CMS) before the waiver can be finalized.",{"name":82,"@type":73,"acceptedAnswer":83},"How do different waiver types (1915(c), 1915(i), 1915(k), 1115, and 1332) differ in purpose?",{"text":84,"@type":76},"1915(c) targets home and community-based services for specific populations needing institutional-level care, while 1915(i) offers HCBS through the state plan under ACA. 1915(k) increases FMAP for HCBS with statewide eligibility and no expiration, whereas 1115 supports broader Medicaid policy changes and 1332 enables state experimentation with coverage models for fixed renewal periods.","https://schema.org",{"og:url":51,"og:type":87,"og:title":14,"og:site_name":58,"og:description":15},"article",{"robots":89,"canonical":51},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":92},[93,96,101,106,111,116,121,126,131],{"id":12,"doc_module":11,"doc_module_name":45,"category_name":13,"show_sort_weight":94,"slug":95},90,"presentations",{"id":97,"doc_module":11,"doc_module_name":45,"category_name":98,"show_sort_weight":99,"slug":100},12,"Resumes",80,"resumes",{"id":102,"doc_module":11,"doc_module_name":45,"category_name":103,"show_sort_weight":104,"slug":105},14,"Invoices",70,"invoices",{"id":107,"doc_module":11,"doc_module_name":45,"category_name":108,"show_sort_weight":109,"slug":110},15,"Posters",60,"posters",{"id":112,"doc_module":11,"doc_module_name":45,"category_name":113,"show_sort_weight":114,"slug":115},16,"Social Media",50,"social-media",{"id":117,"doc_module":11,"doc_module_name":45,"category_name":118,"show_sort_weight":119,"slug":120},17,"Forms",40,"forms",{"id":122,"doc_module":11,"doc_module_name":45,"category_name":123,"show_sort_weight":124,"slug":125},18,"Letters",30,"letters",{"id":127,"doc_module":11,"doc_module_name":45,"category_name":128,"show_sort_weight":129,"slug":130},21,"Paper Templates",5,"papers-templates",{"id":132,"doc_module":11,"doc_module_name":45,"category_name":133,"show_sort_weight":4,"slug":134},158,"General","general-158"]