• Homelessness

    COVID-19 Risks and Vaccine Access for Individuals Experiencing Homelessness: Key Issues to Consider

    People experiencing homelessness are already at higher risk for COVID-19 due to underlying health risks and other factors, while homelessness itself creates barriers to meeting social distancing guidelines and accessing testing and treatment.This brief explores issues related to risks related to COVID-19, vaccine priority in state plans, and other policy options that affect access to vaccines for people experiencing homelessness.
  • Tracker

    Medicaid Emergency Authority Tracker: Approved State Actions to Address COVID-19

    Information on approved Medicaid emergency authorities to address the COVID-19 Coronavirus emergency. We include details on Medicaid Disaster Relief State Plan Amendments (SPAs), other Medicaid and CHIP SPAs, and other state-reported administrative actions; Section 1115 Waivers; Section 1135 Waivers; and 1915 (c) Waiver Appendix K strategies.
  • LTSS

    State Variation in Medicaid LTSS Policy Choices and Implications for Upcoming Policy Debates

    Our review of a range of measures, beyond waiver waiting lists, finds substantial state variation in adoption of policies to expand Medicaid for seniors and people with disabilities, with states’ ACA expansion status not a strong predictor of policy choices related to seniors and people with disabilities. Understanding current state-level variation in Medicaid eligibility, spending, and services for seniors and people with disabilities is important to inform upcoming policy debates.
  • People With Disabilities

    COVID-19 Vaccine Access for People with Disabilities

    Many nonelderly people with disabilities who rely on long-term care services and supports (LTSS) face COVID-19 risks similar to those of the elderly in nursing homes. At least 6,500 people have died from COVID-19 in settings such as group and personal care homes and adult day care programs, but with varied state reporting, this is an incomplete picture of how nonelderly people with disabilities have been affected. People who rely on LTSS outside of nursing homes include adults with a variety of conditions such as autism, Down syndrome, serious mental illness and traumatic brain injuries.
  • HCBS

    Potential Impact of Additional Federal Funds for Medicaid HCBS for Seniors and People with Disabilities

    A provision in the American Rescue Plan Act could boost federal matching money for state spending on Medicaid home and community-based services (HCBS) by an estimated $11.4B over the next year. We analyze what that could mean for each state.
    Medicaid HCBS help seniors and people with disabilities and chronic illnesses live independently outside institutions by assisting with daily needs. They include home health aide services, assistance with self-care tasks such as eating or bathing, supportive housing, and assistive technology. 
Medicaid Budget Survey

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