View the Latest: Waivers
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Healthy Indiana Plan and the Affordable Care Act
Fact SheetThis fact sheet provides an overview of the Healthy Indiana Plan, Indiana's 1115 waiver demonstration project, and how it relates to the Affordable Care Act's Medicaid expansion.
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Tennessee Section 1115 Waiver Amendment Proposal Fact Sheet
Fact SheetThis new fact sheet summarizes Tennessee's proposed waiver amendment to its TennCare program, which was submitted to the federal government in September 2004.
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Medicaid Non-Emergency Medical Transportation: Overview and Key Issues in Medicaid Expansion Waivers
Issue BriefThis issue brief describes the Medicaid non-emergency medical transportation (NEMT) benefit, how states administer it, and the reasons that beneficiaries frequently use NEMT. It also explores current policy issues related to NEMT in the context of alternative Medicaid expansion waivers.
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Section 1115 Waiver Watch: Early Signs Point to New Directions Under Trump Administration
Issue BriefRecent actions from the Trump administration could signal limits to curtail Medicaid waivers related to social determinants of health and to limit waiver financing tools and flexibility. Two major changes demonstrate this shift: (1) rescinding Biden-era guidance on covering health-related social needs (HRSN) services, and (2) phasing out federal funding for “Designated State Health Programs” (DSHP) in waivers.
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Pandemic-Era Changes to Medicaid Home- and Community-Based Services (HCBS): A Closer Look at Family Caregiver Policies
Issue BriefDrawing from KFF’s 50-state survey of state Medicaid HCBS officials, conducted between May and August of 2023, this issue brief describes how states used the PHE authorities to strengthen their HCBS programs, changes as the PHE ends, and the role of family caregivers in providing HCBS.
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Medicaid Waiver Requests in Wisconsin and Maine Seek to Impose Work Requirements and Time Limits for Beneficiaries
News ReleaseA new issue brief from the Kaiser Family Foundation highlights proposed changes to Medicaid programs in Wisconsin and Maine that include work requirements and time limits in both states, as well as drug screenings for some beneficiaries in Wisconsin.
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KYHealth Choices Medicaid Reform: Key Program Changes and Questions
Fact SheetThis fact sheet summarizes the key changes Kentucky has approved for its Medicaid program as a result of the new flexibility available through the Deficit Reduction Act of 2005. Kentucky uses new options related to benefits, cost sharing and long-term care. Fact Sheet (.
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Explaining the State Integrated Care and Financial Alignment Demonstrations for Dual Eligible Beneficiaries
Issue BriefThis paper provides an overview of the joint efforts of states and the Centers for Medicare and Medicaid Services (CMS) to develop more integrated ways of paying for and delivering health care to the 9 million people who are eligible for both the Medicare and Medicaid programs.
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Understanding the Intersection of Medicaid and Work: An Update
Issue BriefAmid renewed interest in Medicaid work requirements as part of a broader legislative package designed to significantly reduce federal Medicaid spending, KFF has updated its analysis of the work status and demographic characteristics of Medicaid enrollees with the latest data.
Data show that, in 2023, 92% of Medicaid adults were either working full or part-time (64%), or were not working due to barriers to work such as caregiving responsibilities, illness or disability, or school attendance -- reasons that counted as qualifying exemptions from the work requirements under previous policies.