Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Eligibility Expansion Options Including, but Not Specific to, Home and Community Services


Certain state Medicaid options for across-the-board eligibility expansions capture anyone who meets the criteria, including but not limited to persons needing long-term care services. Because these options cannot be targeted, their cost implications make them unlikely choices for states looking for limited HCBS expansions. However, states may be encouraged to adopt these eligibility expansions for other sensible reasons. For example, people eligible under any of these expansion options receive the full range of health and long-term care services covered under the State Plan. In addition, if they meet the state’s criteria for HCBS waiver participation (e.g., level of care, diagnosis, or place of residence) they can receive waiver services.

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