Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Section 1915(i)


Section 1915(i) was enacted as part of the DRA of 2005 and amended by the Affordable Care Act. This authority allows states to offer HCBS under their Medicaid State Plan to individuals eligible for Medicaid under an eligibility group covered by the State Plan. Unlike the §1915(c) waiver authority, the §1915(i) authority does not tie the provision of HCBS to people who require an institutional level of care, unless the state uses the 300 percent of SSI income rule to determine financial eligibility. This authority also does not by itself allow managed care approaches, and would need to be used in combination with another authority to implement an MLTC program.21

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