Use of the 1915 (c) Federal Waiver Application: The Experience of Eight States
Research staff at the Muskie School of Public Service, USM were requested to evaluate the effectiveness of the revised HCBS waiver application process from the perspective of states. This report summarizes the purpose, scope, approach and findings of the evaluation. The evaluation was designed to provide qualitative information on states' experience using the new HCBS waiver application for initial and renewal waiver applications. The evaluation examined four major issues: Clarity/Consistency: Are the waiver application components (Application, Technical Guide, Review Criteria) clearly understood and do they promote consistent interpretation? Relevancy/Adequacy: Do the application components address the range of waivers and options available to states and are they useful in clarifying the design of the state's waiver program? Burden: Do the application components and processes promote efficiency of state effort? Impact: Do the waiver application components strengthen the waiver program? States identified four primary areas of benefit from the new waiver application process.
States identified four primary areas of benefit from the new waiver application process. They found that the waiver application:
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New Report on Dual Eligibles
The integration of services and benefits for people who are dually eligible for Medicaid and Medicare is a critical challenge for states and the federal government. Learn more about the situation in Maine through the Cutler Institute report Members Dually Eligible for MaineCare and Medicare Benefits: MaineCare and Medicare Expenditures and Utilization, State Fiscal Year 2010.
With the aging of Maine’s population and its status as the “oldest” state in the nation, the use of long term services continues to be a critical public policy issue in the state and nationally. Learn more in the Cutler Institute's new chartbook Older Adults and Adults with Physical Disabilities: Population andService Use Trends in Maine