State Medicaid Waiver Programs

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Medicaid programs offered by states that have been authorized by the Secretary of the U.S. Department of Health and Human Services (HHS) to waive certain Medicaid statutory requirements giving them more flexibility in Medicaid program operation. Included are home and community care based (HCBC) waiver programs operated under Section 1915(c) of the Social Security Act that allow long-term care services to be delivered in community settings; managed care/freedom of choice waiver programs operated under Section 1915(b) of the Social Security Act which allow states to implement managed care delivery systems or otherwise limit individuals' choice of provider under Medicaid; and research and demonstration project waiver programs operated under Section 1115 of the Social Security Act to projects that test policy innovations likely to further the objectives of the Medicaid program. Each of the states has developed waivers to meet their needs; and while every state's waiver programs have their own unique characteristics, there may also be common threads.

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Service NameDescriptionLocationProgramAgency
Case/Care Management ServicesParsons Child and Family Center serves as the lead agency for the Home and Community Based Services (HCBS) Waiver in 14 counties in Upstate New York. Essentially, the Waiver allows families access to services not previously paid by Medicaid. HCBS Waiver program is a cost-effective approach designed to provide services that enable youths to remain at home or in the community, decreasing the use of institutional placements. Services include: individualized care coordination, intensive in-home services, crisis response, family support, respite and skill building. All service plans are developed with the participant, parent-caretaker/ legal guardian, individualized care coordinator, and other supporters identified by the child and family.AlbanyHOME AND COMMUNITY BASED SERVICES WAIVER PROGRAM (HCBS)PARSONS CHILD AND FAMILY CENTER
Health/Medical Care ServicesBridges to Health (B2H) is an OCFS Medicaid Waiver Program that provides supplementary services to children in foster care. These services are specifically tailored to support the health and well-being of children in foster care with a serious emotional disturbance, developmental disability, or medical fragility. Northeast provides Health Care Integration and home/ community based services.SchenectadyBRIDGES TO HEALTH OCFS HOME AND COMMUNITY BASED WAIVER (B2H) FOSTER CARE PROGRAMNORTHEAST PARENT AND CHILD SOCIETY
Support ServicesOffers intensive in-home clinical services which focus on skill building and family support for children or adolescents diagnosed with severe mental illness.ClintonHOME AND COMMUNITY BASED WAIVERBEHAVIORAL HEALTH SERVICES NORTH (BHSN)

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