Executive Summary
Medicaid home and community-based (HCBS) § 1915(c) waivers provide critical services for people with disabilities across the country. These waivers change because states often submit amendments to these waivers and the waivers also have to be renewed every few years. Each time a waiver is renewed or amended, states must put the waiver out for public comment. The comment period is an excellent opportunity to provide input on the requested changes and also tell the state about the impact of those changes or other issues with the waiver. Although a waiver document may seem long and potentially intimidating, this guide is intended to provide a roadmap for how to look for and craft comments on common issues.
