Executive Summary
States have many options for adjusting their Medicaid services to best meet evolving needs under the COVID-19 pandemic. One of the important mechanisms for ensuring people with disabilities have access to the home and community-based services (HCBS) they need to stay safely at home is an Appendix K to existing 1915(c) waivers. This factsheet discusses CMS’s guidance for using Appendix K for the COVID-19 pandemic and trends in the Appendix Ks approved thus far.