COVID-19 Changes to HCBS Using Appendix K: Approval Trends

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.

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