End of Pandemic-Eras Policies Could Hit HCBS Utilization Hard

Posted Wednesday, September 20, 2023

As the the public health emergency (PHE) ended, several states are ending those payments to family caregivers — and reversing other policies that were put in place during the pandemic — which could complicate ongoing workforce shortages and create new challenges for those that depend on HCBS.

In a 50-state survey of state Medicaid HCBS officials conducted between May and August of 2023, Kaiser Family Foundation researchers found that several of these provisions and policies could be going away for good.

“Personal care may be provided through waivers, a Medicaid state plan or a combination of both,” KFF wrote. “Waiver services tend to encompass a wider range of benefits than the state plan benefit, but waivers are usually restricted to specific groups of Medicaid enrollees based on geographic region, income, or type of disability — and are often only available to a limited number of people, resulting in waiting lists.”

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