Medicaid Home and Community-Based Waivers for Acquired Immunodeficiency Syndrome Patients

Published in: Health Care Financing Review, Annual Suppl., Dec. 1990, p. 109-118

Posted on RAND.org on December 31, 1989

by Phoebe A. Lindsey, Peter Jacobson, Anthony H. Pascal

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Acquired immunodeficiency syndrome (AIDS), an increasingly significant health problem, presents a special challenge to Medicaid programs. Analyzed in this article is one particular approach to providing services for Medicaid-eligible AIDS patients: the Medicaid home and community-based (section 2176) waiver program, authorized by the 1981 Omnibus Budget Reconciliation Act and amended in 1985 to include persons with AIDS. The authors conclude that the AIDS-specific waiver is an attractive program for the States, but that changes in program administration and in how cost effectiveness is determined would likely facilitate broader acceptance by the States.

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