Systems and Standards Journal Articles
September 2, 2019

Variability In States’ Coverage Of Children With Medical Complexity Through Home And Community-Based Services Waivers

By: Jessica Keim-Malpass, Lisa Letzkus, Leeza Constantoulakis

Many children with medical complexity receive care in home and community-based settings. These services may be covered using Medicaid waivers. Authors of the article evaluated how states use these waivers to provide coverage to children with medical complexity and determine services offered. The findings indicate great variability in how states interpret scope of coverage and services and how this variability could impact child and family outcomes.