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Date: Thursday, Dec. 19, 1996
FOR IMMEDIATE RELEASE
Contact: HCFA Press Office (202) 690-6145

HCFA Streamlines Process For States to Obtain Home and Community-Based Waivers

 The Health Care Financing Administration has streamlined the process for states to obtain Medicaid home and community-based waivers. HCFA has developed prototype waiver applications which states will be able to submit for quick review and approval. The prototype waivers were produced in response to a request from the National Governors' Association to make the process easier.

"This streamlined application process exemplifies the Clinton administration's commitment to working with states to improve their health care systems," said HHS Secretary Donna E. Shalala.

Home and community-based waivers allow states to provide home and community-based services to individuals who would otherwise be institutionalized. The prototype waivers target three populations -- persons with traumatic brain injury, persons living with HIV/AIDS and medically fragile children.

"We are extremely pleased with this new effort to help states provide home and community-based waivered services under the Medicaid program," said HCFA Administrator Bruce C. Vladeck.

In the past, approximately 90 days were required to process a state's request for a home and community-based waiver. With the submission of a prototype waiver application, a state is virtually assured that its waiver will be approved immediately. The waivers will be effective for three years, starting on the date of approval or on the date specified by the state.

The prototype waiver applications were developed using data from states currently operating waivers covering the three target populations. They will establish qualifications and standards providers must meet to ensure cost-effectiveness and quality care.

A state may modify aspects of the approved waiver program, such as the addition of services or provider qualifications, by submitting an amendment to its waiver. Amendments may be approved retroactively, allowing states to continue serving waiver clients while fine-tuning their waiver programs.

Note: HHS press releases are available on the World Wide Web at: www.hhs.gov.