States Use Appendix K and Emergency Waivers to Support Home- and Community-Based Services in Response to COVID-19

Updated December 14, 2021

To help Medicaid enrollees get the long-term services and supports they need during the COVID-19 crisis, states use waivers and amendments to incorporate more flexibility into their programs. Many states use these tools to modify their home- and community-based services for older adults and their family caregivers during the crisis. This National Academy for State Health Policy’s Appendix K interactive map, supported by The John A. Hartford Foundation, tracks each state’s new flexibilities in modified 1915 (c) and 1115 waivers and includes information about flexibilities in COVID-19 Public Health Emergency Demonstration 1115 waivers. For more information, read States Race to Secure Home- and Community-Based Services during COVID-19.

This tracker is supported by The John A. Hartford Foundation.

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