Notes: HCBS is home and community-based services. SPA is state plan amendment. CMS is Centers for Medicare & Medicaid Services. State ability to add new services refers to services otherwise available to people enrolled in the state’s Medicaid program.
Source: MACPAC, 2015, analysis of Centers for Medicare & Medicaid Services (CMS), U.S. Department of Health and Human Services, 2015, Application for a §1915{c) home and community-based waiver: Instructions, technical guide and review criteria version 3.5, Baltimore, MD: CMS; CMS 2015a, Medicaid.gov, demonstrations & waivers; CMS 2015b, Medicaid.gov, state plan amendments; and CMS 2014, Medicaid program: State plan home and community-based services, 5-year period for waivers, provider payment reassignment, and home and community-based setting requirements for Community First Choice and home and community-based services waivers, final rule, Federal Register 79, no. 11, (January 16): 2948–3039.