Medicaid Waiver
A Medicaid waiver lets a state pay for home and community services for people who would otherwise need a nursing home or institution.
Also known as
Related terms
- Dual Eligible
A dual eligible is a person enrolled in both Medicare and Medicaid. The two programs work together to lower out-of-pocket costs.
- HCBS
HCBS are Medicaid-paid services delivered at home or in the community, like personal care, day programs, and respite, instead of in a nursing facility.
- Medicaid Spend-Down
A Medicaid spend-down lets people with too much income or assets qualify for Medicaid by using the excess on medical costs first.
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Frequently asked questions about Medicaid Waiver
What is a Medicaid waiver?+
A program that lets Medicaid cover home or community supports for people who would otherwise need institutional care.
Who qualifies for a Medicaid waiver?+
People who meet a state's level-of-care criteria for nursing home or institutional placement.
How do I apply for a Medicaid waiver?+
Apply through your state Medicaid agency; waitlists are common.
Where can I get help?+
Call BenefitKarma at (866) 201-2604 or use our free benefit screener.