State Medicaid programs provide home- and community-based services (HCBS) to enrollees through state plan and waiver authorities. This policy brief provides an overview of state-level practices designed to accelerate Medicaid eligibility determinations and how these policies affect the timeliness of access to HCBS. A related compendium provides a comprehensive examination of how state Medicaid programs across all 50 states and Washington, DC are using these options for the individuals who need HCBS. For detailed information supporting the key findings from this analysis, please refer to the accompanying compendium available here.