States have a number of ways in which they can expedite Medicaid eligibility determinations and enrollment for individuals whose income is not determined using modified adjusted gross income and who need home- and community-based services (HCBS). This session revisited the topic of provisional plans of care in Section 1915(c) waivers, which are service plans that can be used in a person’s first 60 days of waiver eligibility while a complete person-centered service plan is being developed. MACPAC staff presented in October 2024 on the findings from a review of waivers containing language on provisional plans of care, as well as findings from interviews with state and federal officials and other national experts. In this session, staff returned with some additional information on state uptake of provisional plans of care, as well as with a policy option for the Centers for Medicare & Medicaid Services to issue guidance specifically on this topic.
