States have a number of ways in which they can expedite Medicaid eligibility determinations and enrollment for individuals in need of home- and community-based services (HCBS). This session focused specifically on the use 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 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. Interviews indicated that provisional plans of care are rarely used, but when they are, it is most often for emergency situations.
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Medicaid and CHIP Payment and Access Commission
