States have a number of ways to 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 presumptive eligibility and expedited eligibility for individuals whose income is not determined using modified adjusted gross income (MAGI). MACPAC staff presented on the preliminary findings from interviews with state and federal officials, as well as other national experts. Interviews highlighted a large degree of state variation in how presumptive eligibility and expedited eligibility can be used for non-MAGI populations. In addition, MACPAC collected feedback demonstrating how these flexibilities can reduce the amount of time an applicant waits to receive HCBS.
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Medicaid and CHIP Payment and Access Commission
