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How does a Medicaid waiver program work?

| Feb 23, 2022 | Firm News

Millions of people in the United States are getting assistance from Medicaid, which is a combined state and federal program that supplies health benefits to people who meet the requirements. Medicaid helps Americans in many different categories, such as:

  • Low-income adults
  • Older adults
  • Pregnant women
  • People with disabilities
  • Children

People who are eligible for Medicaid in Indiana can apply for the Medicaid waiver program, which will give them customized healthcare either in their homes or in the community. It is up to each state to choose whether they will offer home- and community-based waivers and the states can choose how many waivers they receive from the federal government. The waiver program allows the individual state to waive (or suspend) some of the standard requirements of the program so that the needs of the individual can be met. The goal of the program is to allow the person with a disability to be as independent as possible.

The availability of Medicaid waivers

The waivers are available in all states and in Puerto Rico. In order to qualify, the individual has to meet the state’s level-of-care requirements. In other words, the person must be eligible for full-time care in a facility but the waiver will allow the person to receive care in their home instead.

Applying for the Medicaid waiver program

Just like all government programs, you must apply to the Medicaid waiver program if you wish to receive the program’s benefits. At this point, it may be wise to consult a knowledgeable lawyer who can walk you through the application process and beyond.

A knowledgeable lawyer can explain everything to you as you go and will support you at every step in the process. It is essential that you understand the process as thoroughly as possible and getting the support that you need may help you to obtain the benefits that you require and that are your right to have.