KFF November 28, 2022
Molly O’Malley Watts, Alice Burns, Meghana Ammula

Executive Summary

Widespread workforce shortages are the biggest challenges facing state Medicaid home and community-based (HCBS) programs and those shortages were greatly amplified by the COVID-19 pandemic, which reduced the number of potential workers and increased the demand for services. The American Rescue Plan Act (ARPA) and COVID-19 public health emergency (PHE) authorities gave states new—but temporary—flexibility and funding to address pandemic-related challenges, which all states used. Those initiatives enabled states to respond to the pandemic and invest in HCBS programs, helping millions of seniors and people with disabilities who rely on Medicaid HCBS to meet daily self-care and independent living needs in community-based settings.

This issue brief presents the latest findings on key state policy choices about Medicaid HCBS...

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Topics: Healthcare System, Insurance, Medicaid, Patient / Consumer, Provider, Public Health / COVID, Survey / Study, Trends
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