End of Pandemic-Era Flexibilities in Medicaid HCBS

What Agency Leaders Need to Know

This resource was jointly created by sister associations, NASDDDS, NAMD and ADvancing States, to help State leaders prepare for the end of federal flexibilities that Medicaid adopted to support older adults and individuals with disabilities during the COVID-19 public health emergency. This brief outlines specific individual Medicaid disaster relief authorities that states may have taken in response to the COVID-19 pandemic, including their  effective dates and termination dates.

It includes details about:

  • State Specific 1135 Waivers; 1135 Blanket Waivers; and, 1115 Waivers;
  • Appendix K for 1915(c) Waivers;
  • Attachment K for Section 1115 Waivers; and,
  • Medicaid Disaster Relief State Plan Amendments (SPAs) for the COVID-19 PHE.