Document Type
Report
Publication Date
7-22-2008
Abstract
The use of waivers has become one of the key vehicles for innovation in Medicaid and the State Children’s Health Insurance Program (SCHIP). This background paper examines the use of research, demonstration, and program waiver authorities to test new approaches to the delivery of and payment for health care and long-term care services. The paper reviews the statutory basis and mechanics of demonstrations and program waivers, as well as their history and political context in shaping Medicaid and SCHIP. It also explores the ways the changing state-federal relationship and the ever-growing demand for state flexibility have driven waiver policy. Finally, the paper examines the impact of the Deficit Reduction Act of 2005 on the need for or desirability of waivers.
Recommended Citation
Shirk, Cynthia, "Shaping Medicaid and SCHIP through Waivers: The Fundamentals" (2008). National Health Policy Forum. Paper 194.
https://hsrc.himmelfarb.gwu.edu/sphhs_centers_nhpf/194
Open Access
yes
Included in
Community Health and Preventive Medicine Commons, Health and Medical Administration Commons, Health Law and Policy Commons, Health Services Administration Commons, Health Services Research Commons
Comments
Background paper no. 64