title: Medicaid 2176 home and community-based care waivers: the first ten years.
abstract: Budget reconciliation legislation in 1981 created a waiver program whereby states could provide home and community-based care under Medicaid for certain populations. States spent nearly $1.7 billion on services delivered under these waivers, known as 2176 waivers, in 1991, compared with $3.8 million in 1982, when only six states were participating in the program. Although these programs have not been rigorously evaluated for effectiveness, they continue to be a popular approach to delivering care outside of institutions for various groups. Across all states, states spent 13.4 percent of their Medicaid long-term care dollars on care outside of institutions (which includes the 2176 waiver program).
authors: Long-Term Care Coverage Branch, Health Care Financing Administration, Office of Research and Demonstrations, Baltimore, MD.
authors: N A
authors: NA
authors: Miller
mesh_terms: D003153:Community Health Services / Q000191:economics*; D003625:Data Collection; D005102:Health Expenditures / Q000706:statistics & numerical data / Q000639:trends*; D006699:Home Care Services / Q000191:economics; D008484:Medicaid / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D010865:Pilot Projects; D013221:State Health Plans / Q000191:economics; D014481:United States