Medicaid home and community-based waivers for acquired immunodeficiency syndrome patients.
Acquired immunodeficiency syndrome (AIDS), an increasingly significant health problem, presents a special challenge to Medicaid programs. Analyzed in this article is one particular approach to providing services for Medicaid-eligible AIDS patients: the Medicaid home and community-based (section 2176) waiver program, authorized by the 1981 Omnibus Budget Reconciliation Act and amended in 1985 to include persons with AIDS. The authors conclude that the AIDS-specific waiver is an attractive program for the States, but that changes in program administration and in how cost effectiveness is determined would likely facilitate broader acceptance by the States.
Lindsey
P A
PA
RAND Corporation, Santa Monica, CA 90406.
Jacobson
P D
PD
Pascal
A H
AH
D000163:Acquired Immunodeficiency Syndrome / Q000191:economics*; D002140:California; D003153:Community Health Services / Q000191:economics*; D003362:Cost-Benefit Analysis; D006254:Hawaii; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D008484:Medicaid / Q000458:organization & administration*; D009515:New Jersey; D009516:New Mexico; D009820:Ohio; D013022:South Carolina; D013221:State Health Plans / Q000706:statistics & numerical data*; D014481:United States