Shaping Medicaid and SCHIP through waivers: the fundamentals Shaping Medicaid and SCHIP through waivers: the fundamentals

Collection: Health Policy and Services Research Series Title(s): NHPF background paper Contributor(s): Shirk, Cynthia. George Washington University. National Health Policy Forum. Publication: Washington, D.C. : George Washington University, [2008] Language(s): English Format: Text Subject(s): Child Health Services -- economics Child Health Services -- legislation & jurisprudence Medicaid -- economics Medicaid -- legislation & jurisprudence United States State Children's Health Insurance Program (U.S.) Genre(s): Technical Report 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. Copyright: The National Library of Medicine believes this item to be in the public domain. (More information) Extent: 32 leaves Illustrations: Illustrations NLM Unique ID: 101490563 (See catalog record) Permanent Link: http://resource.nlm.nih.gov/101490563