Medicaid Home Care (HCBS) in 2025
Article Publication Date
Summary
KFF recently released an issue brief exploring how states provide Medicaid home care and what services are included in states’ Medicaid home care waivers. This brief was developed using data from the 23rd KFF survey of officials administering Medicaid home care programs.
Medicaid home care can be offered through either the Medicaid state plan or as part of a specialized waiver. All states offer Medicaid home care through waivers, most commonly 1915(c) waivers (47 states). States also offer Medicaid home care services through 1115 waivers (15 states), personal care offered as a state plan benefit (33 states), or the Community First Choice option (10 states).
Most states provide Medicaid home care through waivers that offer benefits specifically targeted to people with intellectual or developmental disabilities (48) and people ages 65 and older who have physical disabilities (46). For such waivers, most states offer multiple waivers for each population. Waives’ coverage of different home care services, such as day services, supported employment, and home-based services, vary by the population served.
Medicaid home care can be offered through either the Medicaid state plan or as part of a specialized waiver. All states offer Medicaid home care through waivers, most commonly 1915(c) waivers (47 states). States also offer Medicaid home care services through 1115 waivers (15 states), personal care offered as a state plan benefit (33 states), or the Community First Choice option (10 states).
Most states provide Medicaid home care through waivers that offer benefits specifically targeted to people with intellectual or developmental disabilities (48) and people ages 65 and older who have physical disabilities (46). For such waivers, most states offer multiple waivers for each population. Waives’ coverage of different home care services, such as day services, supported employment, and home-based services, vary by the population served.