States Are Using Creative Strategies to Help Older Adults and Individuals with Disabilities Live Independently

The Commonwealth Fund has published a new article examining how states are using innovative Medicaid strategies to help older adults and people with disabilities remain in their homes and communities. The article highlights a "Landscape Analysis of HCBS Waivers" that revealed various trends related to service variation, access challenges, and state innovations. It also discusses persistent challenges, including workforce shortages, rural access disparities, and fiscal pressures, while showcasing successful state initiatives that can serve as models for others. The article includes recommendations for strengthening HCBS systems to support independent living and improve access to care.