Home and Community-Based Services for the Justice Population

1915c Waiver

This brief is for public safety leaders, state Medicaid agency personnel, and policymakers who work on issues related to criminal justice and behavioral health. The federal Medicaid program permits states to create a tailored set of services for populations at risk of institutionalization through Home and Community-Based Services (HCBS) waivers—also known as Section 1915(c) waivers. Other than minimal baseline requirements, the development of waiver design is left largely to individual states. This document explains how HCBS waivers designed to cover care for individuals leaving correctional institutions can help states that are seeking to reduce prison populations and increase pathways to community treatment.

TASC’s Medicaid Policy Series is designed to help leaders maximize the opportunities of Medicaid expansion in order to more swiftly and effectively connect justice populations to healthcare services in the community. The lead author of the series was then TASC Administrator of Medicaid Policy and Program Development Sherie Arriazola.

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