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Each state Medicaid program can pursue waivers, enabling them to bypass certain federal rules from the Social Security Act. This flexibility allows for customization to better meet the needs of the state's population. There are different types of Medicaid waivers: Section 1915 waivers facilitate long-term care at home instead of in nursing facilities, known as Home- and Community-based Services waivers. Section 1115 Demonstration Waivers provide states with flexibility to test new Medicaid care and financing approaches, affecting program eligibility, benefits, provider reimbursement, and overall program management.