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Each state Medicaid program has the option to pursue a waiver, which allows them to remove the federal rules around certain aspects covered by the Social Security Act. This allows states to make the program more unique and tailored to the needs of their population. There are different types of Medicaid waivers that a state can pursue. Section 1915 waivers allow states to provide long-term care in peoples homes. This means a person can receive care in their home or in a relatives home, rather than going into a nursing facility. This is also known as a Home- and Community-based Services waiver. Additionally, Section 1115 Demonstration Waivers offer states docHub program flexibility by allowing the testing of new approaches to Medicaid care and financing. Specifically, these waivers allow changes to program eligibility as well as the types of benefits they offer. These waivers may also affect how different providers can be reimbursed and how their program can be managed. Regardles