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Each state Medicaid program can pursue waivers to bypass certain federal Social Security Act rules, enabling a tailored approach for their populations. There are various Medicaid waivers available. Section 1915 waivers allow states to provide long-term care in home settings rather than nursing facilities, known as Home- and Community-based Services waivers. Section 1115 Demonstration Waivers grant states flexibility to test new Medicaid care and financing methods, enabling changes in program eligibility and benefit types, as well as adjustments to provider reimbursement and program management.
