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In the early 1980s, Minnesota developed home and community-based programs to enable people, who were Medicaid eligible and would otherwise have to receive their care in institutions to receive services in their homes or communities. Medicaid home and community-based service waivers afford states the flexibility to develop and implement creative alternatives to institutionalization. To administer these services, the state of Minnesota has five HCBS 1915(c) waivers, and spends about $1.9 billion annually.

HCBS Spending

Last year, Medicaid reported that nationally, the percent of total LTSS spending ($70.6 billion) on home and community-based services (HCBS . . .

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