About Half Of The 5.1 Million Medicaid Beneficiaries Who Use Home Care Are Enrolled In A Waiver

Of the approximately 5.1 million Medicaid beneficiaries who use home care, about half receive services under a waiver, according to a recent analysis.

States can specify how services are delivered under the waivers, including offering a specialized benefit package to a subset of Medicaid beneficiaries. Data for the analysis comes from KFF's annual survey of Medicaid home care program administration across all U.S. states and the District of Columbia.

State officials completed their responses from April 2025 through July 2025. Survey respondents included state administrators responsible for managing home care benefit programs, encompassing home health services, personal . . .