... But CMS says state and patient flexibility are key. (Medicaid 1915 Waivers).

Publication: Medicine & Health

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In an aggrieved-sounding response, CMS makes the case that, in its overly regulatory focus on waiver review, GAO ignores key facts about both congressional intent and the evolution of health care. HCBS waivers are a different animal from institution-based care and demand a different sort of management, CMS says.

For one thing, Congress intended the main condition for waiver renewal to be state assurances that quality was being maintained, not regulatory review by...

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