States Use Appendix K and Emergency Waivers to Support Home- and Community-Based Services in Response to COVID-19
Updated October 13, 2022
To help Medicaid enrollees get the long-term services and supports they need during the COVID-19 crisis, states use waivers and amendments to incorporate more flexibility into their programs. Many states use these tools to modify their home- and community-based services for older adults and their family caregivers during the crisis. This National Academy for State Health Policy’s Appendix K interactive map, supported by The John A. Hartford Foundation, tracks each state’s new flexibilities in modified 1915 (c) and 1115 waivers and includes information about flexibilities in COVID-19 Public Health Emergency Demonstration 1115 waivers. For more information, read States Race to Secure Home- and Community-Based Services during COVID-19.
This tracker is supported by The John A. Hartford Foundation.



For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































