Home and Community-based Waiver Programs

Medicaid waiver programs, such as the Home- and Community-Based Care Waiver (1915) among others, were established to provide alternative care options to the traditional institution-based delivery model. As the number of consumers requiring social services continues to climb, lower-cost service delivery models such as home- and community-based care are increasingly being leveraged to lower the cost of care per consumer while improving consumer satisfaction and allowing them to stay in the community. And for most states, these programs are primarily funded by Medicaid through a federal matching program.

With many states operating under unprecedented budget deficits, the need to optimize the use of all funding streams, in particular federal Medicaid, has never been more critical. However, for many states, complicated Medicaid eligibility determination and claims processing present a significant impediment to fully utilizing available federal matching funds.

Automating Medicaid Waiver Process

To help states meet the needs of intellectually disabled consumers and aging consumers, Harmony offers Harmony for Intellectual Disabilities™ and Harmony for Aging™. These products enable organizations to take control of Medicaid waiver processes, automating the consumer tracking and claims creation workflow while better serving the needs of a growing number of consumers with existing resources.

Home- and Community-Based Waiver Programs

Automating Medicaid Waiver Process