Community & Work Disparities
A Program of the ADA Participatory Action Research Consortium (ADA-PARC)

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Number of Persons on Medicaid 1915(c) HCBS Waiver Wait Lists, 2016

Although the Medicaid 1915(c) waiver program is the largest Medicaid HCBS (Home and Community-Based Services) programs in the nation, states are restricted as to how many persons can be served on the program in a given year. When there are more people requesting waiver services than the number of available spaces, then a state may establish waiting lists for such services. Other than Arizona, Rhode Island and Vermont which does not operate such waivers, 35 states had a wait list for waiver services in 2015. States with the largest number of persons on wait lists are concentrated in the south and parts of the east. Texas has the largest number of persons on such lists (232,068) while among states with wait lists, North Dakota has the least number of persons (3). Delaware, D.C., Hawaii, Idaho, Massachusetts, Missouri, New Jersey, New York, South Dakota, and Washington have no wait lists.

Arizona, Rhode Island and Vermont operate their HCBS programs through an 1115 waiver.

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Number of Persons on Medicaid 1915(c) HCBS Waiver Wait Lists Color coded map of the United States.  States have been grouped into four quartile ranges. The first quartile ranges from 0 to 0 and includes the states Arizona, Delaware, Washington DC, Hawaii, Idaho, Massachusetts, Missouri, New Jersey, New York, Rhode Island, South Dakota, Vermont & Washington.  The second quartile ranges from 1 to 2,999 and includes the states Alaska, Connecticut, Indiana, Maine, Minnesota, Montana, Nebraska, Nevada, New Hampshire, North Dakota, Oregon, Utah, West Virginia & Wyoming.  The third quartile ranges from 3,000 to 9,999 and includes the states Alabama, Arkansas, California, Colorado, Iowa, Kansas, Kentucky, Michigan, Mississippi, Oklahoma, Pennsylvania, Tennessee & Wisconsin.  The fourth quartile ranges from 10,000 to 232,068 and includes the states Florida, Georgia, Illinois, Louisiana, Maryland, New Mexico, North Carolina, Ohio, South Carolina, Texas, United States & Virginia. Alaska, 535 Alabama, 5284 Arkansas, 3278 Arizona, 0 California, 4088 Colorado, 3194 Connecticut, 2903 Washington DC, 0 Delaware, 0 Florida, 67479 Georgia, 10270 Hawaii, 0 Iowa, 8928 Idaho, 0 Illinois, 19163 Indiana, 1627 Kansas, 3890 Kentucky, 8190 Louisiana, 73929 Massachusetts, 0 Maryland, 36156 Maine, 1000 Michigan, 3311 Minnesota, 128 Missouri, 0 Mississippi, 9481 Montana, 1309 North Carolina, 12068 North Dakota, 3 Nebraska, 2062 New Hampshire, 260 New Jersey, 0 New Mexico, 20070 Nevada, 1372 New York, 0 Ohio, 64546 Oklahoma, 7569 Oregon, 134 Pennsylvania, 9728 Rhode Island, 0 South Carolina, 11275 South Dakota, 0 Tennessee, 5813 Texas, 232068 Utah, 2543 Virginia, 16583 Vermont, 0 Wisconsin, 4216 West Virginia, 1540 Wyoming, 202
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Data source. 2016, Kaiser Family Foundation analysis of Medicaid HCBS Program survey

Number of Persons on Medicaid 1915(c) HCBS Waiver Wait Lists by region

Number of Persons on Medicaid 1915(c) HCBS Waiver Wait Lists by Region
RegionPersons on Medicaid 1915(c) HCBS Waiver Wait Lists
US656,195
Alabama5,284
Alaska535
Arizona0
Arkansas3,278
California4,088
Colorado3,194
Connecticut2,903
Delaware0
District of Columbia0
Florida67,479
Georgia10,270
Hawaii0
Idaho0
Illinois19,163
Indiana1,627
Iowa8,928
Number of Persons on Medicaid 1915(c) HCBS Waiver Wait Lists by Region
RegionPersons on Medicaid 1915(c) HCBS Waiver Wait Lists
Kansas3,890
Kentucky8,190
Louisiana73,929
Maine1,000
Maryland36,156
Massachusetts0
Michigan3,311
Minnesota128
Mississippi9,481
Missouri0
Montana1,309
Nebraska2,062
Nevada1,372
New Hampshire260
New Jersey0
New Mexico20,070
New York0
Number of Persons on Medicaid 1915(c) HCBS Waiver Wait Lists by Region
RegionPersons on Medicaid 1915(c) HCBS Waiver Wait Lists
North Carolina12,068
North Dakota3
Ohio64,546
Oklahoma7,569
Oregon134
Pennsylvania9,728
Rhode Island0
South Carolina11,275
South Dakota0
Tennessee5,813
Texas232,068
Utah2,543
Vermont0
Virginia 16,583
Washington 0
West Virginia 1,540
Wisconsin4,216
Wyoming202