Financing a Medical Respite Care Program

The TEAMKY waiver was approved on Jan. 1, 2025, runs through Dec. 31, 2029, and includes pre-procedure and post-hospitalization housing. The recuperative care pilot will reimburse 20 beds per eligible provider, for individuals 18 and older experiencing homelessness or at risk of homelessness, who are Medicaid eligible, have a primary medical diagnosis, independently mobile and […]

CMS approved the “Illinois Healthcare Transformation” waiver on July 2, 2024, which is effective through June 30, 2029, and authorizes medical respite care for a length of stay of up to six months within a rolling 12-month period. Aimed at individuals enrolled in Medicaid managed care, eligibility criteria include those experiencing or are at risk

CMS approved Hawai’i’s “Hawai’i QUEST Integration” Medicaid 1115 waiver on Jan. 8, 2025 effective through Dec. 31, 2029, which included an update of existing services as well as the addition of Health-Related Social Needs (HRSN) supports around housing and nutrition. Medical Respite/Recuperative Care is included as three separate supports: Short-term pre-procedure housing: Used by individuals

If passed, HB 6498 would establish a medical respite pilot program in the state of Connecticut to create temporary housing opportunities in four municipalities for any person receiving medical treatment who lack permanent housing. Note: The CT 2025 Regular Legislative Session adjourned June 4, and the bill did not advance.

California received approval in December 2021 to add 14 community support services – to include recuperative care – to its 1115 Medicaid waiver to be implemented by the state’s California Advancing and Innovating Medi-Cal (CalAIM) Initiative (more details in our 2022 State of the States report). At the end of 2024, CMS approved a request