Extension of 1915(c) Home and Community-Based Services Waiver Appendix K Expiration: State Medicaid Director Letter

August 2, 2023

A new State Medicaid Director Letter offers policy guidance on the extension. CMS is now indicating through this guidance that COVID-19 Appendix K flexibilities currently approved to end six months after the expiration of the PHE may be extended if the state takes action by November 11, 2023, to incorporate desired Appendix K provisions into underlying HCBS programs. The expiration extension allows states to avoid a lapse in approved provisions and only applies to Appendix Ks with flexibilities that are incorporated into underlying section 1915(c) waiver programs. The applicable Appendix K will remain in effect until the effective date of the section 1915(c) waiver action (amendment or renewal). Read the full article.