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Home and Community Based Services (HCBS) Waivers… is to allow individual states to accomplish certain goals, such as reducing costs, expanding coverage, or improving care for certain target groups. Through these waivers, states can provide services that wouldn’t usually be covered by … of a long-term care facility. They help pay for standard medical and non-medical care, including personal care services, respite care, and adult day programs. Who administers Medicaid waivers? Following federal guidelines, individual states …