given to the people. Therefore, it is important that the Government provide awareness to the people about the services.How to Apply For a WaiverFollowing are the main steps by which the individual have to follow for applying for the waiver facility:The first step is to contact the intake & evaluation team for applying for the waiver. The team will check the eligibility criteria of the individual. After evaluation, the team will put the name in the waiting list.After the name of the individual is put on the waiting list the coordinator will evaluate thesituation of the family and individual.When the sufficient funds become available then the individual and its family is informedabout the approval of the Medicaid Waiver.The Evaluation team then visits the house of the individual and performs all the necessaryrequirements.The goals are established and health assessment of the patient is made so that it can provide good quality care.
RESEARCH ANALYSIS10After that, the family is given the information about the health care providers and the option to choose the provider [ CITATION Sen17 \l 1033 ].Problems in WaiverThere are many challenges that are associated with Home and Community Based servicesand due to the challenges, the people were not able to get the services the way they should get. Following are some of the main challenges:The first challenge is regarding access to the providers. Sometimes the Waiver limits the choice of the health care providers and that is why the patient and their family have to face the problem.The facility is provided to individuals but it is not for 24/7.Cultural biases in the assessment process of the individuals is also a big problem in Wavier.The nurse only provides the medical and health facility that means other activities will have to be done by family members.The eligibility criteria process is quite long and complex and during that, time patients have to face huge difficulty [ CITATION Wha18 \l 1033 ].What Services Should Be ProvidedAfter analyzing the problems in the wavier process it has been identified that the eligibility criteria should be made easy so that patients do not have to wait long enough for getting the wavier facility. The Waiver facility of every state is different some states eve does nothave the facility of wavier which is a huge issue. In 44, US states along with District of
RESEARCH ANALYSIS11Columbia the facility of waiver is available. It means those states where this facility is not available should also start providing the facility [ CITATION Ven16 \l 1033 ].Each State has its own Waiver policy and the difference in the number of facilities and services. Therefore, it is important that the service should be provided after analyzing the state and condition of the patient. Through this, the patient will be treated the way it should be treated.