In 1965, a state and federal entitlement partnership known as Medicaid was created to provide basic health insurance at no cost for very low-income families, the aged and individuals with disabilities. Over the decades, however, the program has expanded to provide coverage and services to an increasing number of people at higher income levels. As a result, its costs have sky-rocketed, placing a considerable financial burden on states' budgets.
Many ideas have been considered for effective, long-term, cost-containing changes to Medicaid. The goal of the Waiver is to give New Jersey the flexibility it needs to define who is eligible, the benefits they receive and value-driven service delivery.
