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Medicaid Monitor
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Manatt Health·December 18, 2025

Family CNA Model Expands in Medicaid: 10 States Implemented, 16 Considering for Children with Medical Complexity

Ten states have implemented and sixteen are considering the Family CNA model, which trains and reimburses family members to provide home care for medically complex children that would otherwise require RN, LPN, or non-family CNA services. Most states implement through mandatory home health or optional private duty nursing state plan benefits, though some use 1915(c) waivers or could use 1115 demonstrations. Oklahoma estimates the model could generate significant annual cost savings while expanding access to care for children with medical complexity.

LTSS · Managed Care

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This is outside commentary from Manatt Health, not part of Medicaid Monitor's independently scored news coverage.

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