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Get the free 1915 (C) WAIVER APPLICATION/TECHNICAL AMENDMENT - ncdhhs

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This document outlines changes and technical amendments to the 1915 (C) waiver application, including updates on funding administration, provider qualifications, and service provisions.
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How to fill out 1915 (C) WAIVER APPLICATION/TECHNICAL AMENDMENT

01
Obtain a copy of the 1915 (C) WAIVER APPLICATION/TECHNICAL AMENDMENT form.
02
Carefully read the instructions provided with the form.
03
Fill out the applicant's personal information, including name, address, and contact details.
04
Provide detailed information about the individual's medical needs and how they qualify for the waiver.
05
Complete the financial assessment section to determine eligibility based on income and resources.
06
Include any necessary documentation, such as medical records and proof of income.
07
Review the completed application for accuracy and completeness.
08
Submit the application to the designated state Medicaid agency or other appropriate office.

Who needs 1915 (C) WAIVER APPLICATION/TECHNICAL AMENDMENT?

01
Individuals with disabilities who require long-term care services.
02
Adults who need assistance with daily living activities.
03
Children with special needs who require home and community-based services.
04
Individuals seeking to maintain their independence while receiving necessary medical care.
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People Also Ask about

There are two financial eligibility requirements for Home and Community Based Services (HCBS) Waivers – an asset limit and an income limit. In most states in 2025, the individual asset limit for HCBS Waivers is $2,000 and the individual income limit is $2,901/month.
Medicaid waivers help pay for standard medical and non-medical care, including personal care services, respite care, and adult day care.
You may qualify for a fee waiver if your household income is at or below 150% percent of the Federal Poverty Guidelines when you file.
Appendix Table 1: Medicaid Section 1915 (c) HCBS Waivers, by State and Target Population, FY 2020 StateTotal No. of Section 1915 (c) waiversMed. Fragile/Tech Dep. Children Arkansas 4 California 8 ✓ Colorado 10 ✓ Connecticut 10 ✓44 more rows • Mar 4, 2022
Do you get a good deal as a Medicaid Waiver Provider ? StateAnnual SalaryHourly Wage California $57,164 $27.48 Minnesota $56,730 $27.27 Rhode Island $56,724 $27.27 New Hampshire $56,330 $27.0861 more rows
There are two financial eligibility requirements for Home and Community Based Services (HCBS) Waivers – an asset limit and an income limit. In most states in 2025, the individual asset limit for HCBS Waivers is $2,000 and the individual income limit is $2,901/month.
Waivers vary from state to state, and many states offer more than one type of 1915(c) waiver. These waivers cannot be limited to a certain ethnic or racial group but can be limited in other ways: May be statewide or geographically limited in coverage.
A very important distinction between Nursing Home Medicaid and Medicaid Waivers is that Nursing Home Medicaid is considered an entitlement program, while Waivers are not. Entitlement, in this situation, means that if one meets the eligibility requirements, they are entitled to receive benefits.
The Medicaid Home- and Community-Based Services (HCBS) waiver program was authorized under Section 1915(c) of the Social Security Act. Through this program, states can help provide different services that allow those who need care to receive services in their homes or communities.
Actually, there are two core differences: who administers the program and who can enroll. Medicare is managed by the federal government and eligibility is based on age or disability. Medicaid is managed by each individual state and eligibility depends on income.

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The 1915 (C) waiver application is a provision under the Medicaid program that allows states to offer home and community-based services (HCBS) to individuals with disabilities or chronic conditions, providing alternatives to institutional care.
States that wish to provide Medicaid-funded home and community-based services to eligible populations are required to file the 1915 (C) waiver application or any technical amendments to expand or modify existing waivers.
To fill out the 1915 (C) waiver application, states must complete specific sections addressing their service delivery model, target populations, program details, assurances, and fiscal information in accordance with CMS guidelines.
The purpose of the 1915 (C) waiver application is to provide states with the authority to offer necessary services in home and community settings, aiming to promote independence and enhance the quality of life for individuals with disabilities.
The information required includes the target population, types of services offered, provider qualifications, participant assessment and enrollment processes, and any quality assurance measures in place.
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