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This document outlines the implementation of the 1915(i) State plan Home and Community-Based Services (HCBS) benefit for elderly and disabled individuals in North Carolina, detailing service provision,
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How to fill out 1915i hcbs state plan
How to fill out 1915(i) HCBS State plan Services
01
Identify the eligible populations who qualify for 1915(i) HCBS State plan Services.
02
Review the specific services covered under the 1915(i) HCBS State plan.
03
Complete the necessary application forms required by your state agency.
04
Gather documentation to demonstrate the individual’s needs and eligibility.
05
Submit the completed application along with required documentation to the state Medicaid agency.
06
Wait for approval from the state agency regarding the eligibility for services.
07
Coordinate with service providers to arrange the necessary services once approved.
Who needs 1915(i) HCBS State plan Services?
01
Individuals with disabilities who require assistance with daily living activities.
02
Elderly individuals who may need support to remain in their community.
03
Individuals with mental health conditions that require home-based support.
04
People with chronic illnesses who need long-term care services.
05
Families of individuals who need support to help them care for their loved ones at home.
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What is a 1915i assessment?
• 1915(i) transition assessments are the assessments for individuals who have an. open 1915(b)(3) service authorization and are moving to the Tailored Plan. • The Department is working with the LME/MCOs to complete 1915(i) transition.
What is the primary eligibility requirement for Medicaid?
North Carolina's Transformation to NC Medicaid Managed Care On July 1, 2021, most Medicaid beneficiaries began receiving the same Medicaid services under NC Medicaid Managed Care. With managed care, beneficiaries choose a health plan and get care through the health plan's network of doctors.
Is HCBS state or federal?
Who Funds HCBS? HCBS programs are often funded by state waivers. Waivers are part of a state's Medicaid program, but they provide a special group of services to a certain population.
What is the Social Security Act 1915?
Established as part of the Deficit Reduction Act of 2005, section 1915(i) of the Social Security Act gives states the option to provide Home and Community Based Services (HCBS) without a waiver.
What is the maximum income to qualify for Medicaid in NC?
People eligible for Medicaid coverage have historically included low-income children and their parents, pregnant women, people with disabilities, and people age 65 and older. Under the Patient Protection and Affordable Care Act (ACA, P.L.
What is a 1915 I assessment?
1915(i) regulations require states to define conflict of interest standards that ensure the independence of individual and agency agents who conduct (whether as a service or an administrative activity) the independent evaluation of eligibility for State Plan HCBS, who are responsible for the independent assessment of
What is 1915 I HCBS state plan option?
1915(i) State Plan HCBS Guidelines Ensure that the benefit is available to all eligible individuals within the State. Provide adequate and reasonable provider standards to meet the needs of the target population. Ensure that the HCBS are provided in ance with a person-centered service plan.
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What is 1915(i) HCBS State plan Services?
1915(i) HCBS State plan Services refers to a provision under the Social Security Act that allows states to provide home and community-based services to individuals who are at risk of institutionalization, as part of their Medicaid State plan.
Who is required to file 1915(i) HCBS State plan Services?
States that wish to offer 1915(i) HCBS State plan Services must file a plan with the Centers for Medicare & Medicaid Services (CMS). There are no specific individual filers; rather, it is the state Medicaid agency responsible for the filing.
How to fill out 1915(i) HCBS State plan Services?
To fill out the 1915(i) HCBS State plan Services, states need to complete the necessary application forms and provide detailed information on the types of services offered, eligibility criteria, locality of services, provider qualifications, quality assurance measures, and other required components as instructed by CMS.
What is the purpose of 1915(i) HCBS State plan Services?
The purpose of 1915(i) HCBS State plan Services is to expand access to home and community-based services for individuals who are at risk of being institutionalized, thereby allowing them to receive necessary assistance in a more integrated and less restrictive environment.
What information must be reported on 1915(i) HCBS State plan Services?
States must report information regarding the specific services being offered, eligibility criteria, assessment processes, provider qualifications, service delivery mechanisms, and the implementation plan, which includes quality oversight and monitoring strategies.
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