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This document outlines the proposal and amendment for the North Carolina Medicaid Waiver under Section 1915(b) for mental health, developmental disabilities, and substance abuse services. It includes
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How to fill out section 1915b waiver
How to fill out Section 1915(b) Waiver
01
Obtain the Section 1915(b) Waiver application form from your state's Medicaid office.
02
Read the instructions carefully to understand the requirements and eligible populations.
03
Gather necessary documentation to support the application, such as service plans and compliance with state regulations.
04
Complete the application form, ensuring all sections are filled out accurately.
05
Attach all required supporting documentation to the application, ensuring it meets any specified criteria.
06
Review the completed application for accuracy and completeness.
07
Submit the application and documentation to the appropriate state Medicaid agency by the specified deadline.
Who needs Section 1915(b) Waiver?
01
Individuals who require specialized Medicaid services that are not available through usual state plan coverage.
02
Providers who wish to deliver services under a managed care delivery system.
03
States that seek flexibility to implement alternative service delivery models for Medicaid beneficiaries.
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People Also Ask about
What is the DHCS 1915 B waiver?
Section 1915(b) Medicaid Waiver Resources The CalAIM Section 1915(b) waiver authorizes the Specialty Mental Health Services (SMHS) program, as well as Medi-Cal managed care, dental managed care, and Drug Medi-Cal Organized Delivery System (DMC-ODS).
What is the meaning of fee waiver in English?
Write your intent for waiving the English proficiency score and then request for it. State the reasons you think that you can waive the requirement. Write meaty sentences, and don't make a long waiver letter. Be sure to stick to facts.
What is an English waiver?
English waivers are usually case-by-case admissions decisions that take place outside the. provider's documented English requirements in its admissions policy or course. requirements.
What is a 1915i waiver?
1915 (i) HCBS waivers This waiver, which may be provided under a state's Medicaid plan, allows the state to provide certain HCBS to people who have incomes lower than 150% of the Federal Poverty Level and do not need to live in a facility to receive care.
What is an example of a waiver?
Fee Waiver means an official agreement to reduce or eliminate specific charges, often related to tuition or service fees.
What is English language waiver?
English waivers are usually case-by-case admissions decisions that take place outside the provider's documented English requirements in its admissions policy or course requirements.
What is an English waiver letter?
English waivers are usually case-by-case admissions decisions that take place outside the provider's documented English requirements in its admissions policy or course requirements.
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What is Section 1915(b) Waiver?
Section 1915(b) Waiver is a provision under the Social Security Act that allows states to offer managed care services for Medicaid beneficiaries. It enables states to implement mandatory managed care programs under certain conditions, providing flexibility in service delivery.
Who is required to file Section 1915(b) Waiver?
States that wish to implement mandatory managed care programs for Medicaid beneficiaries are required to file a Section 1915(b) Waiver with the federal Centers for Medicare & Medicaid Services (CMS).
How to fill out Section 1915(b) Waiver?
To fill out a Section 1915(b) Waiver, states must complete the application forms provided by CMS, detailing their proposed managed care program, including target populations, services, and any proposed benefits. They must also include public comments and a demonstration of stakeholder involvement.
What is the purpose of Section 1915(b) Waiver?
The purpose of the Section 1915(b) Waiver is to allow states the flexibility to design and implement managed care programs that improve access to healthcare services, enhance quality of care, and control costs for Medicaid populations.
What information must be reported on Section 1915(b) Waiver?
The Section 1915(b) Waiver requires states to report information such as the target populations, the types of managed care delivery systems proposed, an assessment of the network capacity, protections for beneficiaries, anticipated impact on access and quality, and a plan for evaluating the program’s effectiveness.
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