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Kansas Industry Placement Facility 1115 S.W. Wanamaker Road, Topeka, Kansas 666043808 (785) 2712300, (800) 7771513 Toll Free, (785) 2712341 Fax ASSIGNMENT OF POLICY The undersigned Insured under Policy
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What is 1115 s?
1115 s refer to the CMS waiver for Medicaid and CHIP programs.
Who is required to file 1115 s?
State Medicaid agencies are required to file 1115 s.
How to fill out 1115 s?
To fill out 1115 s, state Medicaid agencies must provide detailed information about their proposed Medicaid and CHIP programs.
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The purpose of 1115 s is to allow states to test new approaches in their Medicaid and CHIP programs.
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Information such as the goals of the proposed program, the populations to be served, the services to be provided, the evaluation plan, and the budget must be reported on 1115 s.
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