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Office of Administrative Hearings (OAK) Procedures Transmittal ALB OAK Staff 0509 (Amended) Date: Page: Distribution: Transmittal Number: May 11, 2005 1 of 2 plus Attach. NYC OAK Staff X UPS Alps

How to fill out 05-09 managed care waivers

How to fill out 05-09 managed care waivers:

1. Obtain the necessary forms: Contact your state's Medicaid office or managed care organizations (MCOs) to obtain the 05-09 managed care waiver forms. These waivers are typically used for individuals who require additional long-term care services in their home or community, rather than a nursing home facility.
2. Gather supporting documents: Before filling out the waivers, gather all the necessary supporting documents such as proof of income, medical documentation, and any other required information. This will ensure that you have all the necessary information readily available.
3. Read the instructions carefully: Carefully read through the instructions provided with the waivers. It is essential to understand the requirements and specific sections that need to be completed accurately. If you have any questions, reach out to the Medicaid office or MCOs for clarification.
4. Provide personal information: Fill out the required personal information section accurately, including your name, address, contact information, and any other relevant details. Provide the same information for the individual who needs the managed care services.
5. Income and financial information: Provide details about your income and financial situation as requested in the form. This may include information about your employment, assets, and any other income sources. This information helps determine eligibility for the waiver program.
6. Medical information: Provide any necessary medical information about the individual who needs the managed care services. This may include recent medical reports, diagnosis, medical history, as well as any prescribed medications or treatments.
7. Include a detailed explanation: In some sections of the waiver form, you may be required to provide a detailed explanation of why the individual needs managed care services and how it will benefit their overall well-being.
8. Submit the completed form: Once you have filled out the waivers accurately and completed all the required sections, review them for any errors or missing information. Ensure that you have signed and dated the form before submitting it to the Medicaid office or the designated MCOs.
9. Follow up: After submitting the form, follow up with the respective authority to ensure they have received your application. You may be required to provide additional documents or information if requested.
10. Review the decision: Once the application is reviewed, you will be notified of the decision regarding the approval or denial of the managed care waivers. If approved, you will be provided with details about the available services and any necessary steps to initiate the care plan.

Who needs 05-09 managed care waivers:

1. Individuals requiring long-term care services: 05-09 managed care waivers are designed for individuals who need long-term care services but wish to receive them in their home or community rather than a nursing home facility. This could include elderly individuals, individuals with disabilities, or those with chronic health conditions.
2. Medicaid recipients: Generally, individuals who are eligible for Medicaid and meet the specific requirements for the managed care waivers can benefit from this program. Medicaid is a joint federal and state program that provides health coverage for low-income individuals.
3. Those who want to age in place: Many individuals prefer to age in place, meaning they want to remain in their own homes or communities as they grow older. The 05-09 managed care waivers provide support and services that enable individuals to achieve this goal by receiving necessary care and assistance outside of institutional settings.

Remember to consult your state's specific guidelines and requirements to ensure accurate and up-to-date information regarding how to fill out 05-09 managed care waivers and determine who may be eligible for these waivers.

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What is 05-09 managed care waivers?

05-09 managed care waivers are waivers that allow states to implement managed care delivery systems for Medicaid beneficiaries.

Who is required to file 05-09 managed care waivers?

States that wish to implement managed care delivery systems for their Medicaid beneficiaries are required to file 05-09 managed care waivers.

How to fill out 05-09 managed care waivers?

To fill out 05-09 managed care waivers, states must provide detailed information about the proposed managed care delivery system, expected outcomes, budget impact, and stakeholder engagement.

What is the purpose of 05-09 managed care waivers?

The purpose of 05-09 managed care waivers is to give states flexibility in designing Medicaid delivery systems that improve access to care, quality, and efficiency.

What information must be reported on 05-09 managed care waivers?

States must report on the proposed managed care delivery system, expected impacts on beneficiaries and providers, budgetary implications, and stakeholder feedback.