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Maryland HealthChoice Program 1115 Waiver Renewal ApplicationSubmitted by The Maryland Department of Health and Mental Hygiene June 30, 2016HealthChoice 1115 Waiver Renewal Application Tables of Contents Introduction...............................................................................................................................4 A

How to fill out 1115 waiver renewal application

How to fill out 1115 waiver renewal application

1. To fill out the 1115 waiver renewal application, follow these steps:
2. Gather all required documents and information, including previous waiver application, budget information, and program evaluation reports.
3. Begin by completing the application cover page with basic information such as the organization's name, contact details, and waiver renewal period.
4. Provide an executive summary of the program and its goals, highlighting any achievements or significant outcomes.
5. Describe the target population and the specific services or interventions provided.
6. Include a detailed budget narrative that explains the use of funds and how they align with program objectives.
7. Demonstrate the program's effectiveness through evaluation reports, outcomes data, and any relevant success stories or testimonials.
8. Append any necessary supplemental attachments such as resumes, letters of support, or additional documentation.
9. Review and proofread the application thoroughly to ensure accuracy and completeness.
10. Submit the completed application by the specified deadline, either online or through mail as instructed in the application guidelines.
11. Keep a copy of the application for future reference and follow up with any requested follow-up or clarification.

Who needs 1115 waiver renewal application?

1. Various organizations and entities may need to complete the 1115 waiver renewal application. These include:
2. - State or local government agencies responsible for implementing and managing Medicaid programs.
3. - Healthcare providers or organizations offering services covered by the 1115 waiver.
4. - Community-based organizations or non-profits involved in delivering healthcare or social services.
5. - Research institutions or academic organizations conducting studies or evaluations related to Medicaid programs.
6. - Any organization seeking to renew their participation in the 1115 waiver program and continue providing services under this waiver.

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What is 1115 waiver renewal application?

The 1115 waiver renewal application is a request submitted to the Centers for Medicare and Medicaid Services (CMS) to continue a state's Medicaid demonstration project.

Who is required to file 1115 waiver renewal application?

State Medicaid agencies are required to file the 1115 waiver renewal application.

How to fill out 1115 waiver renewal application?

To fill out the 1115 waiver renewal application, state Medicaid agencies need to provide detailed information about the proposed changes to their Medicaid demonstration project.

What is the purpose of 1115 waiver renewal application?

The purpose of the 1115 waiver renewal application is to seek approval to continue implementing innovative approaches to Medicaid coverage and delivery.

What information must be reported on 1115 waiver renewal application?

State Medicaid agencies must report detailed information about the goals, impact, and financing of their Medicaid demonstration project on the 1115 waiver renewal application.