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Get the free NY 1115 renewal STCs - New York State Department of Health - NY.gov

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DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES MEDICARE/MEDICAID CERTIFICATION AND TRANSMITTAL ID: APSE PART I TO BE COMPLETED BY THE STATE SURVEY AGENCY Facility
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To fill out the NY 1115 renewal STCs, follow these steps:
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Start by downloading the NY 1115 renewal STCs form from the official website.
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Provide all the necessary information asked in the form, such as personal details, contact information, and relevant healthcare details.
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Who needs ny 1115 renewal stcs?

01
The NY 1115 renewal STCs (State Plan Amendment Special Terms and Conditions) form is required by individuals or organizations who need to renew their existing NY 1115 waiver. This waiver provides special terms and conditions for Medicaid programs in New York, allowing for flexibility in how services are provided. Individuals or organizations that have previously obtained the NY 1115 waiver need to complete the renewal STCs form to continue receiving the waiver benefits.
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NY 1115 renewal STCs stands for New York State's 1115 Medicaid Waiver renewal Special Terms and Conditions.
Healthcare providers and organizations participating in the 1115 Medicaid Waiver renewal are required to file NY 1115 renewal STCs.
NY 1115 renewal STCs can be filled out by providing the required information, following guidelines provided by the state, and submitting the form by the deadline.
The purpose of NY 1115 renewal STCs is to ensure compliance with the terms and conditions of the Medicaid waiver renewal and to report specific information to the state.
Information such as financial data, program outcomes, and compliance with Medicaid waiver renewal requirements must be reported on NY 1115 renewal STCs.
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