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APPENDIX K: Emergency Preparedness and Response Background: This standalone appendix may be utilized by the state during emergency situations to request amendment to its approved waiver. It includes
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Form section 1135 authorities may be needed by individuals or organizations that require specific waivers or modifications to certain laws, regulations, or requirements in order to address or respond to a declared emergency or during a public health crisis. This can include healthcare facilities, government agencies, emergency response organizations, or any entity that needs temporary flexibility to adequately respond to the situation at hand.
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Form section 1135 authorities refers to the documentation required under Section 1135 of the Social Security Act, which allows for waiving certain requirements during public health emergencies.
Healthcare providers and facilities that wish to apply for waivers or modifications of specific program requirements under the public health emergency must file form section 1135 authorities.
To fill out form section 1135 authorities, individuals must provide the necessary information regarding their entity, the specific waivers being requested, and any supporting documentation as specified by the guidelines.
The purpose of form section 1135 authorities is to facilitate the provision of healthcare services by enabling flexibility and waivers for providers during declared public health emergencies.
The form must report the provider's details, the nature of the waiver request, specific program requirements being waived, and the justification for the request.
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