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Kentucky Department of Medicaid Services 1115 SUD Demonstration Proposed Amendment Continuity of Care for Incarcerated Members September 30, 2020, Table of Contents Section I Program Description2Objective
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How to fill out 1115 waiver amendment

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To fill out the 1115 waiver amendment, follow these steps:
02
Review the current 1115 waiver and understand the changes you want to make.
03
Gather all necessary documentation and information that supports the proposed amendment.
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Contact the appropriate state agency or organization responsible for the 1115 waiver.
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Obtain the necessary forms or application package for the amendment.
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Fill out the forms accurately and provide all requested information.
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Attach the supporting documentation to the amendment application.
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Review the completed amendment application for any errors or missing information.
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Submit the amendment application and supporting documentation to the designated agency or organization.
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Follow up with the agency or organization to ensure that the amendment application has been received and is being processed.
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Respond promptly to any additional requests or inquiries from the agency or organization during the review process.
12
Await a decision on the amendment application from the agency or organization.
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If approved, implement the changes outlined in the amendment and ensure compliance with any requirements or conditions imposed by the agency or organization.
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If denied, review the reasons for denial and consider appealing the decision if necessary.

Who needs 1115 waiver amendment?

01
Various individuals or organizations may need a 1115 waiver amendment, including:
02
- State or local government agencies responsible for administering Medicaid programs.
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- Healthcare providers or facilities seeking to expand or modify the services provided under Medicaid.
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- Advocacy groups or organizations advocating for specific changes or improvements in Medicaid.
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- Researchers or academics studying the impact of Medicaid policies and seeking to make modifications for research purposes.
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- Individuals or beneficiaries of Medicaid who wish to propose changes to the program that could benefit them or others.
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It is important to consult the specific guidelines and requirements of the state or organization responsible for the 1115 waiver to determine who is eligible and how to proceed with the amendment process.
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The 1115 waiver amendment refers to a modification or addition to a Section 1115 Medicaid waiver that allows states to test new approaches in Medicaid that differ from federal program rules.
States that wish to make changes to their existing Medicaid 1115 demonstrations are required to file an amendment.
To fill out the 1115 waiver amendment, states must provide specific information about the proposed changes, including conceptual framework, evaluation plans, and budget impacts, in the required form provided by CMS.
The purpose of the 1115 waiver amendment is to allow states to innovate in the delivery and financing of Medicaid services, improve health outcomes, and address specific population needs.
Information that must be reported includes the rationale for changes, affected populations, expected outcomes, implementation strategies, and evaluation methods.
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