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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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Appendix K for 1915c is needed by individuals or organizations who are applying for certain services or benefits under the 1915c Home and Community-Based Services (HCBS) Waiver program. This form is typically required to determine eligibility and assess an individual's needs for HCBS.
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Appendix K for 1915c refers to a specific attachment related to the Medicaid Home and Community-Based Services (HCBS) waiver program, which contains information and guidelines for states to modify their programs.
States that administer the 1915c HCBS waiver program are required to file Appendix K when they seek to make temporary changes to their service delivery systems.
To fill out Appendix K for 1915c, states must provide detailed information about the changes they wish to implement, including the reasons for these changes and any anticipated impacts on service delivery.
The purpose of Appendix K for 1915c is to allow states the flexibility to amend their Medicaid waiver programs in response to emergencies or other significant changes without going through the full amendment process.
Appendix K must report information including the nature of the changes, the rationale behind them, and the expected impact on beneficiaries and service delivery.
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