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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 who are applying for a specific program or waiver under the 1915(c) Home and Community-Based Services (HCBS) waiver program in the United States. These programs are designed to help individuals with disabilities or long-term care needs receive necessary support and services while living in their own homes or communities instead of in institutional settings. Individuals who meet the eligibility criteria for a specific program or waiver can submit appendix k to the appropriate authority for consideration and approval of their application.
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Appendix K for 1915(c) is a form used by states to report on the expenditures and revenues related to the Medicaid Home and Community-Based Services waiver program.
States participating in the Medicaid Home and Community-Based Services waiver program are required to file Appendix K for 1915(c).
States must fill out the Appendix K form according to the instructions provided by the Centers for Medicare & Medicaid Services (CMS), ensuring accurate reporting of expenditures and revenues.
The purpose of Appendix K for 1915(c) is to track and monitor the financial aspects of the Medicaid Home and Community-Based Services waiver program, ensuring compliance and transparency.
Information such as total expenditures, total revenues, targeted case management costs, waiver administration costs, and other financial details must be reported on Appendix K for 1915(c).
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