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Section 1115 Waiver Application Oregon Health Plan Substance Use Disorder Demonstration Medicaid and Children's Health Insurance Program Submitted: May 29, 2020Oregon Health AuthorityTable of contents

How to fill out section 1115 waiver application

How to fill out section 1115 waiver application

1. To fill out the section 1115 waiver application, follow these steps:
2. Begin by gathering all the necessary information and documentation that will be required for the application.
3. Carefully read through the instructions and guidelines provided by the relevant authority or organization responsible for processing the waiver application.
4. Start by providing general information about the organization or individual applying for the waiver, including contact details, address, and organizational structure if applicable.
5. Clearly identify the purpose and goals of the waiver application, explaining why it is necessary and what specific outcomes or improvements it aims to achieve.
6. Include a detailed description of the population or group that will be impacted by the proposed changes or initiatives outlined in the waiver application.
7. Provide a comprehensive overview of the proposed changes or initiatives, including how they will be implemented, the expected timeline, and any anticipated challenges or barriers that may arise.
8. Include a budget and financial plan for the proposed changes or initiatives, demonstrating how the resources will be allocated and managed to ensure the successful implementation of the waiver program.
9. Attach any supporting documentation or evidence that further substantiates the need for the waiver application and strengthens the case for approval.
10. Review and proofread the completed application thoroughly to ensure accuracy and clarity.
11. Submit the completed section 1115 waiver application as per the instructions provided, ensuring all required documents and forms are included.
12. Follow up with the relevant authority or organization to track the progress of the application and address any additional requests or inquiries they may have.

Who needs section 1115 waiver application?

1. The section 1115 waiver application is typically needed by organizations or individuals who are seeking to implement innovative healthcare delivery or payment reforms that do not comply directly with existing federal Medicaid regulations.
2. This may include state governments, healthcare providers, managed care organizations, and other entities who wish to test new models of care, improve access to healthcare services, or address specific health needs of certain populations.
3. The section 1115 waiver application allows these entities to seek approval from the Centers for Medicare and Medicaid Services (CMS) to deviate from traditional Medicaid rules and regulations in order to test and implement their proposed reforms or initiatives.

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What is section 1115 waiver application?

Section 1115 waiver application is a request made by states to the federal government for flexibility in implementing their Medicaid programs.

Who is required to file section 1115 waiver application?

States are required to file section 1115 waiver applications if they want to waive certain Medicaid program requirements.

How to fill out section 1115 waiver application?

Section 1115 waiver applications can be filled out by following the guidelines provided by the Centers for Medicare and Medicaid Services (CMS) and submitting the required documentation.

What is the purpose of section 1115 waiver application?

The purpose of section 1115 waiver application is to allow states to test new approaches in Medicaid that differ from federal program rules.

What information must be reported on section 1115 waiver application?

Section 1115 waiver applications must include a description of the proposed changes, the expected impact on Medicaid beneficiaries, and a plan for monitoring and evaluating the waiver's success.