Get the free 1915(c) Appendix K Template - COVID - DHCS
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APPENDIX K: Emergency Preparedness and Response and COVID-19 AddendumBackground:This standalone appendix may be utilized by the state during emergency situations to request amendments to its approved
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Individuals or organizations applying for a waiver under the 1915c Medicaid Home and Community-Based Services (HCBS) program may need to fill out the 1915c appendix k template.
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What is 1915c appendix k template?
The 1915c appendix k template is a form used to report specific information related to Medicaid home and community-based services waivers.
Who is required to file 1915c appendix k template?
States participating in the Medicaid program and operating 1915c waiver programs are required to file the 1915c appendix k template.
How to fill out 1915c appendix k template?
The 1915c appendix k template is typically filled out electronically through a designated reporting system provided by the Centers for Medicare and Medicaid Services (CMS).
What is the purpose of 1915c appendix k template?
The purpose of the 1915c appendix k template is to collect data and information on the operation and outcomes of Medicaid home and community-based services waivers.
What information must be reported on 1915c appendix k template?
Information such as waiver expenditures, participant enrollment, services provided, and outcomes must be reported on the 1915c appendix k template.
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