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Application for Section 1915(b) (4) Waiver FeeforService Selective Contracting Program June, 2012v1.0Table of Contents Facesheet3Section A Waiver Program Description4Part I: Program Overview Tribal
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Individuals who require long-term care services and support through a Medicaid waiver program may need to fill out an application for section 1915b.
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Application for section 1915b is a request for a waiver offered by Medicaid to states to provide home and community-based services (HCBS) to individuals who would otherwise require care in a long-term institutional setting.
States are required to file the application for section 1915b in order to implement HCBS programs for eligible individuals.
States must follow the guidelines provided by the Centers for Medicare and Medicaid Services (CMS) when filling out the application for section 1915b. They need to provide detailed information on how they plan to structure and operate their HCBS programs.
The purpose of the application for section 1915b is to outline the state's plan for providing HCBS to eligible individuals and to request a waiver from certain Medicaid regulations in order to implement these programs.
The application for section 1915b must include information on the target population, the services to be provided, the expected outcomes, the eligibility criteria, the provider network, the quality assurance measures, and the financial projections.
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