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PRINTED: 11/15/2019 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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What is 1115 form approved?
The 1115 form approved is a document that allows states to propose pilot or demonstration projects for Medicaid and the Children's Health Insurance Program (CHIP).
Who is required to file 1115 form approved?
States that want to implement innovative programs to improve healthcare delivery for Medicaid and CHIP beneficiaries are required to file the 1115 form approved.
How to fill out 1115 form approved?
The 1115 form approved can be filled out by providing detailed information about the proposed program, including goals, implementation plans, evaluation measures, and budget estimates.
What is the purpose of 1115 form approved?
The purpose of the 1115 form approved is to give states flexibility in designing and testing new approaches to healthcare delivery that can improve outcomes for Medicaid and CHIP beneficiaries.
What information must be reported on 1115 form approved?
The 1115 form approved must include details about the proposed program's goals, target population, services to be provided, evaluation measures, budget estimates, and expected outcomes.
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