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Section 1915(b) Waiver Proposal For MCO, PIP, PAP, PCC Programs And FFS Selective Contracting ProgramsState of Ohio1Revised December 2021Table of Contents Proposal Face sheet Section A: Program Description
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Who needs section 1915b waiver proposal?
01
Individuals who are seeking Medicaid coverage for home and community-based services
02
Individuals with disabilities who require long-term care and support services to remain living in their own homes or communities
03
Families or caregivers of individuals with disabilities who need assistance in accessing and coordinating the necessary services and supports
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What is section 1915b waiver proposal?
The Section 1915b waiver proposal refers to a provision under the Social Security Act that allows states to implement managed care programs for Medicaid recipients while maintaining the flexibility to provide services in innovative ways.
Who is required to file section 1915b waiver proposal?
States are required to file the Section 1915b waiver proposal to the Centers for Medicare & Medicaid Services (CMS) when they wish to implement or amend managed care programs.
How to fill out section 1915b waiver proposal?
To fill out the Section 1915b waiver proposal, states need to provide detailed information about their proposed Waiver Program, including program goals, population served, and how services will be delivered, along with other required documentation as specified by CMS.
What is the purpose of section 1915b waiver proposal?
The purpose of the Section 1915b waiver proposal is to allow states to develop and implement managed care delivery systems that improve access to healthcare services and manage costs, while ensuring quality care for Medicaid recipients.
What information must be reported on section 1915b waiver proposal?
The information reported in the Section 1915b waiver proposal must include the target population, services provided, the care delivery system, the operational oversight plan, and accreditations, as well as the intended outcomes and evaluation methods.
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