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Get the free Utah 1115 Demonstration Waiver - Renewal Request (2022 ...

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2023 Membership Application/Renewal NAME #1: ___ NAME #2: ___ PLEASE ANSWER EACH QUESTION BELOW (Mandatory) 1. Permission granted to publish my contact information on the COCCI public website: YES
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Download the Utah 1115 demonstration waiver application form from the official website.
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Fill out all sections of the application form accurately and completely.
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Gather all necessary supporting documents such as income verification, medical records, and any other relevant information.
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Submit the completed application form and supporting documents either online or by mail to the designated address.

Who needs utah 1115 demonstration waiver?

01
Utah residents who are eligible for Medicaid benefits and want to participate in the state's demonstration waiver program.
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The Utah 1115 demonstration waiver is a Medicaid waiver that allows the state to test new approaches to providing healthcare services to Medicaid beneficiaries.
The state of Utah is required to file the Utah 1115 demonstration waiver with the Centers for Medicare & Medicaid Services (CMS).
To fill out the Utah 1115 demonstration waiver, the state of Utah must provide detailed information about the proposed demonstration project, including goals, objectives, and expected outcomes.
The purpose of the Utah 1115 demonstration waiver is to allow the state of Utah to implement innovative Medicaid programs that improve healthcare access, quality, and outcomes for Medicaid beneficiaries.
The Utah 1115 demonstration waiver must include information on the population to be served, services to be provided, delivery system reforms, quality measures, and evaluation methods.
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