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Section 1915(c) was an amendment to the Social Security Act created as a part of the Omnibus Budget Reconciliation Act of 1981. Adoption of HCBS waivers by states was initially slow, but Congress has enacted a series of reforms since 1981 to make the use of HCBS waivers less prohibitive.
Section 1115 Research & Demonstration Projects: States can apply for program flexibility to test new or existing approaches to financing and delivering Medicaid and CHIP. Section 1915(b) Managed Care Waivers: States can apply for waivers to provide services through managed care delivery systems or otherwise limit people's choice of providers.
The appeal of the 1915 (b)(c) Waiver Program is that annual Medicaid expenditures can be more accurately budgeted and managed based on a formula. Under the Waiver, the State would determine a per member per month amount (known as capitation) to be paid to the public authority designated by the NC Department of Health and Human Services (DHHS ...
In 1983, the US Congress added section 1915(c) to the Social Security Act. This addition provided for the creation of Medicaid waivers. It also outlined the contractual obligations of states choosing to establish waiver programs with Medicaid. In 1986, Utah's waiver program for individuals with disabilities was established.
A Katie Beckett waiver or TEFRA waiver is a Medicaid waiver concerning the income eligibility for home-based Medicaid services for children under the age of nineteen. Prior to the Katie Beckett waiver, if a child with significant medical needs received treatment at home, the child's income would be deemed to include the parents' entire ...
The Florida Supported Living Waiver, also called the FSL Waiver or "Little" Waiver is another Florida Medicaid Waiver Program. This Waiver currently has a spending cap of $14,792.00. [5] There are eleven services on this waiver. Many people on the FSL Waiver are waiting to get on the HCBS Waiver. The FSL Waiver also assists people who have ...
In the United States, Medicaid is a government program that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a ...
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.