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Important Information for States -- Please Read! Please read the Important Links for States Regarding Providers. Interested in Providing LTSS in a Managed Care Delivery System? Download this document to obtain information about strategies States may employ to offer Long Term Services and Supports through a Managed Care Delivery System. Support For Ver. 3.4 Ending: Please see the FAQ for some important news about support for version 3.4 §1915(c) Waiver Applications after August 31, 2008. Scheduled Maintenance: The system may be unavailable Tuesdays & Fridays from 4 to 5pm PST. §1915(c) HCBS Waiver Application: The web-based 1915(c) Home and Community Based Services Waiver Application was launched on November 17, 2006.

Links & Downloads

Migration Protocol: Step-by step guidance for entering existing, approved waivers into the web-based system: Migration Protocol. User Training (Ver. 35): Download version 3.5 training materials forState Users andCMS Users. User Training CMS 372 Reports: Download 1915c 372 Report training materials forState Users and CMS Users. Click here to view the CMS 372 Submittal – Web-Basing and Process Changes memo. User Training (Ver. 34): Download version 3.4 training materials forState Users andCMS Users. 1915(c) Application: Download the Version 3.5 1915(c) Waiver Application and Accompanying Materials. FAQs: Have questions? The answers may be found in thisFrequently Asked Questions document. Reduce the Clutter: State Users: Find out how to reduce the clutter in the Waiver Findersby hiding unused Waiver Applications. Hard Copy: Learn how to save a Waiver Application to a file:Saving and Printing Waiver Applications as HTML Files. Waiver Numbering: View a chart explaining how the 1915c Waiver Numbering System works. Webinar Information: Lean how to join a webinar with this Attendee Quick Reference Guide. Still have questions? The answers may be found in this Webinar Frequently Asked Questions document.

§1915(c) Waiver Application & 372 Reports - Access to the web-based application

The Medicaid Home and Community-Based services (HCBS) waiver program is authorized in §1915(c) of the Social Security Act. The program permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization. The Centers for Medicare & Medicaid Services (CMS) recognizes that design and operations features of a waiver program will vary depending on the specific needs of the target population, the resources available to the State, service delivery system structure, State goals and objectives, and other factors.

§1915(b) Waiver Application - Access to the web-based application

This waiver preprint is for a State’s use in requesting authority under section 1915(b) of the Social Security Act (the Act) to operate a managed care program. Specifically, it is designed for use in authorizing programs involving Managed Care Organizations (MCOs), Prepaid Inpatient Health Plans (PIHPs), Prepaid Ambulatory Health Plans (PAHPs), and Primary Care Case Management (PCCM) systems. In addition, it can be used for section 1915(b)(4) fee-for-service selective contracting programs.