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Print application selector for 1915(b)Waiver: IN.0004.R02.00 ...

Print application selector for 1915(b)Waiver: IN.0004.R02.00 ...-2025

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The document outlines the State of Idaho's request for a 1915(b) waiver amendment for the Idaho Medicaid Plus program, which is designed to provide managed care services to dual-eligible individuals (those eligible for both Medicaid and Medicare). The amendment seeks to expand service areas, update implementation status, and ensure compliance with federal regulations. It details the program's structure, including types of services offered, populations served, and monitoring activities to ensure quality and access. The document also includes information on enrollment processes, grievances, and cost-effectiveness measures related to the waiver.

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What is a Medi-Cal waiver?

Medi-Cal waivers are programs that provide additional services to specific groups of individuals, limit services to specific geographic areas of the state, and provide medical coverage to individuals who may not otherwise be eligible under traditional Medicaid rules.

How does a medical waiver work?

Medicaid waivers are for people with disabilities and chronic health conditions. They allow healthcare professionals to provide care in a persons home or community instead of a long-term care facility. Medicare is a federal program. To be eligible, a person must be 65 years or older.

What does waive medical mean?

When an employee doesnt want health insurance from their employer, they waive coverage. Or, employees can waive coverage on behalf of a family member who was previously under their plan. A waiver of coverage is a form employees sign to opt-out of insurance.

Why would a medical waiver be denied?

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What is the Medicaid waiver program in Florida?

The purpose of the Medicaid Long-term Care Waiver is to provide services to eligible individuals age 18 or older who need long-term services and supports, including individuals over the age of 18 with a diagnosis of cystic fibrosis, AIDS, or a traumatic brain or spinal cord injury.

What is a 1915b waiver?

The CalAIM Section 1915(b) waiver authorizes the Specialty Mental Health Services (SMHS) program, as well as Medi-Cal managed care, dental managed care, and Drug Medi-Cal Organized Delivery System (DMC-ODS).

What state has the best Medicaid waiver program?

Programs in different states may provide various types of care through the waiver program. ing to data from the Kaiser Family Foundation, the five states with the best Medicaid benefit programs are New York, New Hampshire, Wisconsin, New Jersey, and Pennsylvania.