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Medicare waiver demonstration application - HIPAASpace

Medicare waiver demonstration application - HIPAASpace 2025

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The document is a Medicare Waiver Demonstration Application from the U.S. Department of Health & Human Services, specifically the Centers for Medicare & Medicaid Services (CMS). It outlines the process for eligible organizations to apply for participation in Medicare-waiver-only demonstrations aimed at testing innovative approaches to improve healthcare access, quality, and cost-effectiveness. The application requires detailed information about the applicant, project design, budget neutrality, and implementation plans. It emphasizes the need for timely submission and provides guidelines on application content and evaluation criteria.

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Click ‘Get Form’ to open the Medicare waiver demonstration application in the editor.
Begin by filling out the 'Applicant Legal Name' and 'Date Submitted' fields. Ensure that all information is accurate and up-to-date.
Complete the 'Address', 'City', 'County', 'State', and 'ZIP Code' sections to provide your organization's location details.
In the 'Contact Information' section, enter the name, telephone number, and address of a person who can be contacted regarding the application.
Specify the project duration by entering start and end dates in the format mm/dd/yyyy under 'Project Duration'.
Select your type of applicant from the options provided (e.g., Academic Institution, Not for Profit Organization) by checking the appropriate box.
Fill in any additional required fields such as Medicare Provider Number(s) and Employer Identification Number.
Review all entered information for accuracy before signing. Type your name, title, and date signed in the designated areas.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is Medicare demonstration program?

The Center for Medicare and Medicaid Innovation conducts and sponsors numerous innovative demonstration projects and model tests to measure the effect of potential program changes.

What is the CMS SNF 3 day waiver?

The SNF 3-Day Rule Waiver waives the requirement for a 3-day inpatient hospital stay prior to a Medicare-covered, post-hospital, extended-care service for eligible beneficiaries if certain conditions are met (refer to Section 3.3 below).

What is a Medicaid demonstration program?

Section 1115 Medicaid demonstration waivers offer states an avenue to test new approaches in Medicaid that differ from what is required by federal statute, if [in the HHS Secretarys view] the approach is likely to promote the objectives of the Medicaid program. They can provide states additional flexibility in how

How to submit Medicare Form CMS 1763?

Send your completed and signed application to your local Social Security office. If you have questions, call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778.

What does Medicaid Waiver pay for?

Medicaid waivers help pay for standard medical and non-medical care, including personal care services, respite care, and adult day care.