Application for a §1915(c) Home and Community-Based Waiver [Version 3.3]

File Downloads / Links

  • Instrument for Reviewing PDF
  • Instrument for Reviewing Word
  • Application Version 3.3 Word
  • Application Version 3.3 PDF
  • Instruction, Technical Guide, Review Criteria PDF
  • Request for Amendment Word
  • Resource Attachments PDF

Article Publication Date: 
11/15/2005
Summary: 
CMS has developed the final revised working draft of the 1915 (c) HCBS waiver application, Instructions and Technical Guide, Resource Documents, and the CMS Review Instrument. This is the version that CMS is currently automating for use as a web-based application available in Feb 2006. The new application was designed to solicit more complete information from states about the design of their waiver program to better determine whether a proposed waiver has the capacity to meet the requirements.
Populations: 
N/A
Sources: 
CMS
Programs/Initiatives: 
1915c
Reviewing State 1915 (c) HCBS Waiver Applications; HCBS Quality Framework; Participant Access and Eligibility; Participant Services; Participant-Centered Plan and Service Delivery; Participant Direction of Services; Participant Rights; Consumer Safeguards; Financial Accountability; Cost Neutrality Demonstration; Instrument for Reviewing

Contact

Mary Sowers
Centers for Medicare & Medicaid Services
Mary.Sowers@cms.hhs.gov
Phone: 
410-786-6814

Short URL: http://www.advancingstates.org/node/50805