“The following waivers will be combined into one new Children’s waiver:
•Office of Mental Health (OMH) Serious Emotional Disturbance (SED) waiver
•Office for People with Developmental Disabilities (OPWDD) Care at Home waiver
•Office of Children and Families (OCFS) Bridges to Health (B2H) SED waiver, B2HDevelopmental Disability (DD) waiver, and B2H Medically Fragile waiver”
“Final approval is granted due to the state completing the following activities:
“On January 5, 2016, the Centers for Medicare and Medicaid Services (CMS) approved New Hampshire’s application for a five-year Medicaid Building Capacity for Transformation demonstration project which concluded on December 31, 2020. This demonstration represented an opportunity for New Hampshire to strengthen community-based mental health services, combat the opioid crisis, and drive health care delivery system reform. Through this demonstration, the state pursued improved access to and quality of, both the behavioral health services and physical health services of those with behavioral health diagnoses including both mental health and substance abuse disorders. The demonstration enabled the establishment of regionally-based Integrated Delivery Networks (IDNs) that consisted of behavioral health and other health care and community providers. These providers worked collaboratively to develop a sustainable, integrated behavioral and physical health care delivery system in New Hampshire.”
“Overview
“MFP Eligibility
Individuals who transition from a Habilitation Center or nursing home may be eligible for MFP. MFP is a demonstration grant that supports efforts to:
“In this extension of the demonstration, the state will continue healthcare delivery reforms that were initiated during the previous demonstration period. Specifically, the state will continue its expansion of managed care to Long Term Services and Supports (LTSS) and behavioral health services, targeted home and community-based services (HCBS) programs for children and in-home community supports for individuals with intellectual and development disabilities. In addition, the state will implement new targeted initiatives to provide behavioral health and substance use disorder services and expand the scope and duration of supports services for individuals with intellectual and developmental disabilities. CMS has agreed to extend the state’s delivery system reform incentive payment (DSRIP) program with the condition that the program will expire on June 30, 2020.”
“The Wisconsin Department of Health Services (DHS) has received numerous questions concerning the Medicaid home and community-based services (HCBS) waivers settings rule. These FAQs provide guidance on the requirements in the settings rule.”
“California’s HCBS programs, which are the focus of this Statewide Transition Plan (STP) are either directly administered or overseen by the Department of Health Care Services (DHCS) as the single state agency for Medicaid/Medi-Cal. However, several of the HCBS waivers and the 1915(i) State Plan program are administered jointly by DHCS and the State or local entity with program responsibility. Administrative teams comprised of employees from the State department/entity with program responsibility exist at DHCS, the California Department of Public Health (CDPH), the Department of Developmental Services (DDS), the California Department of Aging (CDA), and the San Francisco Department of Public Health (SFDPH). The SFDPH administers a HCBS Waiver program in accordance with terms of an Agreement with DHCS.”
“In January2014, the Centers for Medicare and MedicaidServices (CMS)issued a final regulation that ensures that individuals receiving long-term services and supports through HCBS programs under the 1915(c), 1915(i), and1915(k) Medicaid authorities have full access to benefits of community living, the opportunity to receive services in the most integrated setting appropriate to enhance the quality of HCBS and provide protections to participants. The CMS regulation became effective on March17, 2014 and requires states to demonstrate compliance. To show compliance, states must review and evaluate settings in which HCBS are provided(residential and nonresidential settings), submit separate transition plans for each HCBS waiver and state plan option, and submit a statewide transition plan(STP).”
“The Community Care Program is a Medicaid home and community based services (HCBS) waiver program. It provides services for eligible individuals who live in a provider-managed setting, such as a group home or supervised apartment, or who live in their family home or their own apartment or home, to assist them to live as independently as possible. “