North Dakota Overall Service Plan Instructions

“The OSP consists of two (2) sections:
1. State Individual Service Plan (ISP)which is the pre-authorization of payment for DD Medicaid Waiver and State Plan Services. The ISP is completed by the DD Program Manager, a representative of the State Medicaid agency. This section can only be edited and entered by the DDPM. The ISP lists Title XIX Medicaid funded services that will be provided to the person including the amount, type, frequency, service provider, funding source, and start/end dates. It also lists the generic non-Medicaid funded services the person is receiving. The ISP is the document that authorizes Medicaid payment for DD Title XIX services in the Medicaid payment system. An ISP must be completed in order for payment to be made.”

Alaska 1115 Behavioral Health Medicaid Waiver

“Medicaid Section 1115 Demonstration Waivers provide states with flexibility to test new approaches within Medicaid to aid in redesigning and improving their health systems without increasing costs.
Alaska’s 1115 Waiver

In January 2018, Alaska applied to the Centers for Medicare and Medicaid Services (CMS) for approval of an 1115 behavioral health waiver that would create a data-driven, integrated behavioral health system of care for Alaskans experiencing serious mental illness, severe emotional disturbance, substance use disorder (SUD), co-occurring substance use and mental illness, and at-risk families and children.”

California Medicaid State Plan

“The Medicaid State Plan is based on the requirements set forth in Title XIX of the Social Security Act and is a comprehensive written document created by the State of California that describes the nature and scope of its Medicaid (Medi-Cal) program.  It serves as a contractual agreement between the State of California and the federal Centers for Medicare and Medicaid Services (CMS) and must be administered in conformity with specific requirements of Title XIX of the Social Security Act and regulations outlined in Chapter IV of the Code of Federal Regulations. The State Plan contains all information necessary for CMS to determine if the State can receive Federal Financial Participation (FFP) for its Medicaid program. This website includes the current Medicaid State Plan for California as well as State Plan Amendments (SPAs). For all Title XXI- Children’s Health Insurance Program (CHIP) State Plan Amendments please visit the CHIP Homepage.”

Hawaii SB 1240: An Act relating to Medicaid waiver

“Removes the sunset date of Act 21, Special Session Laws of Hawaii 2009, which requires the Department of Health to license home care agencies. Adds exception for Medicaid waiver provider agencies providing services to Medicaid waiver participants.”

Louisiana Developmental Disability Council Report (2019)

“On  January  25,  2019,  the  Medicaid  Extenders  Act  of  2019,  a  bill  that  includes short-term  funding  for  the  Money  Follows  the  Person  program,  became  law. Participants can now transition through MFP through CY  2019, which was extended from December 31, 2018.  On February 28, 2019, Congress introduced two reauthorization bills, H.R.1342 and S.548, through the Empower Care Act to extend  the  MFP  program  for  five  additional  years. They  are  still  pending Congressional action.”

Utah Employment-related Personal Assistant Services (EPAS)

“What is EPAS?
EPAS is a Medicaid service for people with disabilities who work and need personal assistance in order to remain employed.

This service is designed to provide personal assistance for people who may have physical, mental, cognitive, and/or developmental disabilities that are working in an integrated and competitive setting. The assistance provided is for tasks directly related to maintaining employment.”

Wisconsin Medicaid Children’s Long-Term Support Waiver Amendment (2019)

Wisconsin Medicaid Children’s Long-Term Support Waiver Amendment Number: WI.0414.R03.02

“Per the terms of a corrective action plan (CAP) required by CMS, Wisconsin has developed a uniform statewide rate-setting methodology for most CLTS waiver services. The following waiver services are subject to a statewide rate schedule:
•     Adult family home
•     Child care
•     Community integration services
•     Counseling and therapeutic services
•     Daily living skills training
•     Day services
•     Financial management services
•     Mentoring
•     Nursing services
•     Respite
•     Support and service coordination
•     Supported employment
•     Supportive home care
•     Transportation”

South Carolina Waiver Case Management Standards (2022)

This document has information on how staff and providers are to operate when working with the Community Supports Waiver, Head and Spinal Cord Injury Waiver, and Intellectual Disability/Related Disabilities Waiver.

South Dakota Medicaid Home and Community Based Services

Medicaid Home and Community Based Services

South Dakota has four Medicaid 1915(c) waivers operated by the Departments of Social Services and Human Services. Each Waiver targets a specific population and provides a menu of services to meet the needs of the target population:

Home and Community Based Services (HCBS) Settings Rule

In March 2014, the Centers for Medicare and Medicaid Services (CMS) established the Home and Community-Based Services (HCBS) Settings Rule.  The final rule establishes an outcome-oriented definition of home and community-based settings, as opposed to previous definitions that were based solely on a setting’s location, geography or physical characteristics. The intent of this is to ensure individuals in Medicaid’s HCBS waiver programs receive services and supports in the most integrated setting and have full access to the benefits of community living.

Ohio Home Care Waiver

“Provides adult day health center services, personal care aide services, community integration, community transition, home care attendant, home delivered meal, home maintenance and chore, home modification, out-of-home respite, personal emergency response systems, self-directed goods and services, structured family caregiving services, supplemental adaptive and assistive device, supplemental transportation services, and waiver nursing services to individuals with physical disabilities ages 0-59 years who meet a hospital or nursing facility level of care.”

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