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.”

Links:

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.”

Links:

Hawaii SB 1240: Bill Text

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.”

Links:

Louisiana DDC Report (2019, PDF)

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.”

Links:

Utah Medicaid EPAS

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”

Links:

Wisconsin Medicaid Waiver Amendment (PDF)

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.

Links:

South Carolina Waiver Case Management Standards (PDF)

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.

Links:

South Dakota Medicaid Home and Community Based Services

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.”

Links:

Ohio Home Care Waiver

North Carolina Community Alternatives Program for Disabled Adults (CAP/DA) Waiver

“Provides adult day health, CAP in-home aide, coordination of care (case management and care advisement), financial management services, chore service (declutter/garbage disposal), community integration services, community transition, coordinated caregiving, equipment/modification and technology, individual directed goods and services, meal preparation and delivery, non-medical transportation services, nutritional services, participant goods and services, personal assistance services, personal emergency response services, pest eradication, respite services, specialized medical supplies, and training/education and consultative services to individuals ages 65 or older and individuals with physical disabilities ages 18-64 years who meet a nursing facility level of care.”

Links:

North Carolina Community Alternatives Program for Disabled Adults (CAP/DA) Waiver
North Carolina Community Alternatives Program for Disabled Adults (CAP/DA) Waiver (secondary link)

OhioRISE Waiver

“Provides out-of-home respite, transitional services and supports, and secondary flex fund services to individuals with serious emotional disturbance ages 0-20 years who meet a hospital level of care. This waiver operates with a concurrent 1915(b)(1), 1915(b)(3), and 1915(b)(4) authority.”

Links:

OhioRISE Waiver
OhioRISE Waiver (secondary link)