More Info

Application for a §1915 (c) HCBS Waiver - Version 3.4

11/08/2006 | Requests *

Summary

The latest HCBS Waiver Application is now available. Included instructions provide information to assist states in completing the Version 3.4 Application for a §1915(c) Home and Community-Based Services (HCBS) Waiver. This HCBS Waiver Application differs significantly from the predecessor 1995 standard waiver application format. Available new resources include the application, a technical guide and review criteria, a request for amendment form, and a list of resources attachments.

Author

Available Files

Application - Version 3 4 Word (2,042K, 41 pages)
CMS Instrument for Reviewing Application Word (1,110K, 69 pages)
Instruction, Technical Guide, Review Criteria PDF (1,432K, 317 pages)
Request for Amendment Word (100K, 3 pages)
Resource Attachments PDF (1,977K, 163 pages)

Keywords

1915c; Waiver Authority; Web-based; Participant Access and Eligibility; Review Criteria; Instrument for Reviewing; Instructions Technical Guide and Review Criteria; Request for Amendment; The Review Instrument;

Topic

State/Agency Information, Waiver

Type/Tool

Waiver templates

Source

CMS

State

All States/Territories

Date Created

12/08/2006

Contact

Brenda Vitale

vitaleb@bc.edu

Short URL

www.hcbs.org/moreInfo.php/doc/1752

Permission to use any element of this document should be obtained by the above named contact person. Always name the originator as the source of this material.

* Reflects requests since January 1, 2007

BROWSE BY:

Browse Help

the clearinghouse for Home and Community Based Services