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Providing Long Term Services and Supports in a Managed Care Delivery System: Enrollment Authorities and Rate Setting Techniques
12/01/2009 | Requests *Summary
While 1915(c) waivers are a prominent vehicle for the delivery of HCBS, they are not the only mechanism available to States. CMS developed a technical assistance paper that outlines the enrollment authorities that States may consider when designing managed HCBS programs, the review and approval process for each, and rate setting techniques that may be useful. The appendix offers a useful chart outlining the authorities, including their key flexibilities and limitations.
Author
Available Files
- Technical Assistance Guide PDF (232K, 24 pages)
Keywords
Long Term Services and Supports; Enrollment; Eligibility; Community Inclusion; 1915c; Medicaid; CMS Review Processes; Quality Requirements; CMS Regional and Central Office Workgroup on Managed HCBS; 1915(a); Social Security Act; 1915(i); 1915(b); demonstration programs; Capitation; Substitute Health Services; Risk Sharing Arrangements; Incentive Arrangements; Safeguards; Assurances;Contract Requirements; PIHPs; PAHPs; Section 1932(a); Section 1115 demonstrations
Topic
Financing HCBS
Type/Tool
Comparison Table, Matrix or Chart, Policy alerts, briefs, letters & papers
Source
CMS
State
All States/Territories
Date Created
06/30/2010
Contact
CMS Regional and Central Office Workgroup on Managed HCBS
877-267-2323
877-267-2323
Short URL
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
Options
HCBS / Clearinghouse for the Community Living Exchange Collaborative / (http://www.hcbs.org)