1915(c) Home and Community-Based Services Waiver Instructions and Technical Guidance, Appendix K: Emergency Preparedness and Response

The record

Jurisdiction

United States (all States operating 1915(c) HCBS waivers)

Level

Federal

Authority

Social Security Act s. 1915(c); 42 C.F.R. part 441 subpart G

Issued

2020-03-01 Mar. 1, 2020

Effective

Governs every COVID-19 Appendix K amendment from March 2020 (read as 2020-03-01)

End

n/a (standing instructions) (read as 2021-09-30)

In force

Mar. 1, 2020 to Sept. 30, 2021

Quarters

2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3

2020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3

Limitation types

Other

Addressees

• State Medicaid agencies and their HCBS waiver operating agencies (aging and DD agencies)

Functions reached

• PY payer terms for every waiver-funded day, residential, respite, supported-employment and transportation service
• DD day habilitation delivered in alternative settings; retainer payments
• AD adult day health under waivers
• OP remote assessments and service planning

Collection

Social Assistance and Community Services SEC-24

Operative words

This appendix was developed as a standalone appendix to be utilized by the state during emergency situations. It should be used by the state to advise CMS of expected changes to its waiver operations or to request amendment to its approved waiver.... This appendix may be completed retroactively, as needed, by the state... Item 1-F: Proposed Effective Date... Enter the anticipated end date of the amendment. The end date is the last day that the [temporary changes apply]... K-2: Temporary or Emergency-Specific Amendment to Approved Waiver: Below is a list of temporary activities that the state may wish to undertake during an emergency.

Enforcement

Notes