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In addition to amending the provisions of Section i of the Social Security Act, the ACA also self wallpaper mandy medicaid two further inducements for states to serve Medicaid-eligible people with chronic disabilities in home and community-based settings. Soon, states that had not participated in these demonstrations began to ask CMS for authority to add self-directed service options to their HCBS waiver programs. The Independence Plus waiver template was folded into a new Section c Web-based application template in late If you have a question or comment, please let us know. Contact Us If you have a question or comment, please let us know.

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In addition to amending the provisions of Section i of the Social Security Act, the ACA also added two further inducements for states to serve Medicaid-eligible people with chronic disabilities in home and community-based settings. If they don't, then a patient is not supposed to receive a bill on the back end. In addition, under the ACA amendments, states no longer have the option of providing Section i services on less than a statewide basis. Medicaid, as an insurance, doesn't transfer well between states. In keeping with the requirement of the original legislation, states still may establish need-based eligibility criteria that include individuals who do not require an institutional level of care. Second, the ACA authorized an enhanced matching ratio for states choosing to participate in the State Balancing Incentive Payments Program hereafter referred to as the Balanced Incentive Program , an initiative aimed at helping states improve their capabilities to manage and deliver HCBS to people with disabilities, thereby increasing the proportion of Medicaid beneficiaries served in home and community-based settings.

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If a patient is asked for their co-pay and states they cannot pay, in some states that's enough to make the hospital have to adjust off the balance. States must offer recipients of Section k services the option of self-directing their services and supports. The other is to hook up with specific companies whose business is billing Medicaid in other states, which is a good thing to do for those potential high balances from insurance claims. States, however, still have the option of providing self-directed services to Section i beneficiaries on terms similar to those applicable to recipients of Section j services. Employment Opportunities. The Independence Plus waiver template was folded into a new Section c Web-based application template in late

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Chapter 3. Evolution of Self-Directed Medicaid Services

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