What is an 1115 Medicaid waiver?
Medicaid 1115 Waiver. HHSC has received federal approval of a waiver that allows the state to expand Medicaid managed care while preserving hospital funding, provides incentive payments for health care improvements and directs more funding to hospitals that serve large numbers of uninsured patients.
Who is eligible for the waiver program?
Generally, states offer HCBS waivers to elderly people (aged 65 or over), physically disabled people, adults and children with developmental disabilities, and medically fragile people (who require life support or other extensive medical equipment).
How do I get a waiver in PA?
- Call the PA Independent Enrollment Broker (PA IEB) at 1-877-550-4227.
- Eligibility Determination.
- Determination within 86 days of the first in-home visit.
- STEP 2 Have your first in-home visit.
- Have your second in-home visit.
- The CAO reviews your waiver application and makes a decision.
What is a PFDS waiver?
The Pennsylvania Person/Family Directed Support Waiver is designed to help individuals with an intellectual disability, autism, or developmental disability to live more independently in their homes and communities and to provide a variety of services that promote community living, including self-directed service models …
How does a 1115 waiver work?
Section 1115 of the Social Security Act allows states to waive certain federal statutory Medicaid program requirements or obtain federal matching funds for costs or investments that would not otherwise be allowed under the Medicaid program. Waivers can cover all, or part, of a state’s Medicaid program.
What is the primary goal of the waiver program?
The Nursing Home Transition and Diversion (NHTD) waiver uses Medicaid funding to provide supports and services to assist individuals with disabilities and seniors toward successful inclusion in the community. The individual is the primary decision-maker and works in cooperation with providers to develop a Service Plan.
What is the SNF 3 day rule waiver?
The SNF 3-Day Rule Waiver waives the requirement for a 3-day inpatient hospital stay prior to a Medicare-covered, post-hospital, extended-care service for eligible beneficiaries if certain conditions are met (refer to Section 3.3 below).
Who do you contact to apply for the PA waiver Program?
Contact the PA Independent Enrollment Broker (PA IEB) Tell PA IEB you want to apply for waiver services. ➡ If you have Medical Assistance, PA IEB starts your waiver application when you contact them.
What is ODP in PA?
Eastern Pennsylvania Youth Soccer’s Olympic Development Program or (ODP) identifies and trains players at the elite level. ODP provides supplemental training and competitive opportunities for players with the goal of advancement to US Youth Soccer Regional teams, top level colleges, and ultimately national teams.