Providing Long Term Services and Supports in a Managed Care Delivery System: Enrollment Authorities and Rate Setting Techniques

File Downloads / Links

  • Technical Assistance Guide PDF

Article Publication Date: 
12/1/2009
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.
Populations: 
N/A
Sources: 
CMS
Programs/Initiatives: 
1915c
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

Contact

CMS Regional and Central Office Workgroup on Managed HCBS
Phone: 
877-267-2323

Short URL: http://www.advancingstates.org/node/52582