The program permits a state to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization. [...] Request Information The State of Kansas requests approval for an amendment to the following Medicaid home and community-based services waiver approved under authority of §1915(c) of the Social Security Act. A. [...] Assurance that all facilities subject to §1616(e) of the Act where home and community-based waiver services are provided comply with the applicable state standards for board and care facilities as specified in Appendix C. 3. A. Financial Accountability. [...] Choice of Alternatives: The state assures that when an individual is determined to be likely to require the level of care specified for this waiver and is in a target group specified in Appendix B, the individual (or, legal representative, if applicable) is: Informed of any feasible alternatives under the waiver; and, 1. [...] The state operates a formal, comprehensive system to ensure that the waiver meets the assurances and other requirements contained in this application. [...] The waiver is operated by a separate agency of the state that is not a division/unit of the Medicaid agency. [...] The interagency agreement or memorandum of understanding that sets forth the authority and arrangements for this policy is available through the Medicaid agency to CMS upon request. (Complete item A-2-b). 1. [...] The state does not furnish waiver services to individuals in the special home and community-based waiver group under 42 CFR §435.217. [...] Spousal impoverishment rules under §1924 of the Act are used to determine the eligibility of individuals with a community spouse for the special home and community-based waiver group. [...] Spousal impoverishment rules under §1924 of the Act are used to determine the eligibility of individuals with a community spouse for the special home and community-based waiver group.
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- United States of America