MRT 90

Policy Documents

• TBI Amendment Draft
• Approved TBI Waiver Renewal - 11.28.2022 (PDF)
• CMS Approval Letter for TBI Waiver Renewal - 11.28.2022
• TBI Waiver Extension Approval - (Web) - (PDF) - 8.17.22
• MLTC Resumption of Involuntary Disenrollment Reasons 2021 and 2022 - 6.21.2022
  (See Coverage and Billing Guidance/Other Guidance/Resumption of MLTC topics)
• NHTD and TBI HCBS Settings Compliance PowerPoint - 5.12.2022 (PDF)
• Approved TBI Amendment - 3.1.2022 (PDF)
• Approved TBI Amendment - 12.31.2021 (PDF)
• Approved NHTD Amendment - 12.31.2021 (PDF)
• Draft TBI 1915(c) HCBS Waiver (PDF)
• Draft NHTD Medicaid Waiver Program Manual 2021 - 7.15.2021 (PDF)
• Section XIV - All Documents
• Managed Long Term Care Partial Capitation (MLTCP) Plan Enrollment Cap Target Setting FAQ - (Web) - (PDF) - 7.8.21
• NHTD and TBI Waiver: HCBS Final Rule Implementation - (Web) - (PDF) - 6.29.21
• MLTC Policies
• Consumer Directed Personal Assistance Services (CDPAS)
• Personal Care Assistance Program & Home Health Care
• Long Term Home Health Care Program
• Assisted Living Program (ALP)
• 2011 Administrative Directives
• 1915(c) TBI Waiver Application, Approved by CMS - 9.1.17 (PDF)
• TBI Amendment Approved by CMS - Effective 9.1.19 (PDF)
• Draft 1915(c) Nursing Home Transition & Diversion Waiver Application (PDF)
  • Public Comments and Response: Nursing Home Transition and Diversion Medicaid Waiver Application
• 1915(c) NHTD Waiver Application, Approved by CMS - 7.12.18 (PDF)
• NHTD Amendment Approved by CMS - 7.1.19 (PDF)
• Conflict of Interest (COI)
  • COI Implementation Presentation - 9.6.23
  • COI Implementation Presentation - 1.2.18
  • COI Implementation Plan
  • COI Compliance Webinar Q&A - 1.9.18
  • Frequently Asked Questions for the Approved Traumatic Brain Injury Medicaid Waiver Application and Conflict of Interest Criteria - 2.16.18
  • Pathways to Becoming Compliant with CMS COI Requirements - 1.11.19
  • COI Compliant Models and Transition Discussion - 03.06.19
  • COI Requirements Under the NHTD and TBI Waivers - Stakeholder Review of Options and Models for Meeting - 5.14.19
  • COI Next Steps - 8.9.19
  • CMS COI Part II and Medicaid HCBS Case Management (PDF)
  • CMS COI in Medicaid Authorities (PDF)

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Person Centered Service Planning

• Person Centered Service Plan Guidelines - (Web) - (PDF) - 11.16.2022
• Person Centered Service Plan Template - (PDF) - (Word) - 11.16.2022
• Person Centered Service Planning Dear MLTC Health Plan Administrator letter - (Web) - (PDF) - 01.22.2019
  • Person-Centered Service Planning Guidelines for Managed Care Organizations and Local Departments of Social Services - (PDF) - Updated 3.13.19
  • Person-Centered Service Plan of Care Template - (PDF) - 1.22.2019