Examples of HCBS in a sentence
Associated with the Contractor for the purpose of providing health care services under the Contract for the Medicare-Medicaid Alignment Initiative (MMAI) pursuant to a written contract or agreement, including, but not limited to, a contracted Provider and network Provider, including such Provider of only those services available under one or more Home and Community-Based Services (HCBS) Waivers.
For Providers of each of the Covered Services listed below under a HCBS waiver, within each county in the Service Area, the Contractor must maintain a network with a set of Providers that provided at least eighty percent (80%) of the FFS services during calendar year (CY) 2012.
In addition, the Contractor will conduct a face-to-face reassessment for Enrollees receiving HCBS Waiver services or residing in NFs each time there is a significant change in the Enrollee’s condition or an Enrollee requests reassessment.
Unless the State approves an exception, for the first twelve months of the Demonstration (February 1, 2014 – January 31, 2015), the Contractor is required to offer contracts to all Nursing Facilities (NFs) and Supportive Living Facilities (SLFs) in the service area that render such Covered Services so long as such Provider meets all applicable State and federal requirements for participation in the Medicaid Program and meets the qualifications of the applicable HCBS waiver.
For counties where there is more than one Provider of Covered Services, the Contractor must maintain a network that includes at least two of such Providers, even if one served more than eighty percent (80%) of the current HCBS Waiver participants.