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Application for a §1915(c) Home and
Community-Based Services Waiver
PURPOSE OF THE HCBS WAIVER PROGRAM
The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in §1915(c) of the Social Security
Act. 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. The State has broad discretion to design its waiver program to address
the needs of the waiver’s target population. Waiver services complement and/or supplement the services that are available to
participants through the Medicaid State plan and other federal, state and local public programs as well as the supports that
families and communities provide.
The Centers for Medicare & Medicaid Services (CMS) recognizes that the design and operational features of a waiver program
will vary depending on the specific needs of the target population, the resources available to the State, service delivery system
structure, State goals and objectives, and other factors. A State has the latitude to design a waiver program that is cost-effective
and employs a variety of service delivery approaches, including participant direction of services.
Application for a §1915(c) Home and Community-Based Services Waiver
1. Request Information (1 of 3)
A. The State of Oklahoma requests approval for a Medicaid home and community-based services (HCBS) waiver under
the authority of §1915(c) of the Social Security Act (the Act).
B. Program Title (optional - this title will be used to locate this waiver in the finder):
My Life; My Choice
C. Type of Request: new
Requested Approval Period: (For new waivers requesting five year approval periods, the waiver must serve
individuals who are dually eligible for Medicaid and Medicare.)
New to replace waiver
Replacing Waiver Number:
Migration Waiver - this is an existing approved waiver
Provide the information about the original waiver being migrated
Base Waiver Number:
Amendment Number
(if applicable):
Effective Date: (mm/dd/yy)
Waiver Number: OK.0810.R00.00
Draft ID: OK.08.00.00
D. Type of Waiver (select only one):
E. Proposed Effective Date: (mm/dd/yy)
Approved Effective Date: 10/01/10
1. Request Information (2 of 3)
3 years 5 years
Regular Waiver
10/01/10
Application for 1915(c) HCBS Waiver: OK.0810.R00.00 - Oct 01, 2010 Page 1 of 193
https://www.hcbswaivers.net/CMS/faces/protected/35/print/PrintSelector.jsp 11/17/2010
Object Description
Description
| Title | mylife_mychoice_waiver 1 |
| Full text | Application for a §1915(c) Home and Community-Based Services Waiver PURPOSE OF THE HCBS WAIVER PROGRAM The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in §1915(c) of the Social Security Act. 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. The State has broad discretion to design its waiver program to address the needs of the waiver’s target population. Waiver services complement and/or supplement the services that are available to participants through the Medicaid State plan and other federal, state and local public programs as well as the supports that families and communities provide. The Centers for Medicare & Medicaid Services (CMS) recognizes that the design and operational features of a waiver program will vary depending on the specific needs of the target population, the resources available to the State, service delivery system structure, State goals and objectives, and other factors. A State has the latitude to design a waiver program that is cost-effective and employs a variety of service delivery approaches, including participant direction of services. Application for a §1915(c) Home and Community-Based Services Waiver 1. Request Information (1 of 3) A. The State of Oklahoma requests approval for a Medicaid home and community-based services (HCBS) waiver under the authority of §1915(c) of the Social Security Act (the Act). B. Program Title (optional - this title will be used to locate this waiver in the finder): My Life; My Choice C. Type of Request: new Requested Approval Period: (For new waivers requesting five year approval periods, the waiver must serve individuals who are dually eligible for Medicaid and Medicare.) New to replace waiver Replacing Waiver Number: Migration Waiver - this is an existing approved waiver Provide the information about the original waiver being migrated Base Waiver Number: Amendment Number (if applicable): Effective Date: (mm/dd/yy) Waiver Number: OK.0810.R00.00 Draft ID: OK.08.00.00 D. Type of Waiver (select only one): E. Proposed Effective Date: (mm/dd/yy) Approved Effective Date: 10/01/10 1. Request Information (2 of 3) 3 years 5 years Regular Waiver 10/01/10 Application for 1915(c) HCBS Waiver: OK.0810.R00.00 - Oct 01, 2010 Page 1 of 193 https://www.hcbswaivers.net/CMS/faces/protected/35/print/PrintSelector.jsp 11/17/2010 |
| Date created | 2013-05-13 |
| Date modified | 2013-05-13 |
