Modifications to Quality Measures and Reporting in Section 1915(c) Home and Community-Based Waivers
Modifications to section 1915(c) waiver quality
assurance expectations are being posted today at: http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/Home-and-Community-Based-1915-c-Waivers.html.
These changes strengthen the oversight of beneficiary health and welfare and
realign the reporting requirements. We believe this changed emphasis will
improve the success of home and community based programs. This document
includes a narrative description of the modifications, an overview of each of
the section 1915(c) statutory assurances in a chart with a comparison of
previous and current sub-assurances expected to be measured, and the
step-by-step method to apply these changes electronically in the Waiver
Management System.
If you have questions about this information, please contact Dianne Kayala, Technical Director in the Division of Long Term Services and Supports at Dianne.Kayala@cms.hhs.gov or (410) 786-3417.
The modifications to the section
1915(c) Quality System were developed over more than a year’s time with The
National Association of States United in Aging and Disability (NASUAD),
National Association of State Directors of Developmental Disabilities Services
(NASDDDS) and National Association of Medicaid Directors (NAMD), along with
waiver administrators from eleven states and the National Quality Enterprise.
Other stakeholders also had opportunity to comment through conference and
webinar sessions. The statutory requirements for section 1915(c) waivers are
not changed and states are still required to monitor all of the waiver
assurances as before. This update clarifies the expectations of CMS on the reporting
that states should provide to meet the waiver assurances. The continuous
quality improvement cycle remains the same as illustrated below.
If you have questions about this information, please contact Dianne Kayala, Technical Director in the Division of Long Term Services and Supports at Dianne.Kayala@cms.hhs.gov or (410) 786-3417.
