Waiver Title
Brain Injury (BI) Waiver, Community Alternative Care (CAC), Community Access for Disability Inclusion (CADI), Developmental Disabilities (DD), and Elderly Waiver (EW) 4169.R05.07
4128.R07.04
0166.R06.06
0061.R07.08
0025.R08.04
Description of Emergency
COVID-19 pandemic. This amendment will apply waiver-wide for each waiver included in this Appendix, to all individuals impacted by the virus or the response to the virus (e.g. closure of day programs, etc.)
Start Date
End Date
Description of Transition Plan
All activities will take place in response to the impact of COVID-19 as efficiently and effectively as possible based upon the complexity of the change
Area(s) Affected
Area Affected
These actions will apply across the waiver to all individuals impacted by the COVID-19 virus
Access and Eligibility
Increase Cost Limits
N/A
Modify Targeting Criteria
N/A
Services
Modify Scope or Coverage
N/A
Exceed Service Limitations
N/A
Add Services
Case management
Expand Settings
N/A
Provide Service Out of State
N/A
Allow Payment for Services by Families
N/A
Modify Provider Qualifications
Modification of Provider Qualifications
N/A
Modify Provider Types
N/A
Modify Licensure/Requirements for Waiver Settings
N/A
Modification LOC Eval and Re-Eval Processes
Initial assessments and annual re-assessments are not required to be conducted in a face-to-face setting. Assessments may be conducted via telephone or other remote methods. Telephonic or other remote methods will be conducted in accordance with HIPAA requirements, to the extent possible, but with recognition that the Office of Civil Rights is not enforcing certain requirements for good faith communications during the period of the national emergency. See https://www.hhs.gov/hipaa/for-professionals/special-topics/emergencypreparedness/notification-enforcement-discretion-telehealth/index.html Assessments and reassessments determine level of care and identify needs that are addressed in support planning.
Increase Payment Rates
N/A
Modifications of ISP
N/A
Modify Incident Reporting/Med Management Safeguards
N/A
Allow Payment for Services During Acute Care Hospital/Short Term Institutional Stay
N/A
Inclusion of Retainer Payments
N/A
Institute/Expand Opportunities for Self-Direction
N/A
Increase Factor C
N/A
Other Changes Necessary
N/A
Addendum
HCBS Regulations
Not comply with the HCBS settings requirement at 42 CFR 441.301(c)(4)(vi)(D) that individuals are able to have visitors of their choosing at any time, for settings added after March 17, 2014, to minimize the spread of infection during the COVID-19 pandemic.
Services
Add Electronic Method of Service Delivery
case management
Add Home Delivered Meals
N/A
Add Medical Supplies, Equipment and Appliances
N/A
Add Assistive Technology
N/A
Conflict of Interest
Other Changes Necessary
N/A
Other Changes Necessary
N/A
Provider Qualifications
Allow Spouses and Parents of Minor Children to Provide Personal Care Servcies
N/A
Allow a Family Member to be Paid to Render Services to an Individual
N/A
Allow Other Practitioners in Lieu of Approved Providers Within the Waiver
N/A
Modify Service Providers for Home-Delivered Meals to Allow for Additional Providers, Including Non-Traditional Providers
N/A
Processes
Allow an Extension for Reassessments and Reevaluations for up to One Year Past the Due Date
N/A
Allow the Option to Conduct Evaluations, Assessments, and Person-Centered Service Planning Meetings Virtually/Remotely in lieu of Face-to-Face Meetings
N/A
Adjust Prior Approval/Authorization Elements Approved in Waiver
N/A
Adjust Assessment Requirements
N/A
Add an Electronic Method of Signing Off on Required Documents Duch As The Person-Centered Service Plan
N/A