Crosswalk - Waiver Application

Crosswalk: §1915(c) HCBS Waiver Application (version 3.6)
Section

Change

Title page

Incremented waiver version from 3.5 to 3.6 and document date to
January 2019

Throughout document

Lowercased the following words when not part of a proper noun or
title:
•
•
•
•
•
•

Main 1. Request Information

agency
federal
fiscal agent
medical assistance unit
state
state plan

Removed option for Migration Waiver because this no longer exists.

C. Type of Request
Appendix B-6:
Evaluation/Reevaluation of Level
of Care

Replaced “an entity” with “government agency”

b. Responsibility for Performing
Evaluations and Reevaluations
Appendix C-1/C-3: Summary of
Services Covered and Services
Specifications

Added another option for states to check in a checkbox if applicable,
i.e., if the state has a primary care case management system service
under a concurrent managed care authority.

b. Provision of Case Management
Services to Waiver Participants
Appendix E-1: Overview

Realigned text to fit in tables.

j. Information and Assistance in
Support of Participant Direction
Appendix E-2: Opportunities for
Participant-Direction
a. Participant – Employer
Authority

Added “Specify the state’s method to conduct background checks if it
varies from Appendix C-2-a” for states to complete if this item is
applicable to them.

ii. Participant Decision Making
Authority, Specify additional staff
qualifications
Appendix H: Quality Improvement
Strategy
Quality Improvement Strategy:
Minimum Components

Added “and” between the following two bullets:
• The evidence based discovery activities that will be conducted for
each of the six major waiver assurances; and
• The remediation activities followed to correct individual problems
identified in the implementation of each of the assurances.

Section

Change

Appendix H.2 Use of a Patient
Experience of Care/Quality of Life
Survey

Added this section for a state to indicate whether it has deployed a
patient experience of care or quality of life survey for its HCBS
population in the last 12 months (yes or no) and if yes, to specify the
type of survey tool that the state uses.

Appendix J-2: Derivation of
Estimates

Added “and methodology”

c. Derivation of Estimates for
Each Factor
i. Factor D Derivation
Appendix J-2: Derivation of
Estimates
d. Estimate of Factor D
ii. Estimate of Factor D –
Concurrent §1915(b)/§1915(c)
Waivers, or other concurrent
managed care authorities utilizing
capitated payment arrangements

Added “concurrent managed care” and “payment” to subsection title
Removed “(i.e., 1915(a), 1932(a), Section 1937)”. Change is to
acknowledge other possible concurrent managed care authorities that
utilize capitated payment arrangements.