NOTE:If a home care agency wants to include services without Medicare coverage, they’re mandated to issue anAdvance Beneficiary Notice of Noncoverage (ABN), also called waiver of liability. This notice is issued if, based on coverage rules, the agency believes Medicare won’t cover the servic...
These waivers can have various names, including Home and Community Based Services (HCBS) Waivers, 1915(b) Managed Care Waivers, 1115 Demonstration Waivers, and numerous other names related to age, disability, assisted living, and more. Waiver programs do not usually cover the cost of rent or ...
There must be an evaluation period and an evaluation. This is not a high bar to clear, but the activity undertaken must be fairly characterized as a demonstration project. Another limitation is that by convention, but not by law, Section 1115 demonstration projects are budget-neutra...