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COP WAIVER BASICS

An Overview of the CIP II and COP-W Medicaid Waivers

List of Chapters and Sections of the COP Waiver Basics Manual (P-20239, Jan 2010).

Section 1. Background Information (PDF, 64 KB)

  • Long Term Care Program Values
  • Waivers and Outcomes
  • Long Term Care Programs 
  • Medicaid Waivers Other Than Family Care
  • Waiver Mandate 
  • Medicaid Waivers Manual 

Section 2. Functional Eligibility (PDF, 245 KB)

  • Assessment/Supplement 
  • Long Term Care Functional Screen
  • Health Form 

Section 3. Financial Eligibility (PDF, 997 KB)

  • Financial Eligibility 
  • Group A 
  • Client Assistance for Re-employment and Economic Support (CARES) 
  • Group B 
  • Group C 
  • Community Spouse Income Allocation 
  • Qualified Medicare Beneficiary (QMB) Eligibility 
  • Specified Low-Income Medicare Beneficiary (SLMB) Eligibility
  • Veteran's Administration (VA) Programs 
  • Medicaid Estate Recovery 
  • Medical and Remedial Expenses 

Section 4. Service Plan Development (PDF, 374 KB)

  • Individual Services Plan (ISP) & ISP - Individual Outcomes 
  • Variance Requests 

Section 5. Certification of Eligibility (PDF, 117 KB)

  • Certification of Eligibility
  • Effective Date of Eligibility 

Section 6. Ongoing Care Management (PDF, 216 KB)

  • Required Care Management Contacts 
  • Case Notes 
  • Service Reviews 
  • ISP Updates 
  • Appendix T 
  • Human Services Reporting System (HSRS) Information 
  • Recertification Process 

Last Revised: April 29, 2014