Children's Long-Term Support (CLTS)
Community Integration Program IA (CIP IA)
Community Integration Program IB (CIP IB)
Community Integration Program II (CIP II)
Community Options Program – Waiver (COP-W)
Community Opportunities and Recovery (COR)
List of Chapters and Sections of the Revised Interim Manual
| Chapter I – OVERVIEW AND ADMINISTRATION (PDF, 56 KB) |
I-1 |
| 1.01 Long Term Support in Wisconsin |
I-1 |
| 1.02 State Medicaid Waiver Authority |
I-2 |
| 1.03 The Medicaid Waiver Mandate |
I-2 |
| 1.04 Exemptions from the Mandate |
I-3 |
| 1.05 Registering Applicants on HSRS |
I-4 |
| 1.06 Medicaid Waiver Program Wait Lists |
I-5 |
| |
|
| Chapter II – WAIVER ELIGIBILITY (PDF, 136 KB) |
II-1 |
| 2.01 Waiver Eligibility |
II-1 |
| 2.02 Waiver Target Groups |
II-1 |
| 2.03 Waiver Services for Persons with Severe & Persistent Mental Illness |
II-6 |
| 2.04 Active Treatment/ No Active Treatment (NAT) Determination |
II-6 |
| 2.05 Medicaid Non-Financial Eligibility Requirements |
II-9 |
| 2.06 The Parental Payment Limit |
II-12 |
| 2.07 Level of Care (LOC) |
II-12 |
| 2.08 Eligible Living Situations |
II-14 |
| 2.09 Waiver Participant Moves |
II-16 |
| 2.10 Denial of Participation or Termination of Program Participation |
II-22 |
| 2.11 COP Eligibility After Waiver Program Termination |
II-26 |
| |
|
| Chapter III – FINANCIAL ELIGIBILITY (PDF, 100 KB) |
III-1 |
| 3.01 Medicaid Eligibility |
III-1 |
| 3.02 Children Applying for the Waiver –Special Considerations |
III-3 |
| 3.03 Medicaid Waiver Income Groups |
III-4 |
| 3.04 Spousal Impoverishment |
III-11 |
| 3.05 New Applicants Leaving an Institution |
III-13 |
| 3.06 Payments, Prepayments or Repayments to Medicaid |
III-13 |
| 3.07 Other Payments |
III-13 |
| |
|
| Chapter IV – ALLOWABLE SERVICES (PDF, 488 KB) |
IV-1 |
| 4.01 Introduction |
IV-1 |
| 4.02 Ensuring Providers are Qualified |
IV-1 |
| 4.03 Ensuring Access - Provider Choice |
IV-4 |
| 4.04 Conflict of Interest |
IV-6 |
| 4.05 Provider Screening Requirements |
IV-8 |
| 4.06 Medicaid Waivers: General Limitations |
IV-12 |
| 4.07 Participant Contributions |
IV-14 |
| 4.08 Reserved for future use |
IV-14 |
| 4.09 Allowable Services Index |
IV-15 |
| |
|
| Chapter V – USE OF FUNDING IN SUBSTITUTE CARE (PDF, 104 KB) |
V-1 |
| 5.01 Introduction |
V-1 |
| 5.02 Determining Waiver Allowable Costs |
V-1 |
| 5.03 Ability to Pay - Room and Board |
V-2 |
| 5.04 Waiver Specific Requirements: CIP 1A/1B |
V-4 |
| 5.05 Waiver Specific Requirements: CLTS |
V-4 |
| 5.06 Waiver Specific Requirements: CIP II, COP-W and COR |
V-4 |
| 5.07 Purchasing Substitute Care Services |
V-13 |
| |
|
| Chapter VI – THE WAIVER APPLICATION PACKET (PDF, 156 KB) |
VI-1 |
| 6.01 Introduction: The Application |
VI-1 |
| 6.02 The Content of the Waiver Application Packet |
VI-1 |
| 6.03 Waiver Program Start Date |
VI-15 |
| 6.04 Medicaid Waiver Application and Approval Process |
VI-17 |
| 6.05 The Waiver Application Packet – Reference Guide |
VI-21 |
| |
|
| Chapter VII – RECERTIFICATION, PLAN REVIEW AND ISP UPDATE (PDF, 164 KB) |
VII-1 |
| 7.01 Introduction |
VII-1 |
| 7.02 Recertification: Program Specific Requirements |
VII-3 |
| 7.03 Timeliness of Recertification and Documentation |
VII-11 |
| 7.04 Individual Service Plan Review - Documentation |
VII-12 |
| 7.05 Service Plan Updates |
VII-13 |
| |
|
| Chapter VIII – PARTICIPANT RIGHTS AND APPEAL AND GRIEVANCE PROCESSES (PDF, 51 KB) |
VIII-1 |
| 8.01 Medicaid Waiver Applicant/Participant Rights |
VIII-1 |
| 8.02 Responsibility for the Notification of Rights |
VIII-1 |
| 8.03 Waiver Agency Actions Subject to Appeal or Grievance |
VIII-4 |
| 8.04 General Notice and Notification Requirements Associated with Waiver Agency Actions |
VIII-6 |
| 8.05 Participant Rights: Restrictive Measures |
VIII-7 |
| |
|
| Chapter IX – ASSURING THE HEALTH AND SAFETY OF MEDICAID WAIVER PARTICIPANTS (PDF, 49 KB) |
IX-1 |
| 9.01 Introduction |
IX-1 |
| 9.02 Application of this Chapter to Individuals and Agencies |
IX-2 |
| 9.03 Response Systems Required |
IX-3 |
| 9.04 Investigation / Inquiry Expectations of Waiver Agencies |
IX-5 |
| 9.05 Waiver Agency Response Options |
IX-6 |
| 9.06 Incident Prevention, Management, Resolution and Reporting |
IX-7 |
Chapter X – QUALITY ASSURANCE
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- NOT AVAILABLE AT THIS TIME
Chapter XI – REPORTING AND REIMBURSEMENT
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- Please continue to use current manual material on Reporting and Reimbursement until the revised manual material is available.
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