Waiver Packets

Question 1

What needs to be approved prior to submitting a Waiver Packet?

Answer 1

The PCP

Question 2

Annual/Revised PCP’s require a new Waiver Packet (true or false)

Answer 2

False

Question 3

Crisis Resolution

Answer 3

The individual is currently in a crisis situation that needs to be rectified as soon as possible

Question 4

Crisis Prevention

Answer 4

The individual is at risk of being in a crisis situation within a year

Question 5

Transitioning Youth

Answer 5

The individual is preparing to enter services between the ages of 21 and 22 following the completion of school

Question 6

What waiver would someone who needs residential services be entered into?

Answer 6

Community Pathways Waiver (CPW)

Question 7

What waiver would someone who is 13 in a crisis situation be entered into?

Answer 7

Family Supports Waiver (FSW)

Question 8

What waiver would a Transitioning Youth who does not need residential services be entered into?

Answer 8

Community Supports Waiver (CSW)

Question 9

Waiver Packet meetings are required to be in person (true or false)

Answer 9

False. The waiver packet meetings are not required to be in person; however, in the team/individual requests that it is, then it should be

Question 10

What documents are needed for a waiver packet?

Answer 10

1. MA application
2. Freedom of Choice
3. EDD Release Form
4. EDD Memo
5. Meeting Minutes
6. Team Sign In Sheet
7. Level of Care
   Statements/Proof:
8. SSI award letter, SSI denial letter or SSI appointment letter
9. Bank statements (past 3 months)
10. Medicaid/care card, other insurances if applicable
11. Waiver Enrollment checklist
12. DSAT/CDT for traditional OR 6. SDS Budget for self directed
13. Matrix scores for traditional (varies depending on if the scores are available or if the PCP was submitted w/o a provider)

Question 11

What form is needed if an individual is switching from one waiver to another?

Answer 11

Waiver Change Form

Question 12

Where must the waiver packet be submitted prior to submitting in LTSS to EDD and DDA?

Answer 12

CCS Reviews at ccsreviews@ohc-inc.com

Question 13

What must be attached to the email to CCS reviews for a waiver packet?

Answer 13

Waiver Packet Checklist

Question 14

Once the waiver packet is submitted in LTSS for EDD and DDA review, what is the email address that must be notified of its submission?

Answer 14

mdh.ddaeddinquiries@maryland.gov

Question 15

When emailing to notify of waiver packet submission, what steps must also be included in that email?

Answer 15

1. CC RCCS in email
2. Turn on read receipts

Question 16

What are the three different places in LTSS that you can view waiver packet approval?

Answer 16

1. Applications tab under Programs
2. Financial and Overall Decisions Tab
3. Letters Tab

Question 17

What kind of meeting is needed following the approval of a waiver packet and the start of services?

Answer 17

Schedule a 30-day meeting with the entire team to ensure that all services proposed are working and meet the individual’s needs. If the services are not working or are not meeting the individual’s needs, a Revised PCP process would then begin.

Question 18

How often are services monitored following the approval of a waiver packet for a crisis case?

Answer 18

Monthly for the first 3 months (90 days) and then quarterly after

Question 19

How often are services monitored following the approval of a waiver packet for a case that is not a crisis case?

Answer 19

Quarterly

Question 20

Individuals who are Current Request require an annual waiver packet (true or false)

Answer 20

False. Individuals who are current request will remain on the waitlist until one of the following occurs:
1. They are Transitioning Youth
2. They enter into a crisis situation
3. Funding in the waiver has availability to serve them

Question 21

What is listed on the top right of the first page of the waiver application?

Answer 21

CCS’s initials, the date, the waiver type

Question 22

What is the earliest date that can be listed on the waiver application?

Answer 22

5/15

Question 23

When is a matrix score requested?

Answer 23

When an individual chooses a provider that is NOT Live in LTSS

Question 24

An individual requires a matrix score if they have not chosen a provider yet (true or false)

Answer 24

False

Question 25

List the steps from start to finish for the waiver packet process

Answer 25

1. Ensure all documents have signatures and that the MA Application is not dated before May 15.
2. Upload all documents into LTSS Applications.
3. Upload all documents into AGS Prime.
4. Submit Waiver Packet Checklist to CCS Reviews.
   If RCCS requests clarifications, rectify and address responses in the same CCS Reviews email thread.
   If RCCS approves, then submit the Waiver Packet in LTSS to EDD for review.
5. Once submitted in LTSS, notify EDD of the submission to mdh.ddaeddinquiries@maryland.gov.
6. Monitor for approval in LTSS in the Financial and Overall Decisions Tab and Letters Tab. Rectify any possible clarification requests from EDD and/or DDA.
7. Once the Waiver is approved, provide information to the team of the start date.
8. Conduct the 30-day meeting (30 days after effective date) through the PCP process.

Question 26

What are some examples of additional documentation that could be required and/or helpful for a waiver packet?

Answer 26

1. W-2’s if they are employed
2. Social Security card
3. State issued ID
4. Special needs trust
5. Pay stubs
6. Assets such as Roth, IRAs etc…
7. Tax documents
8. Life insurance policy
9. Additional insurance outside of Medicaid/Medicare