1915(c) Home and Community-Based Waivers (HCBS) Department of Health and Senior Services (DHSS) Waivers

1915(c) Home and Community-Based Waivers (HCBS) Department of Health and Senior Services (DHSS) Waivers 

1915(c) Home and Community-Based Services (HCBS) waivers are designed to provide a home and community-based option for participants with unmet needs who would otherwise require placement in either a nursing home or intermediate care facility for individuals with intellectual disabilities (ICF-IID).

Consumer Directed Services Manager Requirement

Consumer Directed Services Manager Requirement

Per the updated Consumer Directed Services (CDS) regulation 19 CSR 15-8.400(1)(D), all CDS providers are required to have a Certified CDS Manager. This CDS Manager is required to pass Certified CDS Manager Test administered by Missouri Medicaid Audit and Compliance (MMAC). All currently enrolled CDS providers will be required to be compliant by December 31, 2024. For more information, review the MMAC Post.

Financial Management Services (FMS)

This Hot Tip serves as a reminder that in order for an Independent Living Waiver (ILW) provider to be reimbursed for Financial Management Services (FMS), the provider must be enrolled as a MO HealthNet Consumer-Directed Services (CDS) provider and complete a MO HealthNet FMS addendum. MO HealthNet continues to see claims deny for ILW providers billing for FMS, as some providers do not have the required FMS addendum on their provider enrollment file.

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