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COI: Crosswalk across HCBS Authorities

This crosswalk provides citations to these authorities--1915(c), 1915(i), 1915(j), 1915(k), 1115, 1905(a), BIP, MFP, Health Homes, PACE—for these COI questions/elements:

  • Applicable law, applicable rule, and other technical guidance
  • Can the entity responsible for establishing functional eligibility overlap with the entity responsible for case management?
  • Can the entity responsible for establishing functional eligibility overlap with the entity that provides services?
  • Can the entity responsible for case management overlap with an entity that provides services?
  • In order to permit overlap, is there a requirement that the eligibility or case management entity be the only willing and qualified provider?
  • Managed care provisions
  • Are firewalls between functions permissible?
  • Grievance process; dispute resolution for COI issues
  • State oversight: Specific to COI and/or general requirements that would include COI
Source: 
Document Type: 
Date Published: 
12/17/2015