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