Tag
HCBS
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Medicaid HCBS Billing Codes, Explained: T1019, T2025, H2015 and More
A provider's guide to the HCPCS billing codes that run Medicaid HCBS — T1019 personal care, T2025 day habilitation, H2015 community living, plus how units, modifiers, EVV, and the 837/835 claim cycle fit together. Learn why the same code pays differently in every state.
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Person-Centered Planning: ISP, Plan of Care, and What They Require
Person-centered planning is the foundation of HCBS service delivery. Learn what it means, how the Individual Support Plan (ISP) and Plan of Care (POC) differ, what federal rules require them to contain, and why the plan drives everything from services to billing.
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What Is a 1915(c) Medicaid Waiver? A Provider's Guide
A 1915(c) waiver lets states offer Home and Community-Based Services to people who'd otherwise need institutional care. Learn how 1915(c) waivers work, how they differ from 1915(i) and 1915(k), why waiting lists exist, and what the structure means for provider billing and compliance.
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What Is HCBS? Home and Community-Based Services, Explained
Home and Community-Based Services (HCBS) are Medicaid-funded supports that let people receive care at home instead of an institution. Learn what HCBS covers, who qualifies, how it's funded through Medicaid waivers, and what providers must do to stay compliant and get paid.
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The HCBS Settings Rule: What It Requires and How to Stay Compliant
The HCBS Settings Rule is a federal CMS regulation defining where and how Home and Community-Based Services can be delivered. Learn what the rule requires, the rights it guarantees, key compliance criteria, and what providers must document to keep their Medicaid funding.
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The IDD Waiver Waiting List: Why It Exists and What Providers Can Do
IDD Medicaid waiver waiting lists exist because states cap enrollment under 1915(c) authority. Learn why waitlists form, how interest and priority lists work, how long people wait, and what providers should do to be ready when slots open.
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Bridging Gaps in Community Living: Unlocking the Power of the Supports Waiver
The Supports Waiver (SW) is a Medicaid program designed to provide home and community-based services to individuals aged 18 and older with developmental disabilities.