{"id":"SEC-24-008","kind":"order","level":"federal","jurisdiction":"United States (all States operating 1915(c) HCBS waivers)","state":"","metro":"","industry":"24","agency":"","eco":"","issuer":"Centers for Medicare \u0026 Medicaid Services","authority":"Social Security Act s. 1915(c); 42 C.F.R. part 441 subpart G","instrument":"1915(c) Home and Community-Based Services Waiver Instructions and Technical Guidance, Appendix K: Emergency Preparedness and Response","title":"Appendix K: Emergency Preparedness and Response (Instructions and Technical Guidance)","dateIssued":"2020-03-01","effective":"Governs every COVID-19 Appendix K amendment from March 2020","end":"n/a (standing instructions)","startDate":"2020-03-01","endDate":"2021-09-30","quarters":["2020Q2","2020Q3","2020Q4","2021Q1","2021Q2","2021Q3"],"types":["OTHER"],"addressees":["State Medicaid agencies and their HCBS waiver operating agencies (aging and DD agencies)"],"clause":"This appendix was developed as a standalone appendix to be utilized by the state during emergency situations. It should be used by the state to advise CMS of expected changes to its waiver operations or to request amendment to its approved waiver.... This appendix may be completed retroactively, as needed, by the state... Item 1-F: Proposed Effective Date... Enter the anticipated end date of the amendment. The end date is the last day that the [temporary changes apply]... K-2: Temporary or Emergency-Specific Amendment to Approved Waiver: Below is a list of temporary activities that the state may wish to undertake during an emergency.","enforcement":"Conditions of federal financial participation under the approved waiver","functions":["PY payer terms for every waiver-funded day, residential, respite, supported-employment and transportation service","DD day habilitation delivered in alternative settings; retainer payments","AD adult day health under waivers","OP remote assessments and service planning"],"notes":"Context exhibit establishing what an Appendix K amendment is and that it is a CMS-approved amendment to the waiver (force of law as a condition of federal payment). Pennsylvania\u0027s combined CHC/OBRA Appendix K (Ex. SEC-04-078, start date Mar. 6, 2020) is the exemplar; North Dakota EO 2020-29 (Ex. ND-030) is a State order suspending statutes \u0027necessary for the operation of the Medicaid State Plan disaster amendments, Appendix K and the... 1135 Waiver\u0027. KFF\u0027s tracker (last updated July 1, 2021) records Appendix K approvals for all fifty States and D.C. (verified_secondary; the per-State table is interactive and was not captured).","sourceUrl":"https://www.medicaid.gov/state-resource-center/downloads/1915c-appendix-k-instructions.pdf","snapshot":"","fileExists":true,"fileBytes":493255,"grade":"primary","character":"","description":"","collection":"SEC-24","url":"/library/SEC-24-008","exhibitUrl":"/exhibit/SEC-24-008","citation":"Centers for Medicare \u0026 Medicaid Services, 1915(c) Home and Community-Based Services Waiver Instructions and Technical Guidance, Appendix K: Emergency Preparedness and Response (Mar. 1, 2020) (Ex. SEC-24-008)","stateName":"","related":["SEC-04-078","ND-030"]}