Chapter 120. Waivered ServicesRead Chapter
- Section 10
- [Repealed]
- Part I.Read all(Repealed)
- Section 61
- [Repealed]
- Section 62
- [Repealed]
- Section 63
- [Repealed]
- Section 64
- [Repealed]
- Section 65
- [Repealed]
- Section 66
- [Repealed]
- Section 67
- [Repealed]
- Section 68
- [Repealed]
- Part II.Read allHome and Community-Based Services for Technology Assisted Individual (Repealed)
- Section 70
- [Repealed]
- Section 80
- [Repealed]
- Section 90
- [Repealed]
- Section 100
- [Repealed]
- Section 110
- [Repealed]
- Section 115
- [Repealed]
- Section 120
- [Repealed]
- Section 130
- [Repealed]
- Part III.Read allHome and Community-Based Services for Individuals with Acquired Immunodeficiency Syndrome (AIDS) and AIDS-Related Complex (Repealed)
- Section 140
- [Repealed]
- Section 150
- [Repealed]
- Section 160
- [Repealed]
- Section 165
- [Repealed]
- Section 170
- [Repealed]
- Section 180
- [Repealed]
- Section 190
- [Repealed]
- Section 195
- [Repealed]
- Section 200
- [Repealed]
- Section 201
- [Repealed]
- Section 210
- [Repealed]
- Part IV.Read allMental Retardation Waiver (Repealed)
- Section 211
- [Repealed]
- Section 213
- [Repealed]
- Section 215
- [Repealed]
- Section 217
- [Repealed]
- Section 219
- [Repealed]
- Section 220
- [Repealed]
- Section 221
- [Repealed]
- Section 223
- [Repealed]
- Section 225
- [Repealed]
- Section 227
- [Repealed]
- Section 229
- [Repealed]
- Section 230
- [Repealed]
- Section 231
- [Repealed]
- Section 233
- [Repealed]
- Section 235
- [Repealed]
- Section 237
- [Repealed]
- Section 240
- [Repealed]
- Section 241
- [Repealed]
- Section 243
- [Repealed]
- Section 245
- [Repealed]
- Section 247
- [Repealed]
- Section 249
- [Repealed]
- Section 250
- [Repealed]
- Part V.Read allMedallion (Repealed)
- Section 260
- [Repealed]
- Section 270
- [Repealed]
- Section 280
- [Repealed]
- Section 290
- [Repealed]
- Section 300
- [Repealed]
- Section 310
- [Repealed]
- Section 320
- [Repealed]
- Section 330
- [Repealed]
- Section 340
- [Repealed]
- Section 350
- [Repealed]
- Part VI.Read allMedallion Mandatory Managed Care
- Section 360
- Definitions
- Section 370
- Medallion mandatory managed care members
- Section 380
- Medallion MCO responsibilities
- Section 385
- [Repealed]
- Section 390
- Payment rate for MCOs
- Section 395
- Preauthorized, emergency, and post-stabilization services and payment rate for care provided by out-of-network providers
- Section 400
- Quality control and utilization review
- Section 410
- Sanctions
- Section 420
- Member grievances and appeals
- Section 430
- Provider grievances, reconsiderations, and appeals
- Section 440
- [Reserved]
- Part VII.Read allCommonwealth Coordinated Care Plus Program
- Section 450
- [Repealed]
- Section 460
- [Repealed]
- Section 470
- [Repealed]
- Section 480
- [Repealed]
- Section 490
- [Repealed]
- Section 600
- Definitions
- Section 610
- CCC Plus mandatory managed care members enrollment process
- Section 615
- CCC Plus providers; Medicaid enrollment process
- Section 620
- MCO responsibilities; sanctions
- Section 625
- Continuity of care
- Section 630
- Covered services
- Section 635
- Payment rates for MCOs
- Section 640
- State fair hearing process
- Section 650
- Appeal timeframes
- Section 660
- Pre state fair hearing decisions
- Section 670
- State fair hearing process and final decision
- Section 680
- Appeals Division records
- Section 690
- Provider appeals
- Part VIII.Read allIndividual and Family Developmental Disabilities Support Waiver
- Article 1.Read allGeneral Requirements [Repealed]
- Section 700
- [Repealed]
- Section 710
- [Repealed]
- Section 720
- [Repealed]
- Section 730
- [Repealed]
- Section 740
- [Repealed]
- Article 2.Read allCovered Services and Limitations and Related Provider Requirements
- Section 750
- [Repealed]
- Section 751
- [Repealed]
- Section 752
- [Repealed]
- Section 753
- [Repealed]
- Section 754
- [Repealed]
- Section 755
- [Repealed]
- Section 756
- [Repealed]
- Section 757
- [Repealed]
- Section 758
- [Repealed]
- Section 759
- [Repealed]
- Section 760
- [Repealed]
- Section 761
- [Repealed]
- Section 762
- [Repealed]
- Section 763
- [Repealed]
- Section 764
- [Repealed]
- Section 765
- [Repealed]
- Section 766
- [Repealed]
- Section 767
- [Repealed]
- Section 768
- [Repealed]
- Section 769
- [Repealed]
- Section 770
- [Repealed]
- Section 771
- [Repealed]
- Section 772
- [Repealed]
- Section 773
- [Repealed]
- Section 774
- [Repealed]
- Section 775
- [Repealed]
- Section 776
- [Repealed]
- Section 777
- [Repealed]
- Section 780
- [Repealed]
- Section 790
- [Repealed]
- Part IX.Read allCommonwealth Coordinated Care Plus Waiver
- Article 2.Read allCovered Services and Limitations and Related Provider Requirements
- Section 900
- Definitions
- Section 905
- Waiver description and legal authority
- Section 910
- [Repealed]
- Section 920
- Individual eligibility requirements
- Section 924
- Covered services; limits on covered services
- Section 925
- Respite coverage in children's residential facilities
- Section 927
- Exception criteria for personal care services
- Section 930
- General requirements for home and community-based participating providers
- Section 935
- Participation standards for specific covered services
- Section 940
- [Repealed]
- Section 945
- Payment for covered services
- Section 950
- [Repealed]
- Section 960
- [Repealed]
- Section 970
- [Repealed]
- Section 980
- [Repealed]
- Section 990
- Quality management review; utilization review; level of care (LOC) reviews.
- Section 995
- Appeals
- Part X.Read allIntellectual Disability Waiver
- Article 1.Read allDefinitions and General Requirements [Repealed]
- Section 1000
- [Repealed]
- Section 1005
- [Repealed]
- Section 1010
- [Repealed]
- Section 1012
- [Repealed]
- Section 1020
- [Repealed]
- Section 1030
- [Repealed]
- Section 1040
- [Repealed]
- Section 1060
- [Repealed]
- Section 1062
- [Repealed]
- Section 1070
- [Repealed]
- Section 1072
- [Repealed]
- Section 1080
- [Repealed]
- Section 1082
- [Repealed]
- Section 1088
- [Repealed]
- Section 1090
- [Repealed]
- Part XV.Read allDay Support Waiver for Individuals with Mental Retardation
- Article 1.Read allDefinitions and General Requirements [Repealed]
- Section 1500
- [Repealed]
- Section 1510
- [Repealed]
- Section 1520
- [Repealed]
- Section 1530
- [Repealed]
- Section 1540
- [Repealed]
- Section 1550
- [Repealed]
- Part XVI.Read allAlzheimer's Waiver
- Article 1.Read allDefinitions and General Requirements [Repealed]
- Section 1600
- [Repealed]
- Section 1605
- [Repealed]
- Section 1610
- [Repealed]
- Section 1620
- [Repealed]
- Section 1630
- [Repealed]
- Section 1640
- [Repealed]
- Section 1650
- [Repealed]
- Section 1660
- [Repealed]
- Section 1670
- [Repealed]
- Section 1680
- [Repealed]
- Part XVII.Read allHome and Community-Based Services for Technology Assisted Individuals Waiver [Repealed]
- Article 1.Read allDefinitions and General Requirements [Repealed]
- Section 1700
- [Repealed]
- Section 1705
- [Repealed]
- Section 1710
- [Repealed]
- Section 1720
- [Repealed]
- Section 1730
- [Repealed]
- Section 1740
- [Repealed]
- Section 1750
- [Repealed]
- Section 1760
- [Repealed]
- Section 1770
- [Repealed]
- Part XX.Read allMoney Follows the Person
- Article 1.Read allDefinitions and General Requirements [Repealed]
- Section 2000
- Transition coordinator
- Section 2010
- Transition services