Frequently Asked Questions

Waiver Services

Question Number Question Answer
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Does the 2% Medicaid payment reduction apply to waiver programs? The final 2013-14 State Budget authorizes alternative methods be considered to achieve proportionate savings. The following describes each waiver program´s DOH approved path to achieve commensurate savings.
  • The following waiver programs will generate savings by the following alternative methods other than a rate reduction:
    • LTHHCP- Alternative proposal accepted to generate commensurate savings through an increase of the cash assessment
    • Managed Long Term Care- Alternative proposal to generate commensurate savings through reducing premium levels
    • Manage Care- Alternative proposal to generate commensurate savings through reducing premium levels
  • The following waiver programs are exempt from the 2% reduction because they are not operated by DOH:
    • OMH HCBS Waiver- Exempt
    • Care at HOME (CAH) III, IV, and VI- Exempt
    • Bridges to Health (B2H)- Exempt
    • OPWDD HCBS Waiver- Exempt
  • Finally, based on further review and consideration the payment reduction does not apply to the following waiver programs:
    • DOH TBI Waiver - 2% RATE REDUCTION applies
    • Care at HOME (CAH) I, II- 2% RATE REDUCTION applies
    • Nursing Home Transition and Diversion Waiver (NHTD) - 2% RATE REDUCTION applies