Updated: Apr 28
CMS Approves Indiana’s 1135 Waiver. This is another important step intended to help SNF’s mount a quick and effective LTC response to COVID-19.
Stay Tuned: Work remains on how this will be operationalized before individual SNF move forward on this waiver. Read the complete details here
Temporarily suspend Medicaid fee-for-service prior authorization requirements. Section 1135(b)(1)(C) allows for a waiver or modification of pre-approval requirements, including prior authorization processes required under the State Plan for particular benefits.
Extend pre-existing authorizations for which a beneficiary has previously received prior authorization through the end of the public health emergency.
Suspend Pre-Admission Screening and Annual Resident Review (PASRR) Level I and Level II Assessments for 30 days
State Fair Hearing Requests and Appeal Timelines
Provision of Services in Alternative Settings