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Waiver Appeal Form PDF University Health Services

Waiver Appeal Form PDF University Health Services

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Instructions and help about Waiver Appeal Form PDF University Health Services

Welcome to Centers for Medicare  and Medicaid Services’ (CMS) video   on how to complete the section 1135  Medicaid and CHIP Waiver Request Form.  The CMS must be able to review and  approve Medicaid program waivers   and flexibilities under section 1135 of the Social  Security Act judiciously during a natural disaster   or Public Health Emergency (or PHE). In a declared  natural disaster or public health emergency,   section 1135 waivers can assist healthcare  providers and suppliers in providing timely   healthcare and services and continued access  to care for individuals with Medicaid and CHIP. CMS developed a streamlined process to approve  standardized Medicaid 1135 waiver requests   to ensure timely responses to the needs of states,  US Territories and the District of Columbia. If your state Medicaid or CHIP Agency  needs to request an 1135 waiver,   you will submit an electronic 1135 Medicaid  and CHIP Request Form using CMS’ 1135   Waiver/Flexib

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