Public Comments for HCBS-SCI Renewal Application -- We want your input!

03/04/2015 (All day)

The Department of Health Care Policy and Financing will be submitting an application for renewal of the Home and Community-Based Services (HCBS) Spinal Cord Injury (SCI) Waiver to the Center for Medicare and Medicaid Services (CMS). The Departments expects to submit the HCBS-SCI Waiver renewal on March 5, 2015 with the requested effective date of July 1, 2015.


Please review this summary of the HCBS-SCI renewal and provide any comments to Emily Moncrief at or at (303) 866-4944 by Wednesday, March 4, 2015.


A full copy of the waiver renewal will be posted to the HCPF website on Monday February 2, 2015. To view a full copy of the please or go to


The HCBS-SCI Waiver renewal incorporates changes that were included in previous waiver amendments that have been submitted and are currently awaiting approval.


In addition the HCBS-SCI Waiver renewal includes the following new changes:


o   Increases the unduplicated client count for the waiver from 67 to 120 clients.


o   Adds the ability for individual chiropractors, acupuncturists, and massages therapists to enroll as alternative therapy providers.


o   Changes the limits on amount, frequency or duration of alternative therapy services. Previously the amount of service limits were higher in the client’s initial 90 days of receiving services. The renewal sets the amount of service limits for an entire year without a specific limit of services for any specific period of time. The total limit of yearly services will remain the same.


o   Changes to the IHSS service delivery option including: allowing IHSS to be provided in the community, clarifying that the client or the client's authorized representative is responsible for directing their care, including scheduling, managing, and supervising attendants; allowing clients or the client's authorized representative to work with the IHSS agency to determine the amount of oversight by a licensed health care professional; allowing willing and able IHSS agencies to provide support to clients without authorized representatives to participate in IHSS; adding a spouse as an eligible family member who may act as an attendant providing IHSS; and changes the limits for relative reimbursement for personal care from 444 units per year to 40 hours per week.


o   Includes a rate increase for Chiropractic Care.


o   Updates the Quality Improvement Strategy (QIS) sections to multiple appendices throughout the waiver.


Event Date: 
03/04/2015 (All day)
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