Get Mt Form 1915(b) Waiver: Mt.0002 2018-2025

The MT Form 1915(b) Waiver: MT.0002 is a crucial document for requesting a waiver for Medicaid services in Montana. This guide will provide you with clear, step-by-step instructions to successfully complete the form online.

Follow the steps to accurately fill out the MT Form 1915(b) Waiver: MT.0002.

1. Click the ‘Get Form’ button to access the MT Form 1915(b) Waiver: MT.0002 and open it in your designated form editor.
2. Complete the Request Information section, providing details such as the name of the waiver program and the type of request (initial or amendment). Make sure to specify the requested approval period.
3. Identify the effective dates for the waiver amendment. Clearly indicate the proposed effective date in the specified format (mm/dd/yy).
4. Fill out the State Contact section with the relevant details of the state contact person associated with this waiver. Ensure accurate information for phone, fax, and email.
5. Proceed to the Program Description section. Provide an overview of the program's history and outline the delivery systems used.
6. Complete the Timely Access Standards and Capacity Standards sections, ensuring that all required details about service access and provider capacities are clearly stated.
7. Review the Quality Assurance measures that apply to your program, confirming that all required assurances conform to the outlined federal regulations.
8. Once you have filled out all necessary sections, review the document thoroughly for any errors or missing information.
9. After confirming that all information is correct and complete, save your changes. You can then download, print, or share the form as needed.

Complete your MT Form 1915(b) Waiver: MT.0002 online now for timely processing.