Get Medicaid Appendix K: Emergency Preparedness And Response

This guide provides a comprehensive overview of how to fill out the Medicaid Appendix K: Emergency Preparedness and Response online. By following these steps, users can ensure that they accurately complete the necessary documentation to effectively respond to emergency situations.

Follow the steps to fill out the Medicaid Appendix K online.

1. Use the ‘Get Form’ button to access the Medicaid Appendix K document, which will open in your chosen online editing tool.
2. Begin with Appendix K-1: General Information. Fill in the state name, waiver title, control number, and type of emergency. You may check multiple emergency types as applicable.
3. In the brief description of the emergency section, include a concise paragraph detailing the nature of the emergency, the number of people affected, mechanisms for identifying individuals at risk, roles of involved entities, and any expected changes to service delivery methods.
4. Set the proposed effective start and anticipated end dates for the emergency measures. Ensure the dates align with your plan.
5. Identify the geographic areas affected by the emergency and provide a description of the state's disaster plan if available. You may reference external documents as needed.
6. Proceed to Appendix K-2: Temporary or Emergency-Specific Amendment to Approved Waiver. Detail any necessary changes in access and eligibility, including temporary increases in cost limits and modifications to targeting criteria.
7. In the services section, outline any modifications to service scope or coverage, including necessary explanations for exceeding service limitations or adding new services.
8. Complete the contact person section, providing information for the Medicaid agency representative and the state operating agency representative, ensuring that all contact details are accurately listed.
9. Sign the document as required, including the name, title, agency, and date for the state Medicaid director or designee.

Complete the Medicaid Appendix K: Emergency Preparedness and Response online today to ensure readiness for future emergencies.