Get Id Application Selector For 1915(b) Waiver 2020-2025

This guide provides a comprehensive overview of how to complete the ID Application Selector for the 1915(b) Waiver online. It outlines the necessary steps and details required for each section of the form, ensuring users can fill it out accurately and efficiently.

Follow the steps to successfully complete your application.

1. Click the ‘Get Form’ button to obtain the ID Application Selector for 1915(b) Waiver and open it in the online editor.
2. Begin by filling in the request information section. Indicate the State of Idaho and include the name of the waiver program—Idaho Medicaid Plus.
3. Specify the type of request; for example, select 'Amendment request for an existing waiver' and detail the sections being modified.
4. Provide the requested approval period by selecting from the options given (1 year to 5 years).
5. Fill in the effective dates by specifying both the proposed start and end dates for the waiver.
6. Navigate to the 'State Contacts' section. Enter the names, phone numbers, and emails of key contacts responsible for this waiver.
7. Complete the 'Program Overview' section by providing necessary descriptions, assurances, and delivery methods based on your programs.
8. Review all sections for completeness and accuracy before proceeding to the final step.
9. Once you have filled out the form, save changes, and you will have options to download, print, or share the completed application.

Start filling out your ID Application Selector for 1915(b) Waiver online today!