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Getting a Spousal Waiver for Medicaid Isn't as Easy as You May Think in New Jersey  | Flaster Greenberg PC


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This blog post is intended to help educate your family regarding the limited instances in which a spousal waiver may be available and help guide you through the tedious process of obtaining one in a suitable case. 
The Managed Long Term Services and Supports (MLTSS) Medicaid Program offers valuable benefits, which can provide for long term services and supports in the home, in an assisted living setting or in a nursing home.  However, federal Medicaid law and policy requires the states to evaluate all of the resources available to the Medicaid applicant during the five years immediately preceding the date of filing of the Medicaid application.  This requirement can make it very difficult to obtain a MLTSS approval, particularly if the Medicaid applicant has been separated from a spouse, has a obtained a divorce from bed and board, or has been divorced in the past five years. ....

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DHCS releases 2021 timeline for CalAIM initiative - State of Reform


DHCS releases 2021 timeline for CalAIM initiative
Emily Boerger | Feb 2, 2021
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The California Department of Health Care Services (DHCS) offered stakeholders a timeline of 2021 “implementation milestones” to support the CalAIM initiative during a relaunching webinar last week.
The agency released an updated CalAIM proposal last month, introducing key changes following stakeholder feedback and adjustments due to the COVID-19 pandemic. DHCS’s release of the updated initiative is the latest step in the department’s effort to implement broad program, delivery system, and payment reform for the Medi-Cal program.
 
 
During the first few months of 2021, DHCS will release a handful of draft documents related to the Enhanced Care Management (ECM) and In Lieu of Services (ILOS) components of CalAIM. As part of Medi-Cal reform, DHCS is proposing an enhanced care management benefit that builds off of the current Health Homes Program ....

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