Table 5.C Major Program Features and Requirements of LTSS Authorities
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Authorities for Long Term Services and Supports |
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| Feature | Section 1915(c) | Section 1915(i) | Section 1915(k) |
| Limited Geographic Area | Yes | No | No |
| Targeted Population | Yes | Yes | No |
| Limits on Number of Persons Served | Yes | No | No |
| Expand HCBS Financial Eligibility | Yes | Yes | Yes |
| Offer HCBS to Persons who MEET Institutional Level-of-Care | Yes | Yes | Yes |
| Offer HCBS to Persons who DO NOT MEET Institutional Level-of-Care | No | Yes | Yes |
| Include Self-Direction | Yes | Yes | Yes |
| Budget Test | Cost Neutral | None | None |
| Approval Mechanism | Waiver Application Approved by CMS | State Plan Amendment Approved by CMS | State Plan Amendment Approved by CMS |
(Click here for a pdf version of Table 5.C)
