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Table 5.G - Section 1915(b) and 1915(c) Concurrently

 

Table 5.G - Section 1915(b) and 1915(c) Concurrently

Feature
Section 1915(b) and 1915(c) concurrently
Defined Network of Providers
Yes

Limited Number of Qualified Contractors

Yes

Capitated Payments
Yes
Mandatory Enrollment
Yes
Limited Geographic Area
Yes
Target Population
Yes
Expand Eligibility
Yes, for beneficiaries meeting institutional level of care.
Additional Benefits
Yes
Budget Test
Yes, must be cost neutral for beneficiaries in 1915(c) waiver, and cost effective overall.

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