Basic COP Information

County & Tribal COP Contacts

Eligibility
& Rates

Medicaid HCB Waivers Manual

Waiver Wise

Training Events

COP WAIVER BASICS

An Overview of the CIP II and COP-W Medicaid Waivers

List of Chapters and Sections of the COP Waiver Basics Manual (PDE-239, October 2007).

Section 1. Background Information (PDF, 58 KB)

• Long Term Care Program Values
• Waivers and Outcomes
• Long Term Care Programs 
• Medicaid Waivers Other Than Family Care
• Waiver Mandate 
• Medicaid Waivers Manual 

Section 2. Functional Eligibility (PDF, 268 KB)

• Assessment/Supplement 
• Long Term Care Functional Screen
• Health Form 

Section 3. Financial Eligibility (PDF, 671 KB)

• Financial Eligibility 
• Group A 
• Client Assistance for Re-employment and Economic Support (CARES) 
• Group B 
• Group C 
• Community Spouse Income Allocation 
• Qualified Medicare Beneficiary (QMB) Eligibility 
• Specified Low-Income Medicare Beneficiary (SLMB) Eligibility
• Veteran's Administration (VA) Programs 
• Medicaid Estate Recovery 
• Medical and Remedial Expenses 

Section 4. Service Plan Development (PDF, 774 KB)

• Individual Services Plan (ISP) & ISP - Individual Outcomes 
• Variance Requests 

Section 5. Certification of Eligibility (PDF, 103 KB)

• Certification of Eligibility
• Effective Date of Eligibility 

Section 6. Ongoing Care Management (PDF, 103 KB)

• Required Care Management Contacts 
• Case Notes 
• Service Reviews 
• ISP Updates 
• Appendix T 
• Human Services Reporting System (HSRS) Information 
• Recertification Process