Complete Revised and Submitted 1115 Application
Complete Revised and Submitted 1115 Application
- Cover Letter
- Final Application
- Table of contents
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- Attachment A – Quality Assurance Monitoring Info
- Attachment B – Interim Evaluation Report
- Attachment C – Hawaii Med-QUEST Quality Strategy Approved
- Attachment D – CMS 416 Forms
- Attachment E – Benefit Specifications and Provider Qualifications
- Attachment F – Behavioral Health Protocol
- Attachment G – Budget Neutrality
- Attachment H – Email Notice
- Attachment I – Abbreviated Public Notice and Proof of Publication
- Attachment J – Full Public Notice
- Attachment K – Tribal Notice