Appendix K is a standalone appendix that may be utilized by states during emergency situations to request amendment to approved 1915(c) waivers. It includes actions that states can take under the existing Section 1915(c) home and community-based waiver authority in order to respond to an emergency. Other activities may require the use of various other authorities such as the Section 1115 demonstrations or the Section 1135 authorities. This appendix may be completed retroactively as needed by the state.
Appendix K Templates and Instructions
- COVID-19 Specific Sample Appendix K Template (DOCX, 58.89 KB)
- COVID-19 Appendix K Instructions (PDF, 77.05 KB)
- Appendix K Template (DOCX, 59.91 KB)
- Appendix K Instructions (PDF, 481.69 KB)
Approved COVID-19 Appendix K Documents
Note: Information on the underlying waivers can be found on the State Waiver List.