Frequently Asked Questions

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FAQ

How should a state that has a section 1915(c) home and community-based services
waiver that is limited to EPSDT-age individuals but includes services related to Autism
Spectrum Disorder (ASD) that are now available through the state plan respond to this
policy clarification?

The ASD-related services should be provided through the Medicaid state plan for the
EPSDT-eligible individuals, rather than the 1915(c) waiver. CMS will work with states to
ensure that such services are able to be made available under the state plan. Accordingly,
CMS with also work with states to remove the service from the 1915(c) home and
community-based services waiver at the next amendment or renewal, whichever comes
first.

(FAQ10730)

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