1115 demonstration waiver

Oregon's initial 1115 Medicaid Demonstration waiver established the original groundbreaking Oregon Health Plan (OHP) in 1994. § 431.428 Reporting requirements. 1115 Application Process | Medicaid Medicaid is a state and federal program. 1115 Waiver. Section 1115 Demonstration Waivers grant flexibility to states for innovative projects that advance the objectives of the Medicaid program. MLTC has begun the process of implementing this new waiver authority. (These adults are often called "childless adults.") Below is information on the history, timeline, and submission of the waiver and waiver amendments. 1115 Demonstration Waiver Application Page 6 of 23 Draft: 7/9/2021 these services. Currently Approved 1115 MassHealth Demonstration ("Waiver") The Commonwealth of Massachusetts' current 1115 Demonstration agreement (Project Number II-W-00030/I) Extension was approved on November 4, 2016, effective July 1, 2017, through June 30, 2022. Section 1115 Demonstration Waiver. These waivers are effective beginning August 1, 2017 through June 30, 2022, unless otherwise specified. §1115 Waiver Renewal Application (2021) - Updated May 4, 2021. Medi-Cal 2020 Waiver - California ("1115" refers to the section of the Social Security Act under which the demonstration is authorized.) Approved Hawaii COVID-19 Section 1115 Demonstration Final Evaluation Design Section 1115 of the Social Security Act gives states the flexibility to design and improve their programs, and to demonstrate and evaluate state-specific policy approaches to better serve Medicaid populations. Section 1115 Medicaid Waiver Resources Back to Medi-Cal Waivers California is requesting an amendment and renewal of the state's current Section 1115 demonstration, approved by the Centers for Medicare & Medicaid Services (CMS) on December 30, 2015, and effective from January 1, 2016, through December 31, 2021. Quarterly and Annual Progress Reports. Section 1115 Demonstration Waiver to transform the behavioral health system of care. CMS approval letter, August 2017. The Centers for Medicare & Medicaid Services (CMS) approved Oregon's Substance Use Disorder 1115 Demonstration waiver, effective April 8, 2021, through March 31, 2026.A central part of the waiver focuses on enhancing residential treatment services as a crucial component in the continuum of substance use addiction benefits. New York 1115 Medicaid Waiver Information Page Arizona's existing Demonstration project is currently approved through September 30, 2021, and the application is seeking a renewal period from October 1, 2021 through September 30, 2026. The Global Commitment to Health is a demonstration waiver authorized pursuant to Section 1115 (a) by the Centers for Medicare and Medicaid Services (CMS), within the Department of Health and Human Services (HHS). MassHealth 1115 Demonstration Waiver -Factsheet MassHealth restructuring and the current 1115 demonstration waiver • MassHealth is the Commonwealth's Medicaid program, covering more than 2 million (30%) residents, and critical to maintaining Massachusetts's level of coverage at over 97%, the highest in the nation This application for the Healing and Ending Addiction Through Recovery and Treatment (HEART) waiver seeks federal authority through an 1115 demonstration to pay for additional community based treatment services as well as expanded inpatient and residential treatment. New Hampshire Department of Health and Human Services Building Capacity for Transformation Section 1115 Demonstration Waiver Application Since then, the Demonstration has given Oregon numerous opportunities to expand and improve health care throughout the state. It would also lay the groundwork for reducing long standing racial, PDF Building Capacity for Transformation Section 1115 ... e-mail address: HFS.1115pilots@illinois.gov. Status and Process Overview 2. Transmittal #21-22 FFS Authorization Guidance for SUD Residential Treatment Services - (pdf) The waiver is also known as the 1115 Demonstration. Authorized under Section 1115 of the Social Security Act, these waivers: Key Waiver Resources and Summaries. collectively, the section 1115 calaim demonstration and section 1915 (b) waiver, along with related contractual and medi-cal state plan changes, will enable california to fully execute the calaim initiative, providing benefits to certain high-need, hard-to-reach populations, with the goal of improving health outcomes for medi-cal beneficiaries … § 431.424 Evaluation requirements. CMS extended the waiver on May 2, 2016, and then again on January 1, 2018, when the waiver was approved through September 30, 2022. Pursuant to 42 CFR 431.408, DCH will provide the public the opportunity to review and provide input on the Section 1115 Demonstration Waiver. Open PDF file, 580.78 KB, for. 1115 Demonstration Waiver Overview. Since its inception, AHCCCS has operated its program under a Section 1115 Demonstration project, which must be renewed every five years. Robin Rudowitz Follow @RRudowitz on Twitter, Samantha Artiga Follow @SArtiga2 on Twitter, and . On November 26, 2019, MaineCare submitted a 1115 demonstration waiver application to CMS with the goal of improving the SUD service delivery system. Contact Information. The purpose of the waiver is to reform our state's Medicaid program. View the most recent 1115 annual report, Demonstration Year 9 (Oct. 2019-Sept. 2020) (PDF). OHP delivers health care to people who have low income. § 431.404 Definitions. The Global Commitment to Health is a demonstration waiver authorized pursuant to Section 1115 (a) by the Centers for Medicare and Medicaid Services (CMS), within the Department of Health and Human Services (HHS). The Texas Healthcare Transformation and Quality Improvement Program 1115 Waiver, commonly called the 1115 Transformation Waiver (or waiver in this document) is a five-year demonstration waiver running through September 2016. Section 1115 of the Social Security Act gives the Secretary of Health and Human Services authority to approve experimental, pilot, or demonstration projects that are found by the Secretary to be likely to assist in promoting the objectives of the Medicaid program. The purpose of these demonstrations, which give states additional flexibility to design and improve their programs, is to . MA 1115 Demonstration - Annual Report (FY20) Additional Resources. The Centers for Medicare and Medicaid Services (CMS) approved Nebraska's application for a section 1115 SUD demonstration waiver. However, states that provide HCBS through Section 1115 demonstrations may use Appendix K to amend HCBS policies in their demonstrations. If state spending under its demonstration is below the without-waiver baseline, the difference . Global Commitment to Health 1115 Waiver. In the ACA, Congress authorized the Secretary to approve Section 1115 waivers, as well as Section 1915(b) and (c) waivers, for five years if they enroll individuals dually eligible for Medicare and Medicaid (§1915(h)(2)). . This demonstration waiver began on July 1, 2019. for. 1115 Demonstration Waiver, with total spending under the waiver not exceeding what the federal government would have spent without the waiver. For the most up to date information on approved state Section 1115 demonstration waivers, see CMS's State Waivers List webpage and CMS's Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations . For background documents, former 1115 Waivers, and EOHHS Taskforce meetings from 2009-2014, see Archive. CMS Approval of Waiver Amendment Section 1115(a) Medicaid Demonstration, "Substance Use Disorder Treatment and Recovery Access" (SUD TRA) The Centers for Medicare and Medicaid Services (CMS) approved New Hampshire's request to amend its SUD TRA demonstration project in accordance with Section 1115(a) of the Social Security Act and in response to a required Corrective Action Plan. Invitation to Provide Public Comment - Centers for Medicare & Medicaid Services (CMS) 12/09/19 - 1115 Demonstration Waiver - Public Hearing Presentation (pps) 12/05/2019 - REMINDER - Notice of Public . RAND researchers examined whether two components of the 1115 Demonstration Waiver have helped achieve the program's goals. 1115 Waiver Documents. If approved, this waiver would allow for additional federal funding for residential or inpatient SUD treatment for MaineCare-enrolled adults and would provide state flexibility to pilot four . Overview. Medicaid spending under Section 1115 demonstrations is required to be budget neutral, meaning that federal spending under the demonstration cannot exceed projected costs in the absence of the demonstration (referred to as the without-waiver baseline). Flint Michigan Section 1115 Demonstration. The SUD portion of the 1115 Demonstration Waiver will assist us in: Strengthening Alaska's SUD treatment continuum of services—by both increasing the benefits offered to Medicaid recipients and using evidence- New York State´s Medicaid Section 1115 Medicaid Redesign Team (MRT) Waiver (formerly known as the Partnership Plan) has achieved significant results in meeting its major goals of improving access, quality, and cost effectiveness of health services for the poorest and most at risk residents. California's Section 1115(a) Medicaid Waiver, entitled Medi-Cal 2020, was approved by the Centers for Medicare & Medicaid Services (CMS) on December 30, 2015, and is effective through December 31, 2020. Since the passage of the health reform law, several states, including California, have obtained Section 1115 Medicaid demonstration waivers to expand coverage to low-income adults in preparation . If approved, this 1115 Waiver Demonstration would utilize an array of multi-faceted and linked initiatives in order to change the way the Medicaid program integrates and pays for social care and health care in NYS. Demonstration authority granted by section 1115 of the Social Security Act allows states to waive certain federal requirements in order to test new or existing ways to deliver and pay for health care services in Medicaid to the extent that they are likely to promote the following Medicaid program's goals and objectives: When a state submits an 1115 waiver proposal, the Centers for Medicare and Medicaid Services (CMS) reviews the proposal to . § 431.408 State public notice process. Global Commitment to Health 1115 Waiver. New York State's Medicaid Section 1115 Waiver seeks to enroll a majority of Medicaid beneficiaries into managed care, increase access and service quality, and expand coverage to more low-income New Yorkers. 1115 Waiver Documents. 1115 Waiver Demonstration Concept Paper. Medicaid - 1115 Demonstration Waiver Over view Section 1115 of the Social Security Act gives the Secretary of Health and Human Services authority to approve experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and Children's Health Insurance Program (CHIP) programs. Federal Waivers Waiver Program Changes (PAC, TBI/SCI, ACF) Florida's Section 1115 Research and Demonstration Waivers. Centers for Medicare & Medicaid Services (CMS) for a five-year, Section 1115 Demonstration waiver to expand statewide access to comprehensive behavioral health services for the most vulnerable Nevadans, including those with opioid use disorders (OUDs) and other substance use disorders (SUDs). This brief highlights examples of Medicaid HCBS policy changes authorized through Section 1115 demonstration waivers in seven states (Arizona, Delaware, New Jersey, New York, Rhode Island, Vermont . The Managed Medical Assistance program provides primary and acute medical care, and behavioral health and dental services for the majority of Medicaid recipients. Under this demonstration, the authority for several existing Medicaid and CHIP waiver and demonstration programs, including two 1915(b) managed care waiver programs and four 1915(c) programs were transitioned under the authority of the 1115 demonstration. The Global Commitment to Health is a Demonstration Waiver authorized pursuant to Section 1115 (a) by the Centers for Medicare and Medicaid Services (CMS), within the Department of Health and Human Services (HHS). Brett R. Friedman, Esq. Arizona Section 1115 Demonstration Waiver The 1115 Waiver refers to section 1115 of the Social Security Act (SSA). CMS approved the waiver on December 12, 2011. Section II: Demonstration Purpose and Goals The purpose of the Section 1115 Demonstration waiver is to afford continued access to high quality, medically necessary treatment for opioid use disorder (OUD) and other SUDs. The two 1915(b) waiver programs transitioned included the Duals Waiver and the NJ FamilyCare Approval Lette r and Current Medicaid 1115 Waiver: Section 1115 Demonstration Special Terms and Conditions, (Effective 1/1/2019-12/31/2023) For information on the most recent extension of the 1115 Waiver, see Waiver Extension. The application request is now under review by CMS. Section 1115 waivers are initially approved for five years. Section 1115 Demonstrations Section 1115 of the Social Security Act gives the Secretary of Health and Human Services authority to approve experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and Children's Health Insurance Program (CHIP) programs. Register for the public hearing Section 1115 of the Social Security Act gives the Secretary of HHS the authority to approve a state's 1115 waiver/demonstration proposal as long . Each AAA experiences wait lists for people to access the program. On November 30, 2020, the Health and Human Services Commission (HHSC) requested The Connecticut Department of Social Services (DSS) is requesting an 1115 Demonstration Waiver for SUD inpatient and residential treatment for adults and children under fee‑for‑service (FFS). COVID-19: 1115 Waiver Demonstrations On March 13, 2020, the President declared the ongoing Coronavirus Disease 2019 (COVID-19) pandemic of sufficient severity and magnitude to warrant an emergency declaration for all states, tribes, territories, and the District of Columbia pursuant to section 501(b) of the Robert T. Presentation to the Public Health and Health Planning Council. There is a high demand for the program. To maintain access to care for beneficiaries in need of Opioid Use Disorder and Substance Use Disorder (OUD/SUD) services in residential facilities, Louisiana applied for and received approval of an 1115 Demonstration Waiver, effective February 1, 2018 through December 31, 2022.