What is the Masshealth 1115 waiver?

Medicaid 1115 Demonstration Waivers allow states to “waive” certain provisions of the Medicaid law and receive additional flexibility to design and improve their programs.

What is the federal government’s purpose in granting the 1115 pathway to coverage demonstration waiver to the state of Georgia?

Specifically, CMS announced the approval of Georgia’s new Medicaid section 1115 demonstration called “Pathways to Coverage.” The demonstration is designed to create a pathway for working-age Georgia adults who are ineligible for Medicaid to opt into Medicaid coverage by participating in qualifying activities like work …

How many states have Medicaid waivers?

To date, 39 states (including DC) have adopted the Medicaid expansion and 12 states have not adopted the expansion. Current status for each state is based on KFF tracking and analysis of state expansion activity. These data are available in a table format. The map may be downloaded as a PowerPoint slide.

What is a 1915 B waiver?

Waivers. Section 1915(b) of the Social Security Act, enacted in 1981 as part of the Omnibus Budget Reconciliation Act (P.L. 97-35), provides states with the flexibility to modify their delivery systems by allowing CMS to waive statutory requirements for comparability, statewideness, and freedom of choice.

What is a chip waiver?

CHIP provides funds to states to cover uninsured low-income children. 17. Children under 200 percent of the poverty line are the target. population, but states may use their CHIP funds to cover children at higher income levels.

Who approved 1115 waivers?

the Secretary of Health and Human Services authority
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.

What is a 1332 waiver?

Section 1332 of the Affordable Care Act (ACA) permits a state to apply for a State Innovation Waiver (now also referred to as a State Relief and Empowerment Waiver) to pursue innovative strategies for providing their residents with access to high quality, affordable health insurance while retaining the basic …

Which state has the best Medicaid program?

Main Findings

What is the purpose of waiver programs?

A waiver program allows the state to waive some requirements to meet the needs of individuals. For example, a waiver may help a person with an increased likelihood of requiring long-term care, such as those with behavioral issues or technologically dependent children.

How do you get a medical waiver in the army?

You cannot enlist with a permanent medical disqualification without an approved waiver. The first step in a military medical waiver process is receiving a recommendation from a doctor at MEPS. If the doctor recommends you for a waiver then you still have a shot at receiving approval.

Did MS expand Medicaid?

Those involved Tuesday announced the “Yes on 76” campaign to put Medicaid expansion on the ballot next year in Mississippi. The effort includes support from the Mississippi NAACP, the Mississippi Hospital Association and the Southern Poverty Law Center Action Fund, The Fairness Project said.

What does Section 1115 waiver do for Medicaid?

The Section 1115 waiver allows the state to enroll this group, like most other Medicaid coverage groups, into managed care. The demonstration also provides long-term care services and support (LTSS) to eligible individuals through a managed care delivery system, called DSHP-Plus.

When did CMS approve the 1115 MassHealth waiver?

Please see approval letters for a more detailed list of the edits included. 1115 MassHealth Demonstration (“Waiver”) Evaluation Design – January 31, 2019 On October 23, 2018, CMS approved a number of technical corrections throughout Massachusetts’ Demonstration documents. Please see approval letter for a more detailed list of the edits included.

When was the Maine Section 1115 Waiver approved?

ME: On December 21, 2018, CMS approved a Section 1115 waiver for Maine that included a work requirement and other eligibility restrictions. On January 22, 2019, the new Governor Janet Mills informed CMS that the state is not accepting the terms of the approved waiver.

When does 1115 MassHealth demonstration agreement expire?

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.