Archive for: 1115 Waiver

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Insurance Coverage: Waivers

Tennessee Block Grant Waiver Summary

On November 20, 2019, Tennessee submitted a Section 1115 waiver application to CMS, which, if approved, would implement a block grant for the state’s Medicaid program, TennCare.

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Insurance Coverage: Waivers

Idaho 1115 Waiver Application

On September 27, 2019, Idaho submitted a new section 1115 waiver application to CMS. Please find our summary of key points of the waiver.

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Insurance Coverage: Waivers

Tennessee 1115 Waiver Application

On September 17th, 2019, Tennessee released its proposal to implement a black grant for Tennessee’s Medicaid program, otherwise known as TennCare.  This 1115 waiver, referred to as “Amendment 42,” would convert the federal share of the state’s Medicaid funding for most services into a block grant.

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Insurance Coverage: Waivers

Montana 1115 Waiver Application Summary

Montana submitted a new 1115 waiver application to CMS on August 30, 2019. The waiver is pending approval.

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Insurance Coverage: Regulation

Recent State Action Relating to Medicaid Expansion

We have highlighted recent state grassroots, legislative and executive action to expand Medicaid.

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Insurance Coverage: Waivers

Utah Medicaid Waivers

CMS has approved Utah’s 1115 waiver, implementing a “bridge plan” while the state submits additional waivers.

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Insurance Coverage: Waivers

South Carolina 1115 Waiver Application Summary

On May 8, 2019, South Carolina submitted a new 1115 waiver application to the Centers for Medicare and Medicaid Services (CMS). The waiver includes work requirements, expands coverage for children, pregnant women and parents, and expands coverage for certain individuals with substance use disorders, who are chronically homeless or who are involved in the justice…

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Insurance Coverage: Waivers

Utah Per Capita Cap 1115 Waiver Summary

On May 31, 2019, Utah released its 1115 waiver proposal, “Per Capita Cap.” This waiver requests authority to implement the provisions of Senate Bill 96 “Medicaid Expansion Adjustments”, which passed during the 2019 Utah legislative session.  Provisions of the waiver include implementing a per capita cap, seeking enhanced Federal Medical Assistance Percentages (FMAP) for the…

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Payment Innovation: Other

GAO Recommends CMS Improve Transparency Policy for Section 1115 Waivers

On May 17, the GAO released a report recommending an improved transparency policy for Section 1115 waivers.

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Insurance Coverage: Waivers

Utah Medicaid 1115 Waiver Summary

On June 22, 2018, Utah submitted an 1115 waiver amendment to CMS seeking to implement a partial and capped Medicaid expansion, as well as Medicaid work requirements for certain populations. Following that waiver amendment, on February 6, 2019, Utah submitted an additional 1115 waiver amendment lifting the Medicaid Institution for Mental Disease (IMD) exclusion for…

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