Archive for: section 1115

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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

New York 1115 Waiver Application Summary

On August 9, 2019, New York announced it will submit a Section 1115 Medicaid Demonstration waiver application to CMS to provide Medicaid services to certain incarcerated individuals about to be released from county jails and New York State prisons.

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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

Ohio Section 1115 Waiver Approval

On March 15, 2019, CMS approved Ohio’s Medicaid 1115 waiver, allowing the state to implement work requirements for certain Medicaid recipients.

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CMS Publishes Guidance on 1115 Waiver Evaluations

CMS published guidance for states on 1115 waiver evaluations.

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Insurance Coverage: Waivers

Section 1115 Guidance

On March 14th CMS published tools and guidance for states on how to monitor and evaluate 1115 waivers that implement work requirements, require monthly premiums, implement premium assistance programs, waive retroactive eligibility, or implement non-eligibility periods for failing to meet requirements. Additionally, CMS published monitoring and evaluation guidance and tools for states that are implementing…

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