Medicaid and CHIP Waivers

Federal law and regulations set guidelines for how states operate their Medicaid and CHIP programs.  States, though, can request that the Secretary of Health and Human Services waive certain laws or regulations in order to demonstrate new methods for providing coverage, cover populations not ordinarily covered, or make other changes to Medicaid and CHIP.  Waivers have become an important source of variation in Medicaid and CHIP programs across states and impact the way that many children and families receive care.

Alabama

  • July 16, 2014 letter to CMS on the Alabama Proposal for Section 1115 Medicaid Demonstration Project

Arizona

  • December 4, 2015 comments to CMS on Arizona’s proposed new Section 1115 Medicaid demonstration, the AHCCCS CARE program.
  • November 23, 2015 comments to CMS on Arizona’s proposed amendment to its demonstration to extend its expenditure authority for its Phoenix Children’s Hospital (PCH) Safety Net Care Pool (SNCP).
  • February 14, 2011 letter expresses concern to HHS about a Section 1115 demonstration proposal that was submitted by Arizona to waive the maintenance of effort requirement

Arkansas

  • July 21, 2016 comments to CMS in response to Arkansa’s to extend and amend their Section 1115 Medicaid demonstration waiver, Arkansas Works
  • October 17, 2014 comments to CMS on the amendment to the Arkansas Health Care Independence Program demonstration project.
  • September 6, 2013 letter to CMS on the Arkansas Health Care Independence Program (“Private Option”) Demonstration proposal.
  • September 6, 2013 comments to CMS on the Arkansas Health Care Independence Program (“Private Option”) Demonstration proposal.

California

  • October 21, 2011 letter asks HHS to reject aspects of California’s demonstration waiver proposal that threaten to reduce coverage

Indiana

  • September 8, 2016 comments to CMS in response to Indiana’s proposed Section 1115 Medicaid demonstration waiver amendment, Healthy Indiana Plan 2.0.
  • January 27, 2016 letter to CMS to express support to undertake an independent federal evaluation of the Healthy Indiana Plan (HIP) 2.0 Section 1115 Research and Demonstration Waiver.
  • September 21, 2014 comments to CMS on the Healthy Indiana Plan (HIP) 2.0 Demonstration proposal from Georgetown CCF and the Center on Budget and Policy Priorities
  • September 21, 2014 comments to CMS on the Healthy Indiana Plan (HIP 2.0) Demonstration proposal, submitted by fourteen national organizations

Iowa

  • June 22, 2015 comments to CMS on Iowa’s proposal to extend waiver amendment regarding the non-emergency transportation (NEMT) benefit.
  • October 23, 2014 comments to CMS on Iowa’s waiver amendment regarding the non-emergency transportation (NEMT) benefit.
  • September 26, 2013 letter to CMS on Iowa’s two proposals for Section 1115 Medicaid Waivers—Iowa Marketplace Choice Plan and Iowa Wellness Plan.
  • September 26, 2013 comments to CMS on Iowa’s two proposals for Section 1115 Medicaid Waivers—Iowa Marketplace Choice Plan and Iowa Wellness Plan.

Kansas

  • September 19, 2012 letter to CMS on Kansas’s resubmitted waiver that would move all in the Medicaid program into managed care

Massachusetts

  • September 1, 2016 comments to CMS in response to Massachusetts proposed Medicaid Section 1115 waiver on the restructuring of its MassHealth delivery system.

Michigan

  • March 2, 2016 comments to CMS in response to Michigan’s Section 1115 Medicaid Demonstration Request to Assist in Addressing Health Impacts from Potential lead Exposure in Flint, Michigan.
  • October 2, 2015 comments to CMS on Michigan’s proposed amendment to its Section 1115 Medicaid demonstration, the Healthy Michigan Plan.
  • December 18, 2013 letter to CMS on the “Healthy Michigan” proposal.

Missouri

  • May 25, 2016 comments to CMS in response to Missouri’s proposal to offer an expanded set health benefits to a limited number of residents through a Section 1115 Medicaid demonstration, known as the Missouri Mental Health Crisis Prevention Program.

Montana

  • October 15, 2015 comments to CMS on Montana’s proposal to expand Medicaid through a Section 1115 Medicaid demonstration, known as the Health and Economic Livelihood Partnership (HELP) Program.

New Hampshire

  • September 16, 2016 comments to CMS in response to New Hampshire’s proposed Section 1115 Medicaid demonstration waiver amendment, New Hampshire Health Protection Program Premium Assistance.

Ohio

  • August 4, 2016 comments to CMS in response to Ohio’s proposed Section 1115 Medicaid demonstration, the Healthy Ohio Program.

Pennsylvania

  • April 10, 2014 letter to CMS on the Healthy Pennsylvania Private Coverage Option Demonstration.
  • April 10, 2014 letter to CMS on Pennsylvania with a focus on children.
  • April 10, 2014 comments to CMS on the Healthy Pennsylvania Private Coverage Option Demonstration

Tennessee

  • February 5, 2016 letter to CMS in response to Tennessee’s proposed renewal of TennCare, its longstanding Section 1115 Medicaid demonstration program.

Texas

  • November 16, 2015 comments to CMS on Texas’ proposal to extend its Section 1115 Medicaid Demonstration Project, the Texas Healthcare Transformation and Quality Improvement Program.

Utah

  • September 16, 2016 comments to CMS in response to Utah’s proposed Section 1115 Primary Care Network Demonstration Waiver
  • August 3, 2011 letter asks CMS to reject aspects of Utah’s demonstration waiver proposal that threaten to reduce children’s coverage

Wisconsin

  • January 26, 2012 letter asks HHS to reject Wisconsin’s maintenance-of-effort waiver proposal

Comments on Medicaid Section 1115 waiver public participation, review and approval process

  • July 7, 2015 letter to CMS on waiver transparency and availability of information on Medicaid.gov in accordance with the administrative record provisions set forth in 42 CFR 431.416 (f).
  • June 27, 2012 letter to CMS on the new review and approval process for section 1115 demonstrations
  • October 17, 2011 letter asks the White House to finalize the proposed regulations on public participation in Section 1115 research and demonstration proposals (75 FR 56946) as soon as possible
  • April 13, 2011 letter asks HHS to finalize the proposed regulations on public participation in Section 1115 research and demonstration proposals (75 FR 56946) as soon as possible
  • November 16, 2010 comments on the proposed federal regulations on public process for Medicaid and CHIP demonstration waivers.

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