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Medicaid

Comments on Oregon Bridge Plan Amendments

The Center on Budget and Policy Priorities and the Georgetown University Center for Children and Families submitted these comments to CMS regarding Oregon’s application to amend its “Bridge Plan”. CCF-CBPP Oregon Bridge Plan Amendment Comments

December 16, 2022

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Research & Reports

Comments on Amendments to “KanCare” Medicaid Demonstration

The Georgetown University Center for Children and Families and the Center on Budget and Policy Priorities submitted the following comments to CMS regarding Kansas’ application to amend the “KanCare” Medicaid demonstration that would authorize continuous eligibility for parents and caretaker relatives. KanCare Amendment Comments

November 6, 2022

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Medicaid

Letter Regarding Healthy Michigan Plan Section 1115 Demonstration Extension Application

The Georgetown University Center for Children and Families and the Center on Budget and Policy Priorities sent this letter to CMS regarding Michigan’s application to extend its “Health Michigan” 1115 waiver. CCF-CBPP_Healthy Michigan Plan Extension Letter

November 5, 2022

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Research & Reports

Comments on Tennessee’s Proposed “Amendment 4” to TennCare III Demonstration

The following organizations joined Georgetown University Center for Children and Families in submitting comments to HHS regarding Tennessee’s proposed “Amendment 4” to its TennCare III Demonstration. ACNM Tennessee Affiliate American College of Obstetricians and Gynecologists (ACOG) American Lung Association Autistic Self Advocacy Network Center for Law and Social Policy Center on Budget and Policy Priorities…

October 6, 2022

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Blog

Oregon Leads the Nation By Covering Children in Medicaid from Birth to Kindergarten – Which State Will Be Next??

The Biden Administration announced today that it will approve Oregon’s request to provide continuous Medicaid coverage to children from birth through age five and for two years for all Oregonians enrolled in Medicaid age six and up. This use of Section 1115 authority is precisely what Medicaid demonstrations are for — as we and colleagues…

September 28, 2022

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Elisabeth Wright Burak

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Coalition Recommends HHS Take Steps to Improve Medicaid Waiver Process

Section 1115 Medicaid waivers drive a large and growing share of Medicaid spending. Currently, 46 states and D.C. operate some or all of their Medicaid programs under section 1115 demonstration authority. Many of these waivers promote coverage; others undermine it, and in the process, the Medicaid program. Unfortunately, the federal regulations governing section 1115 waivers…

August 22, 2022

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Allexa Gardner

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Blog

Waiver Update: CMS May Have Found a Path Forward in Tennessee

The Biden CMS inherited a real waiver mess in Tennessee, but CMS may have found a path forward. CMS has asked the state to amend the most problematic parts of its section 1115 demonstration known as TennCare III, so that the TennCare program can continue. Just as importantly, to its credit (and unlike some other…

August 1, 2022

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Blog

Vermont’s Section 1115 Demonstration: Medicaid Managed Care Meets Single Payer

Vermont is one of ten states that don’t use risk-based Medicaid managed care. It’s not that Vermont isn’t interested in risk-based managed care. The state is very interested—so long as it is the managed care organization (MCO). The state made its case to CMS in its application to extend its section 1115 demonstration beyond June…

July 19, 2022

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Blog

Texas Medicaid Waiver Trilogy: The Final Installment

The drama over Texas’ Section 1115 Medicaid waiver has come to a somewhat surprising and precipitous close. On April 22nd, 2022 the Biden Administration decided to stop fighting the litigation brought by Texas Attorney General Paxon to reinstate the terms of the Trump Administration’s waiver approval issued on January 15, 2021 (i.e. just a few…

May 3, 2022

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Blog

Now You See It, Now You Don’t: Supreme Court Drops Medicaid Work Requirements Case, But Still Does Damage

If you blinked at just the wrong moment last week, you might have missed that the Supreme Court erased several years of critical Medicaid law with just one 113-word order. Poof! On Monday, April 18th, the Supreme Court issued an order in the cases on appeal reviewing the legality of approvals of work requirements by…

May 2, 2022

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Blog

Texas Medicaid Section 1115 Waiver Drama Trilogy: Part II

Texas Expects to Get, But Not Give, Notice The Biden Administration came to town with clear intentions to review some of the waiver agreements that the Trump Administration had authorized – most notably on work requirements. We and others had urged the Trump Administration to reconsider the January 15th demonstration approval in Texas in light…

February 8, 2022

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Blog

Medicaid Wars: The Unwinding at the One Year Mark (Episode V)

In its first twelve months, the Biden administration has been unwinding the anti-Medicaid actions taken by its predecessor. The unwinding has been slow and methodical, and it is not yet finished. In part, this is because the new management at CMS has necessarily been focused on responding to the COVID-19 pandemic and in part because…

January 28, 2022

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Blog

California’s Medicaid Managed Care Waiver: New Potential for Access and Transparency

One of the most significant Medicaid managed care developments in 2021 happened on December 29, when CMS approved federal funding and waivers for California’s reform initiative, Advancing Innovation in Medi-Cal (CalAIM). The approval involved two sets of waivers, one operating under section 1115 of the Social Security Act, the other under section 1915(b)(4). For good…

January 14, 2022

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Kyrstin Racine

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Texas Medicaid Section 1115 Waiver Drama: A Trilogy

The world of Section 1115 Medicaid waivers can be mysterious and weedy, arcane and annoying, boring and, at times, dramatic. And in recent years, the use of Section 1115 authority by the Trump Administration stretched all previously known boundaries and wound up in court on multiple occasions – most famously in the Arkansas work requirements…

December 22, 2021

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