Waivers
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Waving Cautionary Flags: Initial Reactions from Doctors and Patients to Florida’s Medicaid Changes
This issue brief explores the initial reactions and experiences of Medicaid beneficiaries and doctors participating in Florida’s Medicaid reform program that began enrollment in two pilot counties in September 2006. It reports that provider participation is declining and that the reform program has made Medicaid more complex. It also highlights that children are the largest…
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Evaluating Florida’s Medicaid Pilots: Early Reactions from Doctors and Patients
Author: Joan Alker Assessing Florida’s Medicaid Reform Project — Presentation Document May 2007
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Florida’s Medicaid Reform
Authors: Joan Alker and Jack Hoadley Duval County Medical Society Forum — Presentation Document February 2007
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Medicaid Changes: What Will They Mean for Broward and Duval Counties, and Beyond?
In December 2005, Governor Bush signed into law a bill authorizing implementation of the state’s major Medicaid redesign in two pilot counties, Broward and Duval. This issue brief provides details of Florida’s program, the changes that will occur, and the proposed evaluation of the pilot. This issue brief was released as part of the Assessing…
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Vermont’s Global Commitment Waiver: Implications for the Medicaid Program
By Jocelyn Guyer Vermont secured approval in the fall of 2005 for a waiver allowing the state to use federal Medicaid funds to refinance a broad array of its own, non-Medicaid health programs. It also gave Vermont new flexibility to reduce benefits, increase cost-sharing, and cap enrollment for many Medicaid beneficiaries. This issue brief describes…
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Georgia’s Medicaid Program: A Briefing for Community Leaders
This issue brief serves as a primer for policymakers, community leaders, and health care providers who will be assessing the benefits and costs of proposed changes, through a Section 1115 waiver, to Georgia’s Medicaid program. It provides basic facts on Georgia’s Medicaid program, explores key features of Section 1115 waivers, and poses questions for policymakers…
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What Will Florida’s “Medicaid Choice” Waiver Proposal Mean For Children?
On October 19, 2005, Florida received approval for a Section 1115 Medicaid Choice proposal from the federal government, moving the Medicaid program to a premium-based system, among other things. This issue brief summarizes how these changes affect children as it is implemented, first in two counties and then across the state.
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Understanding Florida’s Medicaid Waiver Application
This issue brief provides an overview of Florida’s Section 1115 Medicaid waiver request to the federal government. It highlights those affected by the proposed changes and describes benefits, potential cost-sharing, and an “opt-out” provision included in the waiver. This issue brief and presentation are part of the Florida’s Health at Risk project, a series of…
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Understanding Florida’s Medicaid Reform Legislation
Florida Senate Bill 838, signed into law in June 2005, permits Florida Governor Bush to seek a Section 1115 Medicaid waiver from the federal government to substantially restructure the state’s Medicaid program. This brief examines the legislation. This issue brief and presentation are part of the Florida’s Health at Risk project, a series of educational…
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The New TennCare Waiver Proposal: What Is The Impact On Children?
This issue brief discusses the TennCare program and proposed amendments, submitted to the federal government in September 2004 and February 2005, to the state’s Section 1115 Medicaid waiver. It shows that although many of the proposed restrictions in benefits and cuts in eligibility explicitly apply to adults and not to children, the state also seeks…
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Issues to Consider in Governor Bush’s “Florida Medicaid Modernization Proposal”
This issue brief discusses Florida Governor’s Medicaid Modernization Proposal (released in January 2005), describing how the plan envisions that Medicaid costs will be reduced, how the new system will work, and what it will mean for beneficiaries and providers.
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New Developments in Medicaid Coverage: Who Bears Financial Risk and Responsibility?
This issue brief provides an overview of federal Medicaid waiver activity and reviews the implications for coverage and access to care. It explores how waivers give states federal approval to alter the way they provide coverage and/or deliver services to low-income populations.
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Financing Under Federal Medicaid Section 1115 Waivers: Federal Policy and Implications for New Hampshire
This issue brief examines New Hampshire’s consideration of submitting a federal Section 1115 Medicaid waiver to restructure its Medicaid program. It reviews New Hampshire’s Medicaid program and the issues a waiver request raises, including whether it will change the way in which the federal government shares Medicaid costs with the state.
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Federal Medicaid Waiver Financing: Issues for California
Governor Schwarzenegger, in his fiscal year 2004-2005 budget, proposed to restructure California’s Medi-Cal program by obtaining a Section 1115 Medicaid waiver from the federal government. This issue brief focuses on the potential fiscal implications of Section 1115 waivers and some of the issues it could raise for California.
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What Could A Waiver To Restructure Medicaid Mean For Florida?
Florida’s Medicaid program provides health care coverage and services to over two million state residents and is the single largest source of federal money for the state. This issue brief highlights that any major changes to the way Medicaid is financed could have serious implications for Medicaid beneficiaries, providers, and the state’s health care system…