Section 1115 Medicaid Waiver

1115 behavioral health medicaid waiver medicaid section 1115 demonstration waivers provide states with flexibility to test new approaches within medicaid to aid in redesigning and improving their health systems without increasing costs.

Section 1115 medicaid waiver. Washington state medicaid transformation project mtp section 1115 waiver amendment request march 2 2018 page 3 introduction opioid misuse and addiction is a public health crisis in washington state and across the country. Waivers can provide states considerable. New york state s medicaid section 1115 medicaid redesign team mrt waiver formerly known as the partnership plan has achieved significant results in meeting its major goals of improving access quality and cost effectiveness of health services for the poorest and most at risk residents.

Section 1115 medicaid demonstration waivers provide states an avenue to test new approaches in medicaid that differ from what is required by federal statute. Waivers vary considerably across states from broad approaches to narrow ones. Section 1115 waiver authority has been available to states for decades.

California s section 1115 a medicaid waiver entitled medi cal 2020 was approved by the centers for medicare medicaid services cms on december 30 2015 and is effective through december 31 2020. The medi cal 2020 demonstration aims to transform and improve the quality of care access and efficiency of health care services for over 13 million medi cal members. Under this authority the secretary may waive certain provisions of the medicaid law to give states additional flexibility to design and improve their programs.

Hhsc has received federal approval of a waiver that allows the state to expand medicaid managed care while preserving hospital funding provides incentive payments for health care improvements and directs more funding to hospitals that serve large numbers of uninsured patients. Section 1115 of the social security act gives the secretary of health and human services authority to approve experimental pilot or demonstration projects that promote the objectives of the medicaid and children s health insurance program chip programs.