Section 1115 Demonstrations | Medicaid
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.
State Waivers List | Medicaid
Section 1115 demonstrations and waiver authorities in section 1915 of the Social Security Act are vehicles states can use to test new or existing ways to deliver and pay for health care services in Medicaid and the Children’s Health Insurance Program (CHIP).
1115 Application Process | Medicaid
Dec 1, 2009 · COVID-19: 1115 Waiver DemonstrationsOn January 31, 2020, the Secretary of Health and Human Services (HHS) declared a public health emergency, effective as of January 27, 2020, for the entire United States to aid the nation’s healthcare community in responding to the 2019 novel Coronavirus.
About Section 1115 Demonstrations | Medicaid
Generally, section 1115 demonstrations are approved for an initial five-year period and can be extended for up to an additional three to five years, depending on the populations served. States commonly request and receive additional 5-year extension approvals.
Substance Use Disorder Section 1115 Demonstration Opportunity
Description of the Demonstration Opportunity. As part of the U.S. Department of Health and Human Services’ effort to combat the ongoing opioid crisis, the Centers for Medicare & Medicaid Services (CMS) created an opportunity under the authority of section 1115(a) of the Social Security Act (Act) for states to demonstrate and test flexibilities to improve the continuum of …
Health Related Social Needs | Medicaid
As part of the U.S. Department of Health and Human Services’ ongoing efforts to assist states with addressing various health-related social needs (HRSN), as discussed in a State Health Official Letter about addressing Social Determinants of Health (SDOH) released in 2021, the Centers for Medicare & Medicaid Services (CMS) encourages states to help enrollees stay …
1115 Demonstration Monitoring & Evaluation | Medicaid
The Centers for Medicare & Medicaid Services (CMS) uses several waiver authorities, including section 1115 demonstration authority, to permit and support innovation in Medicaid and the Children's Health Insurance Program that is likely to meet the objectives of the program and be budget neutral to the federal government.
1115 Transparency Requirements | Medicaid
The Affordable Care Act requires opportunity for public comment and greater transparency of the section 1115 demonstration projects. A Final Rule , effective on April 27, 2012, establishes a process for ensuring public input into the development and approval of new section 1115 demonstrations as well as extensions of existing demonstrations.
Washington Waiver Factsheet | Medicaid
WAIVER TERMINATED on 3/31/2012 – Provided adult family home, assisted living, caregiver/recipient training, community transition services, enhanced adult residential care, nurse delegation, skilled nursing, specialized medical equipment and supplies, and transportation services to individuals ages 65 or older and individuals with physical ...
without waiver baseline for budget neutrality purposes State spending on related social services pre-1115 must be maintained or increased Related Requirements State Medicaid reimbursement rates for primary care, behavioral health, and OB/GYN must be at least 80% of Medicare rates, or category with lowest rates must be increased by 2