1115 Medicaid Demonstrations

HHS Will Provide Technical Assistance to States Addressing Homelessness

February 12, 2024 - The Department of Health and Human Services (HHS) and the Department of Housing and Urban Development (HUD) are increasing access to federal programs and resources that address homelessness in eight states and Washington, DC. The federal initiative, the Housing and Services Partnership Accelerator (Accelerator), will help states build partnerships...


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NY Medicaid Section 1115 Waiver Amendment Improves Access to Care

by Victoria Bailey

CMS has approved an amendment to New York State’s Medicaid section 1115 waiver that will address health disparities and improve access to primary and behavioral healthcare, Governor Kathy Hochul...

HHS Guidance Increases Care Access for Incarcerated Medicaid Beneficiaries

by Victoria Bailey

The US Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), has released guidance to help states boost access to healthcare for incarcerated...

HHS Approval Boosts Access to Care for Incarcerated Medicaid Beneficiaries

by Victoria Bailey

The US Department of Health and Human Services (HHS), through the Centers for Medicare and Medicaid Services (CMS), has approved a section 1115 demonstration in California to help improve access to...

Medicaid Expansion Helped Reduce Eviction Rates, Housing Insecurity

by Victoria Bailey

Medicaid expansion was associated with reductions in county-level eviction judgments and eviction rates, but results varied across states, according to a study published in JAMA Network Open. In 2020,...

CMS Approves MA, OR Section 1115 Demonstration Initiatives

by Kelsey Waddill

The Department of Health and Human Services (HHS) has approved two Medicaid section 1115 demonstration initiatives that aim to offer continuous coverage to children and seek to address social...

States Plan Medicaid 1115 Demonstration Waivers for Incarcerated People

by Mark Melchionna

States across the country are working with the US Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) to obtain Section 1115 demonstration waivers to...

State Medicaid Programs Boosted HCBS Waiver Adoption for Senior Care

by Kelsey Waddill

State Medicaid programs’ adoption of and investment in home and community-based service waivers for seniors grew in the past 20 years, an article in Health Affairs found. “Our results...

4 Ways That 1115 Medicaid Demonstrations Can Address Health Equity

by Kelsey Waddill

Medicaid programs can use 1115 Medicaid demonstration waivers to expand health equity in four key ways, by expanding eligibility and benefits, filling gaps left by the Affordable Care Act,...

CMS Blocks Work Requirements, Cost-Sharing in 1115 Medicaid Demo

by Kelsey Waddill

CMS has revoked the state of Georgia’s ability to impose work requirements or cost-sharing for Medicaid eligibility. CMS had approved the Georgia Pathways to Coverage section 1115 demonstration...

CMS: Virginia Will Expand Access to Postpartum Medicaid Coverage

by Kelsey Waddill

CMS announced that Virginia is expanding its postpartum Medicaid coverage. “It is a privilege to partner with the Commonwealth of Virginia to expand access to life-saving postpartum coverage and...

How States Leveraged COVID-19 Medicaid Emergency Authorizations

by Kelsey Waddill

COVID-19 Medicaid emergency authorization usage has differed most from past crises in regards to states’ utilization of Section 1115 demonstration waivers, according to a Kaiser Family Foundation...

Why States Should Collect Medicaid Retroactive Eligibility Data

by Kelsey Waddill

While the Medicaid retroactive eligibility requirement may not have major impacts on uncompensated care costs, changes to Medicaid retroactive eligibility could have damaging effects, according to an...

CMS Approves IL Waiver to Support Rural, Black Maternal Health

by Kelsey Waddill

In order to support rural and Black maternal healthcare, HHS has offered states the option to extend maternal Medicaid coverage and Illinois is the first state to receive approval for the amendment,...

AHIP, ACAP Call for Reversals on Prior Administration’s Policies

by Kelsey Waddill

Major payer organizations, specifically America’s Health Insurance Plans (AHIP) and the Association for Community Health Plans (ACAP), are calling for a reversal on key Trump healthcare...

WI Submits Medicaid Demonstration Waiver, Health Savings Account Program

by Hannah Nelson

The Wisconsin Department of Health Services (DHS) has submitted an amendment to their section 1115 Medicaid demonstration waiver “BadgerCare Reform” for Centers for Medicare & Medicaid...

Differences in Medicaid Expansion, Nonexpansion Program Policies

by Kelsey Waddill

Differences between Medicaid expansion and nonexpansion states go beyond whether states opted into the Affordable Care Act allowance, a Health Affairs study found. Researchers have discovered Medicaid...

Lessons from Medicaid on Social Determinants of Health Innovation

by Kelsey Waddill

The coronavirus pandemic has forced social determinants of health even further into the spotlight and Medicaid programs have responded to the increasing demands with innovative solutions, a Manatt...

GA Individual Market Reform Approved Over Industry Objections

by Kelsey Waddill

CMS has approved a Section 1332 demonstration for Georgia which, in part, moves the individual market to a private sector platform. “I’m thrilled to support this comprehensive state-led...

Molina Healthcare to Acquire Passport Health Plan Medicaid Plans

by Kelsey Waddill

Molina Healthcare (Molina) will acquire the Passport Health Plan (Passport) Medicaid and dual special needs plan, Molina announced. The healthcare companies have agreed to a price of around $20...