1115 Application Process | Medicaid Final Rule-Review and Approval Process for Medicaid and CHIP Section 1115 Demonstrations Guidance for Former Foster Care Youth Section 1115 Demonstrations On November 21, 2016, CMS announced a section 1115 opportunity to allow Medicaid coverage of former foster care youth who have moved to a different state To assist states in pursuing
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 care for
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
About 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 are found by the Secretary to be likely to assist in promoting the objectives of the Medicaid program
1115 Demonstration State Monitoring Evaluation Resources CMS has provided tools and guidance to support state approaches to monitoring and evaluation of substance use disorder (SUD) section 1115 demonstrations in alignment with CMS's November 1, 2017 released guidance on strategies to address the opioid epidemic CMS has developed these tools and guidance to support states with meeting the
Reentry Section 1115 Demonstration Opportunity | Medicaid Demonstration Opportunity The Centers for Medicare Medicaid Services (CMS) issued guidance for designing demonstration projects under section 1115 of the Social Security Act (the Act) (42 U S C § 1315) to improve care transitions for certain individuals who are soon-to-be former inmates of a public institution (hereinafter referred to as incarcerated individuals, except when quoting from
California Advancing and Innovating Medi-Cal (CalAIM) (formerly “Medi . . . CMS approved the State to expand coverage in individual counties for adults ages 19-64 with incomes at or below 133 percent of the FPL who could be eligible under the Affordable Care Act early expansion state option as well as adults between 133 percent and 200 percent of the FPL who are not otherwise eligible for Medicaid to cover low-income adults without children
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)
Serious Mental Illness Section 1115 Demonstration Opportunity CMS provides flexibility to test comprehensive approaches to care for beneficiaries with serious mental illness (SMI) or serious emotional disturbance (SED) through a section 1115 demonstration opportunity This SMI SED demonstration opportunity will allow states, upon CMS approval of their demonstrations, to receive Federal Financial
1115 Demonstration Monitoring Evaluation | Medicaid Section 1115 of the Social Security Act also requires that federal regulations specify requirements for demonstration monitoring and evaluation Title 42 CFR 431 424 outlines general evaluation requirements and evaluation design components such as hypotheses, data sources, and comparison strategies