1115 Application Process | Medicaid More About the State Section 1115 Application Process Effective April 27, 2012, in accordance with section 10201 (i) of the Affordable Care Act that set forth transparency and public notice requirements for section 1115 demonstrations, states will need to include the following components in demonstration applications for CMS to consider the application submission complete for the purpose of
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 Under this authority, the Secretary may waive certain provisions of the Medicaid law to give states additional flexibility to design and
Substance Use Disorder Section 1115 Demonstration Opportunity State monitoring and evaluation guidance materials: CMS developed resources to support state approaches to monitoring and evaluation of their section 1115 SUD demonstrations opportunity To learn more about these resources, please review the 1115 Demonstration State Monitoring Evaluation Resources webpage
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 The purpose of these demonstrations, which give states additional flexibility to design and improve their programs, is to
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 connected to coverage and
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
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) All current and concluded state programs authorized under these authorities may be accessed using the below dynamic list Learn more
Reentry Section 1115 Demonstrations | Medicaid 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 statute) and who are
1115 Demonstration State Monitoring Evaluation Resources General Monitoring and Evaluation The Centers for Medicare Medicaid Services (CMS) develops tools to help states and independent evaluators in the development of evaluation designs and in preparing evaluation reports for Medicaid section 1115 (a) demonstrations These tools provide CMS’s expectations and guidance to support rigorous evaluation activities In addition, states and
Iowa Waiver Factsheet | Medicaid Provides respite, environmental modifications and adaptive devices, family and community support service, medical day care for children, and in-home family therapy to individuals with serious emotional disturbance ages 0-17 years who meet a hospital level of care This waiver operates with a concurrent 1915 (b) (1), 1915 (b) (3), and 1915 (b) (4) authority