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Public Comments What's New

What's New

2019 September

13 September, Friday

  • Healthy Indiana Plan - SMI/SED Amendment
    On August 30, 2019, the State of Indiana submitted an amendment to their section 1115 demonstration, "Healthy Indiana Plan." This amendment will allow the state to receive federal reimbursement for providing services to Medicaid eligible individuals, ages 21-64, who are diagnosed with a serious mental illness (SMI) or serious emotional disturbance (SED) who have an acute inpatient stay in an Institution for Mental Disease (IMD). The federal comment period will be open from September 13 , 2019 through October 13, 2019.
    Location: Group Home Public Comments IN - Indiana The Healthy Indiana Plan (HIP) 2.0
    Image Last modified by KMcGettigan 4 days ago

12 September, Thursday

  • Utah Primary Care Network - Integrated Care Amendment
    On August 29, 2019, the State of Utah submitted an amendment to their section 1115 demonstration, "Primary Care Network." This amendment will allow the state to enroll the adult expansion population into managed care plans including creating an integrated managed care model combining physical health and behavioral health in five Utah counties for the adult expansion population only and for the other counties enroll the adult expansion population in Utah's Accountable Care Organizations for physical health and in Prepaid Mental Health Plans for behavioral health. This amendment also allows the state to add behavioral health services coverage for the adult expansion population enrolled in managed care. The federal comment period will be open from September 12, 2019 through October 12, 2019.
    Location: Group Home Public Comments UT - Utah Primary Care Network
    Image Last modified by KMcGettigan 5 days ago
  • Montana Health and Economic Livelihood Partnership (HELP) Program - Extension Request
    On August 30, 2019, the State of Montana submitted an extension and amendment request to the Centers for Medicare & Medicaid Services (CMS) for the "Montana HELP (Health and Economic Livelihood Partnership) Program" section 1115 demonstration. The extension proposes two amendments and also requests authority to extend 12-month continuous eligibility as authorized under the current demonstration. The state proposes an amendment to allow the state to establish work/community engagement requirements for non-exempt expansion adults as a condition for Medicaid coverage. The amendment also proposes to revise the premium structure to include gradual increases to monthly premiums based on the length of time an individual is enrolled in coverage under the demonstration. The 30-day federal public comment period will be open from September 12, 2019 through October 12, 2019.
    Location: Group Home Public Comments MT - Montana Montana Health and Economic Livelihood P...
    Image Last modified by KMcGettigan 5 days ago

10 September, Tuesday

  • Wyoming Pregnant By Choice - 2019 Wyoming PBC extension Application
    On August 5, 2019, the Wyoming Department of Health submitted an extension application to the Centers for Medicare & Medicaid Services (CMS) for the Wyoming PBC section 1115 demonstration. The PBC demonstration provides family planning services to women between the ages of 19-44 who are transitioning from the Wyoming Medicaid pregnant women program and do not have the means to obtain health insurance. The proposed application extends PBC from January 1, 2020 through December 31, 2024, without any programmatic changes to the demonstration. The 30-day federal public comment period will be open from August 9, 2019 through September 8, 2019.
    Location: Group Home Public Comments WY - Wyoming Wyoming Pregnant By Choice
    Image Last modified by austin.clayton@govdelivery.com 7 days ago
  • Healthy Indiana Plan - Workforce Bridge Account Amendment
    On July 25, 2019, the State of Indiana submitted an amendment to their section 1115 demonstration, "Healthy Indiana Plan." This amendment will allow the state to establish "Workforce Bridge Accounts" which would provide qualifying outgoing HIP participants the ability to continue to use up to $1,000 for premiums, deductibles, copayments and coinsurance for 12 months during their transition to commercial coverage. The HIP Workforce Bridge Account is proposed with the goals of supporting the transition to commercial coverage and mitigating the disincentive associated with increasing income and losing access to HIP coverage. This amendment also proposes changes to the Gateway to Work program, adding an exemption for members of federally recognized tribes and changing the exemption for caretakers of dependent children to caretakers of a dependent child under the age of 13. The federal comment period will be open from August 8, 2019 through September 7, 2019.
    Location: Group Home Public Comments IN - Indiana The Healthy Indiana Plan (HIP) 2.0
    Image Last modified by austin.clayton@govdelivery.com 7 days ago
  • West Virginia Creating a Continuum of Care for Medicaid Enrollees with Substance Use Disorders - Amendment
    West Virginia is submitting a request to amend Creating a Continuum of Care for Medicaid Enrollees with Substance Use Disorders section 1115(a) demonstration. The goal of the amendment is to give the authority to allow the Children with Serious Emotional Disorder 1915(c) demonstration to be limited to a single specialized MCO. The federal public comment period will be open from August 7, 2019 through September 6, 2019.
    Location: Group Home Public Comments WV - West Virginia
    Image Last modified by austin.clayton@govdelivery.com 7 days ago
2019 August

27 August, Tuesday

  • Florida Managed Medical Assistance (MMA) - Amendment Request
    Florida submitted a request to amend its Managed Medical Assistance (MMA) section 1115(a) demonstration. The goal of the amendment is to increase the behavioral health and supportive housing assistance services annual enrollment limit, modify the Low Income Pool (LIP) Permissible Expenditures described in the Special Terms and Conditions (STC) #66 related to Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC), and update the Total Spending for Supplemental Budget Neutrality Test-Behavioral Health and Supportive Housing Pilot table. The federal public comment period will be open from August 27, 2019 through September 26, 2019.
    Location: Group Home Public Comments FL - Florida Florida Managed Medical Assistance
    Image Last modified by Bernard Barnes 3 weeks ago

16 August, Friday

  • Utah Per Capita Cap 1115 Demonstration
    On August 1, 2019, the State of Utah submitted a new 1115 demonstration, "Per Capita Cap." This new demonstration requests authority to receive enhanced Federal Medical Assistance Percentage (FMAP) for the adult expansion population, operate a per capita cap funding mechanism, lock out individuals from the Adult Expansion Population for committing an Intentional Program Violation (IPV), receive federal authority to provide housing related services and supports, provide 12 months continuous Medicaid eligibility to the Adult Expansion population, waive hospital presumptive eligibility for the Adult Expansion Population, receive additional flexibility for providing managed care, and move components including Adult Expansion Population, Targeted Adult Medicaid population, Clinically Managed Residential Withdrawal Pilot, and the Substance Use Demonstration from the PCN demonstration to this new demonstration. The federal comment period will be open from August 16, 2019 through September 1
    Location: Group Home Public Comments UT - Utah Per Capita Cap
    Image Last modified by KMcGettigan 4 weeks ago

13 August, Tuesday

2019 July

11 July, Thursday

  • Utah Primary Care Network - Aged Population Dental Amendment
    On June 28, 2019, the State of Utah submitted an amendment to their section 1115 demonstration, "Primary Care Network." This amendment will allow the state to provide state plan dental benefits currently provided to pregnant women and the Blind and Disabled populations, as well as coverage of porcelain crowns, to Medicaid eligible individuals, ages 65 and older. The amendment will also allow the state to provide porcelain crowns to Targeted Adult Medicaid beneficiaries who are eligible for dental benefits under the demonstration. The federal comment period will be open from July 11, 2019 through August 10, 2019.
    Location: Group Home Public Comments UT - Utah Primary Care Network
    Image Last modified by KMcGettigan 2 months ago

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