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Public Comments What's New

What's New

2018 July

20 July, Friday

  • Wisconsin Senior Care - Renewal
    Wisconsin requests a 10-year extension of its section 1115 demonstration called the SeniorCare Prescription Drug Assistance Program; to be continued through December 31, 2028. This demonstration has been in effect since September 1, 2002 and provides a comprehensive prescription drug benefit for seniors, age 65 or older, with income at or below 200 percent of the federal poverty level. SeniorCare has an open formulary nearly identical to that of Wisconsin Medicaid and covers over-the-counter insulin as well as prescription drugs with a federal rebate agreement. Cost sharing requirements are imposed based on individual or family income. The state is not proposing program changes. CMS is extending the federal public comment period that opened July 5, 2018 through August 19, 2018 as some of the program information was embedded within the application appendices and unable to view. CMS has updated the pending weblink so the full extension application is available for public input.
    Location: Group Home Public Comments WI - Wisconsin Wisconsin SeniorCare
    Image Last modified by KMcGettigan 2 days ago

19 July, Thursday

  • Kentucky HEALTH - Application and CMS STCs
    In light of the district court's decision in Stewart v. Azar, No. 18-152 (D.D.C. June 29, 2018), we are inviting additional comments on Kentucky's demonstration project "Kentucky Helping to Engage and Achieve Long Term Health (KY HEALTH)" and its component parts, including the Kentucky HEALTH program. Although an additional public comment period is not legally required, CMS is conducting one to ensure that interested stakeholders have an opportunity to comment on the issues raised in the litigation and in the court's decision. CMS is opening the 30-day federal public comment period on (1) Kentucky's original demonstration proposal from August 24, 2016, (2) Kentucky's revised proposal from July 3, 2017, and (3) the special terms and conditions (STCs) that CMS approved on January 12, 2018. The federal public comment period will be open from July 19, 2018 through August 18, 2018.
    Location: Group Home Public Comments KY - Kentucky Kentucky HEALTH
    Image Last modified by KMcGettigan 3 days ago
  • Maryland Health Choice - Amendment
    On July 2, 2018, Maryland submitted an amendment to its HealthChoice section 1115 demonstration to make several changes: 1) Provide diabetes prevention services through a limited pilot program; 2) Pay for certain inpatient treatments for participants with a primary substance use disorder and secondary mental health diagnosis at Institutions for Mental Diseases; 3) Cover a limited adult dental benefit for dually eligible participants who are 21 to 64 years of age; 4) Expand the cap for the Assisted Community Integration Services pilot program; and 5) Remove the family planning program from the demonstration as the state intends to submit a Medicaid State Plan Amendment to provide family planning services. The federal public comment period will be open from July 19, 2018 through August 18, 2018.
    Location: Group Home Public Comments MD - Maryland Maryland Health Choice
    Image Last modified by KMcGettigan 3 days ago
  • Maine Section 1115 Demonstration for Individuals with HIV/AIDS - Updated
    On May 10, 2018, Maine submitted a 5-year extension application for its Health Care Reform Demonstration for Individuals with HIV/AIDS. The demonstration provides a comprehensive set of services to those who are both HIV positive and are at or below 250 percent of the federal poverty level. The demonstration expands access to those without health insurance and who are otherwise ineligible for Maine Medicaid as well as expands access to coverage to individuals with other forms of insurance. The initial 30-day federal public comment period (May 30, 2018 - June 29, 2018) did not include the state's submitted interim evaluation report. Therefore, CMS is providing a second 30-day federal public comment period for the public to have an opportunity to review and comment on the interim evaluation report submitted as part of the extension application. The second federal public comment period will be open from July 19, 2018 - August 18, 2018.
    Location: Group Home Public Comments ME - Maine Maine Section 1115 Demonstration for I...
    Image Last modified by KMcGettigan 3 days ago
  • Rhode Island Comprehensive Demonstration - 2018 Extension
    On July 11, 2018, Rhode Island requested a five-year extension of its Comprehensive Section 1115 Demonstration requesting additional authorities that will allow the state to continue to improve its Medicaid program. The demonstration will build on the development of the Health System Transformation Project and will seek opportunities to implement reforms that will focus on paying for value and coordinating physical, behavioral, and long-term healthcare; with the goal of making Medicaid more effective, efficient, and sustainable in the future. The federal public comment period will be open from July 18, 2018 through August 17, 2018.
    Location: Group Home Public Comments RI - Rhode Island
    Image Last modified by KMcGettigan 3 days ago
  • Mississippi Medicaid Workforce Training Initiative - Updated
    On January 16, 2018, Mississippi submitted a request for a new demonstration to implement workforce training requirements for Medicaid-eligible non-disabled adults, including low-income parents/caretakers and individuals eligible for Transitional Medical Assistance (TMA). Mississippi's goal is to provide individuals with tools to improve certain areas of their lives that have a direct impact on their health status. The initial 30-day federal public comment period (January 23, 2018 - February 22, 2018) did not include the state's proposal to provide an additional 12 months of coverage for individuals who continue to participate in community engagement activities after their 12 months of TMA has ended, and would otherwise lose Medicaid eligibility. CMS is providing a second federal public comment period for the supplemental application materials submitted as part of the state's new proposal. The second federal public comment period will be open from July 19, 2018 - August 18, 2018.
    Location: Group Home Public Comments MS - Mississippi Mississippi Medicaid Workforce Training I...
    Image Last modified by KMcGettigan 3 days ago

13 July, Friday

  • Delaware Diamond State Health Plan - SUD Amendment Request
    On June 29, 2018, the state of Delaware submitted an amendment to the Delaware Diamond State Health Plan section 1115 demonstration. The state proposes to provide coverage for substance use disorder (SUD) services in settings that qualify as institutions for mental diseases (IMD). The goal of the demonstration amendment is for Delaware to improve outcomes for Medicaid individuals experiencing SUD by maintaining and expanding access to SUD services, including inpatient and residential SUD services in settings that qualify as an IMD, as part of a full continuum of treatment services. The federal public comment period will be open from July 13, 2018 through August 12, 2018.
    Location: Group Home Public Comments DE - Delaware
    Image Last modified by Micheline Meyers 9 days ago
  • Delaware Diamond State Health Plan Extension Request
    On June 29, 2018, the state of Delaware submitted a request to extend the Delaware Diamond State Health Plan section 1115 demonstration. The state is requesting a five-year extension of the current Diamond State Health Plan demonstration. The state is submitting a separate demonstration amendment request for substance use disorder (SUD) treatment services that, once approved, is requested to be incorporated into this demonstration extension. The state is not requesting any other changes to the demonstration for the extension period at this time, but is in the process of planning for initiatives that reflect the state's vision for Medicaid and CHIP. These initiatives may necessitate future demonstration amendments. The federal public comment period will be open from July 13, 2018 through August 12, 2018.
    Location: Group Home Public Comments DE - Delaware Delaware Diamond State Health Plan Demonstrat...
    Image Last modified by KMcGettigan 9 days ago

12 July, Thursday

  • Utah Primary Care Network - June 29th Amendment Request
    On June 21, 2018, the State of Utah submitted an amendment to their section 1115 demonstration, "Primary Care Network." The state is requesting the authority to (1) add dental benefits for the Targeted Adult Medicaid beneficiaries who are receiving substance use disorder (SUD) treatment; (2) provide family planning services for men and women, ages 19-64, who have incomes at or below 95 percent of the federal poverty level (FPL) and are not otherwise eligible for Medicaid; and (3) provide crisis stabilization services to at-risk Medicaid-eligible children with significant emotional and/or behavioral challenges under the age of 22. The federal comment period will be open from July 12, 2018 through August 11, 2018.
    Location: Group Home Public Comments UT - Utah Primary Care Network
    Image Last modified by KMcGettigan 10 days ago

5 July, Thursday

  • Utah Primary Care Network - June 2018 Amendment Request
    On June 21, 2018, Utah submitted an amendment to their section 1115 demonstration, "Primary Care Network." The state is requesting to expand Medicaid eligibility to adults, age 19-64, with household income up to 95 percent of the federal poverty level and implement a community engagement requirement for the expansion population who do not meet allowable exemptions. In addition, the state is requesting the ability to close enrollment on this population based on budgetary restrictions and to require individuals with access to employer sponsored insurance (ESI) to enroll in ESI coverage. The federal comment period will be open from July 5, 2018 through August 4, 2018.
    Location: Group Home Public Comments UT - Utah
    Image Last modified by Micheline Meyers 2 weeks ago

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