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The ACA and Recent Section 1115 Medicaid Demonstration Waivers

Issue Brief
  1. Samantha Artiga and Cindy Mann. New Directions for Medicaid Section 1115 Waivers: Policy Implications of Recent Waiver Activity (Kaiser Commission on Medicaid and the Uninsured, 2005), http://www.kff.org/medicaid/issue-brief/new-directions-for-medicaid-section-1115-waivers/.

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  2. All HIFA waivers were required to include at least a feasibility study of premium assistance.

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  3.    Primary Care Network: Factsheet. (Centers for Medicare and Medicaid Services.) http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/ut/ut-primary-care-network-fs.pdf.

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  4. Wisconsin Department of Health Services. BadgerCare+ Reform Project Waiver (December 31, 2013), http://www.dhs.wisconsin.gov/badgercareplus/waivers.htm.

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  5. MassHealth Medicaid Section 1115 Demonstration Approval (page 55), (Centers for Medicare and Medicaid Services.) http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/ma/ma-masshealth-ca.pdf.

    Section 1115 of the Social Security Act Medicaid Demonstration: New York Partnership Plan Approval. (Centers for Medicare and Medicaid Services) http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/ny/ny-partnership-plan-ca.pdf.

    Global Commitment to Health Section 1115 Demonstration Approval. (Centers for Medicare and Medicaid Services.) http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/vt/vt-global-commitment-to-health-ca.pdf

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  6. Pennsylvania’s waiver to implement the Medicaid expansion was approved in August 2014; the state plans to implement the expansion beginning in January 2014.

    Status of State Action on the Medicaid Expansion Decision, 2014.  (Kaiser Family Foundation).  http://kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/

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  7. Robin Rudowitz, Samantha Artiga and Rachel Arguello.  A Look at Section 1115 Medicaid Demonstration Waivers Under the ACA: A Focus on Childless Adults (Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, October, 2013)  http://www.kff.org/medicaid/issue-brief/a-look-at-section-1115-medicaid-demonstration-waivers-under-the-aca-a-focus-on-childless-adults/

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  8. See N.H. Sen. Bill 413, available at http://www.gencourt.state.nh.us/legislation/2014/SB0413.pdf.

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  9. The New Review and Approval Process Rule for Section 1115 Medicaid and CHIP Demonstration Waivers.  (Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, March 2012)  http://kff.org/health-reform/fact-sheet/the-new-review-and-approval-process-rule/

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  10. Medicaid Demonstrations: HHS’s Approval Process for Arkansas’ Medicaid Expansion Waiver Raises Cost Concerns. (Government Accountability Office,)  August 2014. http://www.gao.gov/products/GAO-14-689R.

    Medicaid Demonstration Waivers: Approval Process Raises Cost Concerns and Lacks Transparency. (Government Accountability Office,) June 2013. http://www.gao.gov/products/GAO-13-384.

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  11. Medicaid Expansion in Arkansas. (Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, October 2014). http://kff.org/medicaid/fact-sheet/medicaid-expansion-in-arkansas/

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  12. Medicaid Expansion in Iowa. (Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, October 2014). http://kff.org/medicaid/fact-sheet/medicaid-expansion-in-iowa/

    Iowa Marketplace Choice Plan, CMS Special Terms and Conditions (Jan. 1, 2014-Dec. 31, 2016), available at http://www.dhs.state.ia.us/uploads/Iowa_Marketplace_Choice_STCs_12_30_13%20Final.pdf

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  13. Medicaid Expansion in Pennsylvania. (Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, October 2014), http://kff.org/medicaid/fact-sheet/medicaid-expansion-in-pennsylvania/

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  14. CoOportunity Health will withdraw from the Iowa Health and Wellness Plan at the end of November.  9,700 members be notified and transition to the Wellness Plan with no loss in coverage. Coventry Health Care of Iowa, Iowa’s other Marketplace Choice provider, will accept all new Marketplace Choice enrollees in the month of December while the state explores options.  Press Release from Iowa Department of Human Services, October 17, 2014.  https://dhs.iowa.gov/sites/default/files/PR_10-17-14_CoOp.pdf

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  15. MaryBeth Musumeci. Medicaid Expansion Through Marketplace Premium Assistance  (Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, September 2013), http://www.kff.org/medicaid/fact-sheet/medicaid-expansion-through-marketplace-premium-assistance/.

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  16. Laura Snyder and Robin Rudowitz, Premiums and Cost-Sharing in Medicaid: A Review of Research Findings.   (Kaiser Commission on Medicaid and the Uninsured, February 2013).  http://kff.org/medicaid/issue-brief/premiums-and-cost-sharing-in-medicaid-a-review-of-research-findings/

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  17. Michigan Department of Community Health, Healthy Michigan § 1115 Demonstration (December 30, 2013), available at http://www.michigan.gov/documents/mdch/Healthy_Michigan_Plan_1115_Demonstration_Approval_443686_7.pdf.

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  18. Medicaid Expansion in Iowa. (Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, October 2014). http://kff.org/medicaid/fact-sheet/medicaid-expansion-in-iowa/

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  19. Medicaid Expansion in Michigan. (Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, January 2014), http://kff.org/medicaid/fact-sheet/medicaid-expansion-in-michigan/

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  20. Medicaid Expansion in Pennsylvania. (Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, October 2014), http://kff.org/medicaid/fact-sheet/medicaid-expansion-in-pennsylvania/

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  21. Iowa also has an amendment offering enhanced dental benefits for those who complete periodic dental exams.

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  22. 78 Fed. Reg. 42307-42310 (July 15, 2013).

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  23. Letter from Marilyn Tavenner, CMS Administrator, to Secretary Beverly Mackereth (Aug. 28, 2014), available at http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/pa/pa-healthy-ca.pdf.

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  24. Eligibility, Medicaid.gov website (Centers for Medicare and Medicaid Services.) http://www.medicaid.gov/medicaid-chip-program-information/by-topics/eligibility/eligibility.html

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  25. Proposed Medicaid Expansion in Indiana through HIP 2.0. (Kaiser Commission on Medicaid and the Uninsured, Kaiser Family Foundation, September 2014). http://kff.org/medicaid/fact-sheet/proposed-medicaid-expansion-in-indiana-through-hip-2-0/

     

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  26. Arizona Section 1115 Waiver Amendment Request Cost Sharing for Arizona’s Expansion Population.  http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/az/az-hccc-pa-cost-sharing-request.pdf

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