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Under the Affordable Care Act (ACA), Medicaid plays a key role in efforts to reduce the number of uninsured by expanding eligibility to nearly all low income adults with incomes at or below 138 percent of the federal poverty level ($16,242 per year for an individual in 2015) with 100 percent  federal financing for the first three years, gradually decreasing to 90 percent. However, the 2012 Supreme Court ruling on the ACA’s constitutionality effectively made the expansion a state option. As of December 2015, 31 states including DC have adopted the expansion, and nearly all are implementing it as set forth by the law. A limited number of states have obtained or are seeking approval through Section 1115 waivers to implement the expansion in ways that extend beyond the flexibility provided by the law.  In some cases, these alternative models to implement the expansion are seen as a politically viable way to extend coverage and capture enhanced federal matching funds for newly eligible adults.  This page highlights some key resources examining ACA Medicaid expansion waivers and, farther down, also provides the standard search result page for a site-wide search on the “waivers” tag.
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The Henry J. Kaiser Family Foundation

Oregon Section 1115 Waiver – UPDATE

Oregon Section 1115 Waiver

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The Henry J. Kaiser Family Foundation

Medicaid as a Long-Term Care Program: Current Benefits and Flexibility

This brief focuses on one subset of “flexibility” issues: the current federal benefits and cost-sharing rules that apply with respect to long-term care.Issue Paper (.pdf)

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The Henry J. Kaiser Family Foundation

An Overview of the Independence Plus Initiative to Promote Consumer-Direction of Services in Medicaid

This issue brief provides an overview of the Independence Plus Initiative, compares core program features with the Cash and Counseling Demonstration program, and discusses several policy issues that arise in the implementation of this initiative.Issue Paper (.pdf)

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The Henry J. Kaiser Family Foundation

Florida Medicaid Reform Waiver: Early Findings and Current Status

Florida Medicaid Reform Waiver: Early Findings and Current StatusThis policy brief provides an overview of the Florida Medicaid reform and a summary of available research findings to date from various evaluators of the program. It was issued at the same time as a separate Health Affairs article highlighting findings from…

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The Henry J. Kaiser Family Foundation

Section 1115 Medicaid and SCHIP Waivers: Policy Implications of Recent Activities

This policy brief provides an overview of recent Section 1115 waivers and a discussion of key issues. The HIFA initiative, combined with state fiscal pressures, have led to an increase in the number of states seeking Section 1115 waivers. Many of these recent waivers stake out new ground in terms of the scope of changes in coverage that they permit.

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The Henry J. Kaiser Family Foundation

Tennessee Section 1115 Waiver Amendment Proposal Fact Sheet

This new fact sheet summarizes Tennessee’s proposed waiver amendment to its TennCare program, which was submitted to the federal government in September 2004.

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The Henry J. Kaiser Family Foundation

Coverage Gains Under Recent Section 1115 Waivers: A Data Update

This brief assesses the extent to which recent Section 1115 waivers have helped reduce the number of uninsured people and finds that there has been a net gain in coverage of 426,329 people under recent waivers.Issue Paper (.pdf)

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The Henry J. Kaiser Family Foundation

Medicaid Section 1115 Waivers: Current Issues

This fact sheet provides a brief introduction to Section 1115 waivers in the Medicaid program and highlights policy issues related to recent waiver activity. Fact Sheet (.pdf)

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The Henry J. Kaiser Family Foundation

Serving Low-Income Families Through Premium Assistance: A Look At Recent State Activity

This issue paper examines the policies in the HIFA waiver initiative that provide incentives for states to use Medicaid/SCHIP funds to assist in the purchase of private insurance options. It also reports on how states have responded to these new policies and what key policy questions are raised about premium…

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The Henry J. Kaiser Family Foundation

A Case Study of the Utah Primary Care Network Waiver: Insights into Its Development, Design, and Implementation

This report examines the creation and implementation of Utah’s waiver through interviews with key stakeholders and an analysis of state enrollment data and quarterly reports. Also see Health Affairs article, Can States Stretch the Medicaid Dollar Without Passing the Buck? Lessons from UtahReport (.pdf)

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The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.