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The Henry J. Kaiser Family Foundation

The New Review and Approval Process Rule for Section 1115 Medicaid and CHIP Demonstration Waivers

For many years, Section 1115 waivers have been used in the Medicaid program to provide states an avenue to test and implement coverage approaches that do not meet federal program rules, but there have been longstanding concerns about the lack of public input and transparency in the waiver approval process.…

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The Henry J. Kaiser Family Foundation

State-Specific Section 1115 Waiver Fact Sheets

The Kaiser Commission on Medicaid and the Uninsured is closely following waiver activity to provide information on how these waivers are impacting the uninsured and affecting Medicaid and SCHIP and the coverage provided to low-income beneficiaries. Tennessee Section 1115 Waiver Amendment Proposal Fact SheetCalifornia Section 1115 Waiver Fact SheetColorado Section…

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The Henry J. Kaiser Family Foundation

New Developments in Medicaid Coverage: Who Bears Financial Risk and Responsibility?

A few recent state Medicaid initiatives have emerged that take the program into new directions. States have expressed a number of objectives in developing these approaches, including offering beneficiaries greater choice, promoting personal responsibility and healthier behaviors among enrollees, and, in some cases, relying more heavily on the private marketplace.…

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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

Premium Assistance in Medicaid and CHIP: An Overview of Current Options and Implications of the Affordable Care Act

Premium assistance is the use of public funds through Medicaid or the Children’s Health Insurance Program (CHIP) to purchase private coverage. States have pursued premium assistance with varied objectives, including covering parents not otherwise eligible for public coverage and promoting the use of private coverage. Implementation of the Affordable Care…

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The Henry J. Kaiser Family Foundation

Medicaid Expansion Through Marketplace Premium Assistance

This fact sheet compares the two Medicaid premium assistance authorities (state plan option and demonstration waiver) and identifies key beneficiary protections in Medicaid expansion premium assistance programs.

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The Henry J. Kaiser Family Foundation

Wisconsin’s BadgerCare Program and the ACA

This fact sheet provides an overview of changes to BadgerCare, Wisconsin’s 1115 waiver demonstration project, and how it relates to the Affordable Care Act’s Medicaid expansion.

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The Henry J. Kaiser Family Foundation

Medicaid Expansion in Arkansas

This fact sheet summarizes key features of AR’s Medicaid expansion waiver.

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The Henry J. Kaiser Family Foundation

Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS

This issue brief compares the financial alignment demonstrations for beneficiaries who are dually eligible for Medicare and Medicaid in states that have memoranda of understanding approved by the Centers for Medicare and Medicaid Services.

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The Henry J. Kaiser Family Foundation

Transitioning Beneficiaries with Complex Care Needs to Medicaid Managed Care: Insights from California

This brief examines how health service providers, plan administrators, and community-based organizations in Contra Costa, Kern, and Los Angeles Counties experienced the transition of Medi-Cal-only seniors and persons with disabilities (SPDs) to managed care as part of the state’s “Bridge to Reform” Medicaid waiver. Findings presented may inform similar transitions of high-need beneficiaries in other states and coverage expansions in 2014 under the Affordable Care Act.

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