Medicaid Section 1115 Archives - America's Essential Hospitals

Medicaid Section 1115

CMS Approves Extension of Florida Medicaid Waiver

Aug 4, 2017 || Rachel Schwartz

The decision extends by five years the state's demonstration of a capitated Medicaid managed care program and a low-income pool to provide support for the safety net.

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Medicaid Section 1115

CMS Outlines Section 1115 Budget Neutrality Methodology Changes

Jul 24, 2017 || Rachel Schwartz

A publicly released set of slides describes dramatic restrictions to CMS' budget neutrality policy for Section 1115 waivers.

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Medicaid Section 1115

Market-Based Approaches to Medicaid Expansion

May 15, 2017 || Staff

In this new policy brief, America's Essential Hospitals examines Section 1115 waivers that use a market-based approach to expanding Medicaid.

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Medicaid Section 1115

Price, Verma Outline Medicaid Priorities

Mar 17, 2017 || Michelle Rosenfeld

The letter affirms their desire to improve the Medicaid program and the vulnerable people it serves and to ensure the program provides value to taxpayers.

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Medicaid Section 1115

States Can Use Medicaid Funds To Protect Against Zika

Jun 7, 2016 || Rachel Schwartz

A CMS bulletin reminds states that Medicaid funds can be used for prevention, diagnosis, and treatment of the Zika virus.

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Medicaid Section 1115

Health Affairs Details Medicaid’s Commitment to Access and Quality

Jul 31, 2015 || Maya Linson, MS

Articles focus on innovative waivers that support states in transforming delivery systems to improve access and quality of care. Another focus is Medicaid coverage in areas of crucial need, such as mental health care.

delivery system transformation, health care access, medicaid expansion, medicaid section 1115, mental health

Medicaid Section 1115

Government Funding for Substance Abuse Treatment

Jul 29, 2015 || Matthew Buechner

States may apply for a Section 1115 Medicaid waiver to support innovative care delivery for substance abuse disorder. SAMHSA, HRSA to also offer funding opportunities.

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Medicaid Section 1115

CMS Will Fast-Track Certain Section 1115 Waiver Renewals

Jul 29, 2015 || Matthew Buechner

Proposed renewals must be for demonstrations that are working effectively and have no major or complex policy changes. Certain waivers that use the enhanced FMAP are ineligible.

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Medicaid Section 1115

MACPAC: DSRIPs Are Challenging But Beneficial

Jun 16, 2015 || Matthew Buechner

MACPAC's report to Congress touts potential of DSRIP programs to transform Medicaid reimbursement and improve health outcomes, also addresses the challenge and calls for clear and consistent federal guidance.

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Medicaid Section 1115

GAO Calls for Transparency in Medicaid Waiver Demonstration Programs

May 19, 2015 || Matthew Buechner

Calls for HHS to establish specific criteria for approval, document how programs will address the health of low-income populations, and ensure federal funding is not duplicated.

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Medicaid Section 1115

Association Urges CMS to Ensure Medicaid Payment Sustainability

Apr 28, 2015 || Matthew Buechner

In an April 28 letter, the association urged CMS to adopt a holistic view of how payment mechanisms impact essential hospitals, including sustainable base payment rates, Medicaid waivers to address uncompensated care, and DSRIP waivers.

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Medicaid Section 1115

MACPAC Report to Congress Examines CHIP, Premium Assistance Waivers

Mar 17, 2015 || Zina Gontscharow

Report includes potential impact if CHIP was to expire, Section 1115 waivers used to expand Medicaid coverage, and other aspects of Medicaid payment policy.

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Medicaid Section 1115

The Complex Situation Surrounding Patients’ Immigration Status

Nov 12, 2014 || Gabrielle Lessard

Essential hospitals face barriers in providing care to immigrant populations. They must find unique ways to address the complexity surrounding immigration status for their patients.

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Medicaid Section 1115

Medicaid Incentive Programs: Hospital Perspectives from Three States

Sep 18, 2014 || Staff

The third in a series of waiver-related briefs, this research brief summarizes perspectives from hospital leaders in Massachusetts, California, and Texas.

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Medicaid Section 1115

Budget Neutrality Concerns for Arkansas Expansion Waiver

Sep 9, 2014 || Matthew Buechner

GAO found that HHS did not ensure budget neutrality when approving Arkansas' Medicaid expansion waiver. Issues include lack of data to corroborate state assumptions and state flexibility to expand spending limits.

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Medicaid Section 1115

Medicaid Incentive Programs: Extending the Reach of Health Care Transformation

Jun 30, 2014 || Staff

Using case studies and related research, America's Essential Hospitals describes how waiver-based incentive programs support essential hospitals' delivery system reform.

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Medicaid Section 1115

Association Releases Medicaid Incentive Program Brief

Jun 24, 2014 || Matthew Buechner

America’s Essential Hospitals released a policy brief that discusses approaches to extending the reach of health care transformation through Medicaid waiver incentive programs.

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Medicaid Section 1115

CMS Issues Guidance on Provider-Related Donations under Medicaid

May 13, 2014 || Staff

CMS will not approve SPAs that include non-bona fide donations as a portion, or all, of the non-federal share of Medicaid payments. Payment methodologies contingent upon the receipt of a non-bona fide donation would also be grounds for disapproval of an SPA.

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Medicaid Section 1115