Explains what Medicaid Section 1115 waivers are and how advocates can take advantage of new rules that give them a bigger voice in the waiver process.
Of the 23 states that have not expanded Medicaid, 15 have gubernatorial races in November—setting the stage for potential Medicaid expansion in 2015.Our infographic shows the five states where the outcome of the governor’s race could be pivotal.
This is the first in a series of analyses that examines the impact of efforts by conservative states to use Section 1115 waivers to modify their Medicaid expansions. Our analysis uses data these states report to CMS. First up: How charging Medicaid patients premiums hurts their care and state budgets.
With this decision, CMS is making it clear that policies that make it harder for the lowest-income people in the program to get health care are inconsistent with the goals of Medicaid. The decision also defined some boundaries regarding what is and is not appropriate for approval through the Medicaid waiver process.
What are uncompensated care pools (also known as a “low-income pool” in Florida)? And why are they getting attention now? This short analysis explains what these pools are and how they relate to the CMS process of approving Medicaid Section 1115 waivers.
Several states are still considering expanding their Medicaid programs, and many will use Medicaid waivers for these expansions. This guide tells advocates when and how they can engage in the Medicaid waiver process.
Missouri’s 1115 waiver program, named the Missouri Mental Health Crisis Prevention Program, was recently submitted to the Centers for Medicare and Medicaid Services (CMS) and is awaiting approval. The goal of Missouri’s waiver is admirable. Unfortunately, this special population waiver program spends more to provide less coverage for fewer people.
Just last month, legislation was signed in California that created the state’s insurance exchange, making California the first state to establish an insurance exchange since the Affordable Care Act passed! If that wasn’t enough good news for you, we just heard more good news from the Golden State this week: On Tuesday, the federal government approved a five-year, $10 billion dollar “Bridge to Reform” plan to expand and improve California’s Medicaid program.
In a nutshell, California’s Bridge to Reform plan will:
The Comprehensive Medicaid Waiver recently submitted to the federal government by the Department of Human Services will not include a major reduction in the eligibility level for parents in NJ FamilyCare.
Explains the two ways states can change their Medicaid programs, including an at-a-glance comparison chart; discusses what advocates should do based on which option their state uses.