An increasing number of states are making harmful changes to their Medicaid programs using “Section 1115 waivers.” Families USA is tracking state Medicaid waivers that restrict access to quality, affordable health care for low-income families and adults. This new grid offers an overview of the status of each state’s waiver proposal, the restrictive elements of the waiver proposal, and CMS’s decision on each element.
This fact sheet provides advocates and policymakers a step-by-step overview comparing the approval process and timeline to get a SPA vs. Medicaid 1115 Waiver approved.
This analysis summarizes the SPA approval process and identifies where delays in the process might occur.
This fact sheet provides an analysis of the various strategies states utilize to generate the state share – the 10 percent- of the costs of expanding Medicaid.
Many factors could prevent numerous communities from fully participating in the 2020 Census. These factors include underfunded Census outreach, a proposed Census question asking about citizenship, and broader policy changes that could increase immigrants’ fears about responding to the Census. Without vigorous action to prevent a significant undercount, states will suffer major cuts to federal health care funding, with grim results for health care and other critical state services.
As the largest single source of health insurance and coverage for behavioral health services in the country, Medicaid plays a pivotal role in addressing substance use disorder (SUD). Medicaid covers nearly 4 in 10 non-elderly adults in the country with opioid addiction. But this coverage could go further: at least 17 percent of opioid addicts are uninsured, a rate nearly 50 percent higher than the general population.
On March 5, 2018, CMS approved Arkansas’ request to add a work requirement to its Medicaid program. Equally important, it did not approve the state’s request to roll back Medicaid eligibility to a partial Medicaid expansion. Both tell us a lot about what’s behind CMS’s approach to Medicaid waivers, and what states can expect to have, and not have, approved. View factsheet here.
CMS has approved work requirements (sometimes spun as “community engagement” requirements) in three states: Arkansas, Kentucky, and Indiana. Eight additional states have similar requests pending, and CMS appears likely to approve those requests, as well. Litigation challenging the authority of the executive branch to approve work requirements—rules that are contained nowhere in Medicaid law—have also begun.
The Center for Medicare and Medicaid Services’ approval of Kentucky’s Medicaid waiver on January 12, 2017, opens a new front in the Trump Administration’s campaign to roll back the gains in coverage and health care achieved under the Affordable Care Act and Medicaid.