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- February 1, 2023
CMS Establishes Guardrails for Section 1115 Demonstrations for Justice-Involved Individuals in California Waiver
Read moreSince Medicaid’s inception, the program has not covered services for any adult who is an “inmate of a public institution,." However, CMS recently granted a first-of-its-kind section 1115 “reentry demonstration” in California, creating a temporary, limited carve-out to the "inmate exclusion." Under the terms of the demonstration, California will…
- November 8, 2022
Case Summary: Georgia v. Brooks-LaSure – Medicaid Work Requirements Reappear
Jane Perkins and Erica Turret* Fact Sheet, Guide, Case ExplainerRead moreA federal court in Georgia has set aside a decision by the Centers for Medicare & Medicaid Services (CMS) that had rescinded the work requirement and premium components of a section 1115 Medicaid project. The US Department of Justice did not appeal the ruling. Georgia becomes the only state…
- October 13, 2022
NHeLP Comments on California Section 1115 Demonstration Five-Year Renewal and Amendment Request: CalAIM Demonstration
Read moreIn comments to HHS, NHeLP urges the Secretary to reject California's plan to renew its Institution for Mental Diseases (IMD) waiver for Medi-Cal beneficiaries with SUD. The comments emphasize concerns with flexibilities sought by the State to allow for longer stays at IMDs for both minors and adults. In…
- October 5, 2022
Comments on Missouri Section 1115 Request for Federal Funding for Institutions for Mental Disease (IMDs) for Children and Adults
Read moreIn these comments, NHeLP urges HHS to reject Missouri's request for federal financial participation for institutions for mental disease, as increasing federal funding for institutional care risks serious harm, particularly for children. NHeLP objects to the use of Section 1115 for this purpose, and to the request to eliminate…
- September 16, 2022
Washington Medicaid Transformation Project Demonstration Extension Request
Read moreIn comments to the Department of Health and Human Services, the National Health Law Program urges HHS to ensure that appropriate guardrails are placed on any Medicaid funding for prison, jail, and other institutional re-entry, to ensure that it is used strictly for services that aid in reentry and…
