Waivers and Demonstrations Archive

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  • NHeLP Comments: Healthy Ohio Program Section 1115 Demonstration

    Leo Cuello

    In comments to U.S. Department of Health and Human Services Secretary Sylvia Burwell, NHeLP Director of Health Policy Leonardo Cuello explains why HHS should reject Ohio's application for a Section 1115 demonstration waiver, stating that Ohio is seeking "numerous provisions unauthorized by any federal law and harmful to enrollees."

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  • Medicaid Expansion State Waiver Chart

    This chart shows the major waivers requested and approved in section 1115 demonstrations to implement Medicaid expansion in the six states that have been approved for such demonstrations. (This chart was updated in August 2017.)

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  • Q&A: Person Centered Planning Changes

    Due to regulatory changes and guidance issued over the past year, states should have evaluated and likely changed their person-centered planning process for home and community-based services.  This Q&A focuses less on the regulatory changes and more on the important features of the current requirements for person-centered planning and…

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  • Key Takeaways for Medicaid Health Expense Accounts

    States reluctant to accept federal funds for the Affordable Care Act's adult Medicaid expansion have proposed health expense accounts as a mechanism to "brand" their expansion as different. These accounts add administrative complexity, cost, and likely impede beneficiaries' access to care. The Healthy Indiana Plan (HIP), implemented in 2008…

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  • Q&A: Health Expense Accounts in Medicaid

    In considering whether to accept federal funds for the Affordable Care Act's (ACA) adult Medicaid expansion, several states have turned to approaches that establish individual accounts for beneficiaries to manage their Medicaid expenses. The Healthy Indiana Plan (HIP), implemented in 2008 and renewed with changes in 2015, was the first demonstration…

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  • MAGI, Streamlined Applications, and Medicaid Family Planning Expansions

    Erin Armstrong, External Source, and

    The Affordable Care Act (ACA) requires states implement a uniform methodology for determining income - modified adjusted gross income (MAGI) - in their eligibility determinations for Medicaid and for premium subsidies in the health insurance marketplaces. The ACA also requires states to move to a single, streamlined application (SSA),…

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