Medicaid Waivers

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Delivery System Reform Incentive Payments: Interim Evaluation Report

As part of Mathematica’s ongoing evaluation project of section 1115 demonstrations, they have released their interim findings on the DSRIP program. This report shows quantitative evidence of DSRIP motivating positive provider actions, but the program’s impact on outcomes is still unclear. Mathematica aims to release a final report on the effectiveness of DSRIP in 2019.

Short URL: http://www.advancingstates.org/node/70412

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How Might Medicaid Adults with Disabilities Be Affected By Work Requirements in Section 1115 Waiver Programs?

This issue brief from the Kaiser Family Foundation examines the implications of work requirements for Medicaid recipients with disabilities. Kaiser’s analysis finds that waivers that condition Medicaid eligibility on meeting a work requirement could affect people with disabilities who have limitations that interfere with their ability to work but do not rise to the stringent SSI level of disability.

Short URL: http://www.advancingstates.org/node/70128

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Medicaid and Work Requirements: New Guidance, State Waiver Details and Key Issues

This brief from the Kaiser Family Foundation describes what the Medicaid eligibility work requirements would be in each state, including what would count as work activities, the hours required, and what the common exemptions to the requirements would be. The brief also describes key issues to consider in implementing such requirements, such as administrative costs, potential confusion over documentation requirements and the risk that some people will lose coverage for which they remain eligible.

Short URL: http://www.advancingstates.org/node/70090

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Residential Information Systems Project Annual Report: Status and Trends Through 2015

This is a technical report about the supports and services that people with IDD receive through the State IDD agency. In addition to the report, there are state profiles, which describe status and trends for each state in the country, and a chart gallery, which is an interactive tool to view detailed data by state, year, and funding authority. Topics include ICF/IID and Medicaid Waiver recipients, expenditures and expenditures per person from 1977 to 2015.

Short URL: http://www.advancingstates.org/node/69945

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Strategies to Address the Opioid Epidemic

This letter from CMS is about how they will offer additional flexibilities to help states improve access to and quality of substance use disorder treatment through Medicaid 1115 demonstrations. CMS’s main goal is to support state initiatives to improve access to treatment by requiring less upfront administrative process barriers for approvals of state initiatives to improve access to treatment by requiring less upfront administrative process barriers for approvals of state initiatives.

Short URL: http://www.advancingstates.org/node/69901

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Medicaid Section 1915(c) Waiver Data based on the CMS 372 Report, 2013 – 2014

This report from Truven Health Analytics describes section 1915(c) home and community based services waiver programs. Over 1.6 million people received section 1915(c) waiver services in 2014; this is a 5 percent increase from 1.5 million in 2013. Furthermore, the number of section 1915(c) waiver participants has increased by an average of 4 percent per year since 2009. Participants received services for an average of 10 months in 2014, as in previous years.

Short URL: http://www.advancingstates.org/node/69849

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