Medicaid 1115 Block Grant Waivers

Letter to Secretary Azar from Chairman Pallone, June 26, 2019

HHS.2019.6.26.

CMS Administrator Seema Verma’s speech to state Medicaid directors, November 12, 2019

https://www.cms.gov/newsroom/press-releases/cms-administrator-seema-vermas-speech-national-association-medicaid-directors-washington-dc

 

ARKANSAS

 

NEW YORK

Waiver amendment approval, March 31, 2014

ny-partnership-plan-amendment-approval-03312014

Waiver amendment approval, April 14, 2014

ny-partnership-plan-cms-dsrip-amend-appvl-04142014

Waiver amendment approval, December 7, 2016

ny-medicaid-rdsgn-team-appvl-120716

 

RHODE ISLAND

Global Waiver application, March 2008

RIGlobalConsumerChoiceCompactWaiverFinal3-26-08toCMSmodified

Global Waiver legislation, 2008

2008 Rhode Island General Laws

Global Waiver Approval, January 16, 2009

GlobalWaiverFinal1-09

American Action Forum paper, 2011

OHC_NGA Winter Meeting_Medicaid_Final Draft

CBPP paper, 2011

3-16-11health2

RWJ paper, 2013

RI_Global_Waiver_Brief_FINAL

 

TENNESSEE

HB 1280, as it passed the Tennessee House [?]

HB1280

Tennessee Senate GOP press release, April 16, 2019

NEW AMENDMENT ENSURES FULL FUNDING AND MAXIMUM FLEXIBILITY IN PROPOSED TENNCARE BLOCK GRANT WAIVER PROGRAM

Center for Nonprofit Management column, April 17, 2019

https://www.cnm.org/CNMMembership/Links/Blog/April-2019/Medicaid-Block-Grant-for-Tennessee

Knoxville Ledger story, April 18, 2019

http://www.tnledger.com/knoxville/editorial/ArticleEmail.aspx?id=116857&print=1

The Tennessee bill as enacted, I think …

CC0016

American Cancer Society, etc., letter, July 25, 2019

tennessee-health-partner

Tennesseean story, September 2, 2019

https://www.tennessean.com/story/news/politics/2019/09/03/bill-lee-block-grant-tennessee-medicaid-tenncare/2165394001/

Tennessee public hearing notice, September 17, 2019

Amendment42ComprehensiveNotice

Tennessee block grant waiver Amendment 42 (draft), September 17, 2019

TennCareAmendment42

Washington Post story, September 17, 2019

https://beta.washingtonpost.com/health/tennessee-becomes-first-state-with-a-plan-to-turn-medicaid-into-a-block-grant/2019/09/17/9a4ba518-d88e-11e9-ac63-3016711543fe_story.html

Andy Schneider analysis, September 25, 2019

Tennessee Medicaid “Block Grant” Proposal: Imagination Gone Wild

Tennessee updated public hearing notice, October 4, 2019

Amendment42ComprehensiveNotice updated 10 4 19

Tennessee frequently asked questions

TennCareAmendment42FAQs

Tennessee commentary on misunderstandings

Amendment42MisunderstandingsClarifyingFacts

Tennessee public comments

PublicCommentsOnAmendment42

 

UTAH

Proposed amendment, Aug. 15, 2017

Utah ‘acceptance,’ April 26, 2019

ut-primary-care-network-state-acceptance-ltr-20190426-1

State web site’s explanation

https://medicaid.utah.gov/expansion

State expansion implementation toolkit

UTAH MEDICAID EXPANSION_ Toolkit

Utah proposal, May 31, 2019

Utah 1115 Demonstration Application- Per Capita Cap- 31May2019

Utah waiver amendment proposal, November 1, 2019

Utah 1115 Waiver Amendment-Fallback Plan

CMS completeness letter, November 7, 2019

ut-primary-care-network-cms-cmplt-ltr-fallback-20191107

 

 

ALASKA?

KTOO story, 4/3/19

https://www.ktoo.org/2019/04/03/alaska-aims-to-be-first-state-receiving-federal-medicaid-funding-as-a-block-grant/

Letter from Gov. Dunleavy to Pres. Trump, 3/1/19

2019-March-GOA-Correspondence

The Hill story, 4/4/19

https://thehill.com/policy/healthcare/437369-trump-administration-urging-alaska-to-apply-for-medicaid-block-grant

Washington Examiner story, 4/4/19

https://www.washingtonexaminer.com/policy/healthcare/republican-governor-seeks-for-alaska-to-be-first-state-to-get-medicaid-as-a-block-grant

Georgetown discussion of 1115 waiver policy more generally, putting Alaska in context, 4/5/19

https://ccf.georgetown.edu/2019/04/05/where-does-the-trump-administrations-medicaid-waiver-policy-go-next/

Midnight Sun AK roundup, 4/5/19

http://midnightsunak.com/2019/04/05/friday-in-the-sun-april-5-the-fiscal-responsibility-matters-edition/

Alaska Landmine Sunday Minefield, 4/7/19

https://alaskalandmine.com/landmines/the-sunday-minefield-april-7-2019/

Anchorage Daily News story, 4/14/19

https://www.adn.com/politics/2019/04/14/alaska-advocacy-groups-push-back-on-dunleavys-interest-in-block-grant-funding-for-medicaid/

ANCOR story, 4/15/19

https://ancor.org/newsroom/news/worrisome-tremors-trump-administration-works-state-route-medicaid-block-grants

Daily Kos story, 4/18/19

https://www.dailykos.com/stories/1851269

Dermot Cole commentary, 4/19/19

https://www.dermotcole.com/reportingfromalaska/2019/4/18/health-commissioner-says-that-contrary-to-trump-letter-state-isnt-seeking-medicaid-block-grant

Barbara Norton column, 4/23/19

https://www.adn.com/opinions/2019/04/24/making-medicaid-a-block-grant-will-endanger-alaskans/

Dermot Cole column, 5/16/19

https://www.dermotcole.com/reportingfromalaska/2019/5/15/in-another-reversal-state-now-says-it-will-study-block-grant-for-medicaid

ADN story, 5/20/19

https://www.adn.com/business-economy/2019/05/20/alaska-health-department-seeks-review-of-its-medicaid-overhaul-plan/

Proof of Concept Analysis request for proposals

IRFP_190000114_ProofOfConceptAnalysis

Amendment, 5/17

IRFP_190000114_Amendment_1

Alaska Journal of Commerce story, 6/5/19

http://www.alaskajournal.com/2019-06-05/state-awards-contract-medicaid-block-grant-study

Alaska Mental Health Trust Authority webinar, I, 7/18/19

AK-Trust-Block-Grant-Session-1-Slides-final

Audio from session I

 

 

Alaska Mental Health Trust Authority, webinar 2, July 23, 2019

Key considerations for negotiating the budget for a Medicaid block grant

Watch the full presentation video and audio

Download the presentation slides

July 23, 2019, 9:30-11:00 am

Public Consulting Group, “Proof of Concept” paper, August 5, 2019

pcg_medicaid_reportl

Alaska Journal of Commerce story, August 14, 2019

http://www.alaskajournal.com/2019-08-14/report-concludes-private-medicaid-doable-costs-uncertain

Alaska Mental Health Trust Authority, webinar 3, August 20, 2019

Key considerations for negotiating the terms and conditions of the block grant

Watch the full presentation video and audio

Download the presentation slides

August 20, 2019, 9:30-11:00 am

 

 

Dear State Medicaid Director letter on budget neutrality, August 22, 2018

smd18009

 

ALASKA LEGISLATIVE PROPOSALS

HB 135 / SB 112, introduced 4/15/19

Transmittal letter, 4/12/19

HB 135 Governor’s Transmittal Letter 4 15 19

HB 135

HB0135A

SB 112

SB0112A

Fiscal note 1 (Corrections)

HB0135-1-2-041519-COR-N

Fiscal note 2 (Div. of Insurance)

HB0135-2-2-041519-CED-Y

Fiscal note 3 (DHSS — Behavioral Health)

HB0135-3-2-041519-DHS-Y

Fiscal note 4 (DHSS)

HB0135-4-2-041519-DHS-Y

Fiscal note 5 (DHSS)

HB0135-5-2-041519-DHS-Y

Fiscal note 6 (DHSS)

HB0135-6-3-041519-DHS-Y

Fiscal note 7 (DHSS)

HB0135-7-2-041519-DHS-Y

Fiscal note 8 (DHSS)

HB0135-8-2-041519-DHS-Y

Section by section [date?]

SB 112 detailed sectional analysis – with incorrect HB 135 analysis

 

Commonwealth Fund paper on Arkansas private option, 2017

https://www.commonwealthfund.org/publications/issue-briefs/2017/feb/evidence-private-option-arkansas-experience

CMS approval of Arkansas private option waiver, September 27, 2013

ar-private-option-app-ltr-09272013