Get the free Partnership Plan Medicaid Section 1115 Demonstration - health ny

This document outlines the special terms and conditions for New York's Partnership Plan Medicaid Section 1115 Demonstration extension, detailing federal involvement, state obligations, program goals,

How to fill out partnership plan medicaid section

How to fill out Partnership Plan Medicaid Section 1115 Demonstration

1. Gather necessary documentation including financial information and medical history.
2. Identify the key stakeholders and partners involved in the partnership.
3. Review the guidelines and requirements for the Medicaid Section 1115 Demonstration.
4. Outline the objectives and goals of the partnership plan.
5. Develop a comprehensive plan that addresses each requirement set forth by Medicaid.
6. Include a budget and funding sources for the demonstration project.
7. Submit the completed partnership plan to the relevant Medicaid authority for review.

Who needs Partnership Plan Medicaid Section 1115 Demonstration?

1. State Medicaid programs looking to implement innovative healthcare solutions.
2. Healthcare providers interested in increasing access to services for underserved populations.
3. Organizations aiming to test new delivery system models in a controlled environment.
4. Policy makers seeking to evaluate the effectiveness of Medicaid services.

People Also Ask about

What is the primary goal of section 1115 of the Social Security Act?

Authority & Purpose. Under Section 1115 of the Social Security Act, the Secretary of Health and Human Services (HHS) can waive certain federal Medicaid requirements. In addition, the Secretary may permit states to use federal Medicaid funds in ways that are not otherwise allowed.

What are the special terms and conditions for the 1115 waiver?

Each §1115 waiver includes a list of Special Terms and Conditions (STCs) that detail the budget neutrality of the demonstration, the extent of federal involvement in the demonstration, and the evaluation process for determining the demonstration's spending and enrollment.

What is the difference between a 1115 and 1332 waiver?

An 1115 waiver is a “Demonstration Project” waiver. “1115” is the section of the Social Security Act that outlines the purposes and limitations of these waivers. A 1332 waiver is an “innovation waiver.” It allows states to waive certain federal requirements for private insurance and marketplace coverage.

What is section 1115 Medicaid Waiver?

Section 1115 demonstrations and waiver authorities in section 1915 of the Social Security Act are vehicles states can use to test new or existing ways to deliver and pay for health care services in Medicaid and the Children's Health Insurance Program (CHIP).

What is the 1115 waiver for Medicaid in NY?

The 1115 waiver, also known as the MRT Waiver in New York State, is an agreement between the federal Centers for Medicare and Medicaid Services (CMS) and New York State that allows the State to use a managed care delivery system to deliver benefits to Medicaid recipients, create efficiencies in the Medicaid program,

What are the special terms and conditions for the 1115 waiver?

Each §1115 waiver includes a list of Special Terms and Conditions (STCs) that detail the budget neutrality of the demonstration, the extent of federal involvement in the demonstration, and the evaluation process for determining the demonstration's spending and enrollment.

What is the NY 1115 waiver?

New York State Medicaid received approval for its Medicaid 1115 waiver from the Centers for Medicare and Medicaid Services to improve the overall quality and health outcomes of New Yorkers. The waiver includes an investment of $7 billion statewide over a three-year period through March 2027.

How many states have the 1115 waiver?

Section 1115 Benefit Changes - Select Benefit Expansions Waiver Provision# of States with Approved Waiver Behavioral Health & Other Community-Based Benefit Expansions* Approved: 24 States (AK, AR, AZ, CA, DE, FL, HI, IL, KS, KY, MA, MD, ME, MT, NC, NJ, NM, NY, OR, RI, VA, VT, WA, WV)2 more rows • May 2, 2025

For pdfFiller’s FAQs

What is Partnership Plan Medicaid Section 1115 Demonstration?

The Partnership Plan Medicaid Section 1115 Demonstration is a program that allows states to test new approaches in Medicaid that differ from federal program rules. It aims to improve health outcomes and control costs by providing more flexibility in utilizing federal Medicaid funds.

Who is required to file Partnership Plan Medicaid Section 1115 Demonstration?

States that choose to participate in the Partnership Plan Medicaid Section 1115 Demonstration are required to file an application with the Centers for Medicare & Medicaid Services (CMS) to request approval for their specific demonstration project.

How to fill out Partnership Plan Medicaid Section 1115 Demonstration?

Filling out the Partnership Plan Medicaid Section 1115 Demonstration requires states to provide detailed information including program objectives, design, evaluation plans, and budget details, as per guidelines issued by the CMS. States must closely follow the application instructions provided by CMS.

What is the purpose of Partnership Plan Medicaid Section 1115 Demonstration?

The purpose of the Partnership Plan Medicaid Section 1115 Demonstration is to facilitate state innovation in healthcare delivery, enhance service quality, increase access to care for beneficiaries, and promote cost-effectiveness in Medicaid spending.

What information must be reported on Partnership Plan Medicaid Section 1115 Demonstration?

States must report various information including enrollment data, service utilization statistics, budget expenditures, performance measures, and evaluation results as specified in their approved demonstration plans to ensure compliance with federal requirements.