Tag archives: Section 1115

CMS Releases Block Grant Guidance to States

In a State Medicaid Director Letter issued on January 30, 2020, CMS released its long anticipated guidance to states on implementing block grants as a mechanism of Medicaid financing.  State Medicaid Director Letter 20-001 announced the “Healthy Adult Opportunity” initiative (“HAO”) that will allow states to receive block grant funding for non-disabled adults under the … Continue reading

Medicaid Update: South Carolina Becomes the First Non-Expansion State Approved to Implement Medicaid Work Requirements

On Thursday, December 12, 2019, the Trump administration announced its approval of South Carolina’s request to condition Medicaid eligibility on work or community engagement activities.  In a joint statement released on Thursday by CMS Administrator Seema Verma and South Carolina Governor Henry McMaster, Governor McMaster stated that “[i]n this economy, there is no excuse for … Continue reading

MEDICAID UPDATE: New Hampshire Work Requirements Vacated / Utah’s Partial Expansion Request

New Hampshire “We’ve all seen this movie before” – Judge James Boasberg, Philbrick v. Azar On July 29 HHS approval of work and community engagement requirements as a condition of eligibility for Medicaid was again found to be arbitrary and capricious.  This time Judge James Boasberg ruled that New Hampshire’s efforts to impose work requirements … Continue reading

MEDICAID ALERT: Work and community engagement requirements blocked by federal court

“As Opening Day arrives, the Court finds its guiding principle in Yogi Berra’s aphorism, “It’s déjà vu all over again.”” – Judge James Boasberg, Gresham v. Azar. On March 27, United States District Court for the District of Columbia Judge James Boasberg ruled that Department of Health & Human Services Secretary Azar’s approval of work … Continue reading

Medicaid update: CMS again approves Kentucky HEALTH Medicaid demonstration

On November 20, 2018, the Centers for Medicare & Medicaid Services (“CMS”) again approved the Kentucky HEALTH 1115 demonstration.  Kentucky HEALTH  was the first Section 1115 demonstration that CMS approved with a work and community engagement requirement as a condition of eligibility for coverage under Medicaid.  The demonstration requires certain Medicaid beneficiaries to engage in … Continue reading
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