Demonstration Waiver definition

Demonstration Waiver. As defined by Section 1115 of the Social Security Act, state demonstrations that give states additional flexibility to design and improve their programs by demonstrating and evaluating state-specific policy approaches to better serving Medicaid populations. Specifically, North Carolina’s amended 1115 demonstration waiver application to the federal Centers for Medicare & Medicaid Services (CMS) focuses on the specific items of the Medicaid Managed Care transformation that require CMS waiver approval (waiver #11-W00313/4; ▇▇▇▇▇://▇▇▇.▇▇▇▇▇▇▇▇.▇▇▇/Medicaid-CHIP-Program-Information/By- Topics/Waivers/1115/downloads/nc/nc-medicaid-reform-ca.pdf).
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Demonstration Waiver. As defined by Section 1115 of the Social Security Act, state demonstrations that give states additional flexibility to design and improve their programs by demonstrating and evaluating state-specific policy approaches that promote the objectives of the Medicaid program. Specifically, North Carolina’s 1115 Demonstration Waiver approved by the federal Centers for Medicare & Medicaid Services (CMS) on October 24, 2018 and revised to reflect technical amendments on April 25, 2019. Unless otherwise noted, any reference to the “1115 Demonstration Waiver” or to the “waiver” refers to the special terms and conditions of North Carolina’s amended waiver approved by CMS on April 25, 2019
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Demonstration Waiver. As defined by Section 1115 of the Social Security Act, state demonstrations that give states additional flexibility to design and improve their programs by demonstrating and evaluating state-specific policy approaches to better serving Medicaid populations. Specifically, North Carolina’s amended 1115 demonstration waiver application to the federal Centers for Medicare & Medicaid Services (CMS) focuses on the specific items of the Medicaid Managed Care transformation that require CMS waiver approval (waiver #11-W00313/4.
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Examples of Demonstration Waiver in a sentence

  • Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) – the delivery of health care services to MassHealth Standard and CommonHealth Members under the age of 21, pursuant to 42 USC 1396d(a)(4), 42 CFR Part 441, Subpart B, 130 CMR 450.140-149 and § 1115 Medicaid Research and Demonstration Waiver.

  • AwDC enrollees are covered under a federal 1115 Demonstration Waiver.

  • Medically Necessary Health Services that are within the normal scope of service and registration or licensure of Provider and for which a Covered Person is entitled to receive coverage under the Medicaid Managed Specialty Supports and Services Concurrent 1115 Demonstration Waiver, 1915(c)(i) Waiver Program(s), the Healthy Michigan program (“HMP”), the Flint 1115 Demonstration Waiver, and Substance use Disorder Community Grant Programs Agreement.

  • By signing this Agreement, the ACO stipulates that it has reviewed the Iowa Wellness Plan 1115 Demonstration Waiver Special Terms and Conditions posted at ▇▇▇▇://▇▇▇.▇▇▇.▇▇▇▇▇.▇▇.▇▇/iowa-health-and-wellness- plan.html and shall comply with the Agency in every effort to meet the Special Terms and Conditions.

  • Delivery System Reform Incentive Payment (DSRIP) – a funding program under MassHealth’s 1115 Demonstration Waiver through which EOHHS is providing payments to ACOs and other entities to support EOHHS’ delivery system reform goals.

  • Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) - the delivery of health care services to MassHealth Standard and CommonHealth Members under the age of 21, pursuant to 42 USC 1396d(a)(4), 42 CFR Part 441, Subpart B, 130 CMR 450.140-149 and § 1115 Medicaid Research and Demonstration Waiver.

  • The agreement between MDHHS and LRE for the management of 1115 Behavioral Health Demonstration Waiver Program, the Healthy Michigan Plan, 1915(c)(i) Waiver Program(s), the Healthy Michigan Program, Flint 1115 Demonstration Waiver, and Substance Use Disorder Community Grant Programs.

  • OHCS PHS - UHCKY AM04 IIPAS Contract ID: 6233-E Optum Contract ID: 00172839.2 Kentucky HEALTH refers to the Section 1115 Demonstration Waiver known as Kentucky Helping to Engage and Achieve Long Term Health (HEALTH).

  • The EQRO will review and report the following EQR activities in accordance with the Federal EQR regulations and standards detailed in CFR 42 § 438; New Mexico Administrative Code (NMAC) 8.308.21.14; 1115 Demonstration Waiver Special Terms and Conditions (STCs); MCO contracts; and the Managed Care Policy Manual.

  • The agreement between MDHHS and Lakeshore Regional Entity for the management of the 1115 Behavioral Health Demonstration Waiver Program, the Healthy Michigan Plan, 1915(c)(i) Waiver Program(s), the Healthy Michigan Program, Flint 1115 Demonstration Waiver, and Substance Use Disorder Community Grant Programs.

Related to Demonstration Waiver

  • Demonstration project means one of the following projects:

  • Demonstration means a show, seminar, or contest in which barber services are rendered for the purpose of educating barbers.

  • Locational Deliverability Area Reliability Requirement means the projected internal capacity in the Locational Deliverability Area plus the Capacity Emergency Transfer Objective for the Delivery Year, as determined by the Office of the Interconnection in connection with preparation of the Regional Transmission Expansion Plan, less the minimum internal resources required for all FRR Entities in such Locational Deliverability Area.

  • Contract Modification means any changes in the terms or provisions of the Contract which are reduced to writing and fully executed by both parties.

  • major non-compliance outcome notification means a notification received by a council under section 19N(3) or (4) of the Food Act 1984, or advice given to council by an authorized officer under that Act, of a deficiency that does not pose an immediate serious threat to public health but may do so if no remedial action is taken