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How States Exercise Flexibility under a Medicaid State Plan


How States Exercise Flexibility under a Medicaid State Plan

Federal law sets broad requirements for Medicaid and mandates coverage of some populations and benefits, while leaving others optional. Each state, however…

Federal Medicaid Requirements and State Options - MACPAC

Advising Congress on Medicaid and CHIP Policy. Federal Requirements and State Options: How states exercise flexibility under a Medicaid state plan. Medicaid ...

Medicaid Flexibilities 101 - National Conference of State Legislatures

State and territorial legislatures can exercise flexibility in the Medicaid program through the Medicaid state plan and waivers.

The Medicaid Toolkit - National Conference of State Legislatures

States legislatures play a key role in Medicaid financing, regulation, oversight and innovation. This toolkit provides information on all ...

State Plan Flexibilities - Medicaid

Medicaid State Plan Disaster Relief State Plan Amendments In response to a public health emergency or disaster, states may wish to revise policies in their ...

Medicaid Flexibilities to Address Health-Related Social Needs

States can broadly make these changes in three ways: through a state plan amendment, managed care flexibilities, or a waiver. This document is a ...

State Responses to New Flexibility in Medicaid - PMC

Since 2001, more than half the states have changed their Medicaid programs, through either Medicaid waivers or provisions in the Deficit Reduction Act of 2005.

An Overview of State Approaches to Adopting the Medicaid Expansion

However, all states are required to use a SPA to implement ACA expansion coverage, regardless of whether they also are seeking or have approval ...

States Are Using Flexibility to Create Successful, Innovative ...

State Medicaid programs across the country are tailoring services and models of care to local needs in ways that streamline health care delivery and improve ...

Medicaid Program; Ensuring Access to Medicaid Services

The provisions of each State's Medicaid program are described in the Medicaid “State plan ... We have provided States with flexibility to ...

State Flexibility to Stabilize the Market Grants - CMS

... under Part A of Title XXVII of the PHS Act. Click on a State below to learn how that State plans to spend its grant funds. State Flexibility ...

State Flexibility for Medicaid Benefit Packages | U.S. GAO

CMS concluded that, because the final rule does not mandate state participation in using beneficiary plans, there is no obligation for states to make any change ...

Medicaid 101 - KFF

Because states have the flexibility to determine what populations and services to cover, how to deliver care, and how much to reimburse ...

Extension of Temporary Unwinding-Related Flexibilities - Medicaid

3 Some states implemented temporary state plan changes utilizing a Medicaid or CHIP disaster relief state plan ... flexibility, please ...

Most States Plan to Continue Medicaid Home and Community ...

During the COVID-19 public health emergency (PHE), states received approval from the federal government to implement Appendix K amendments ...

State Medicaid Plans and Waivers - CMS

This waiver, which may be provided under a state's Medicaid plan, allows the state to provide certain HCBS to people who have incomes lower ...

States Can Improve Health Outcomes and Lower Costs in Medicaid ...

While the Supreme Court made health reform's Medicaid expansion a state-by-state decision, the expansion provides an explicit pathway for states ...

Medicaid Program; State Flexibility for Medicaid Benefit Packages

That rule provides States increased flexibility under an approved State plan to define the scope of covered medical assistance by offering ...

State Flexibility for Medicaid: How Much? - JAMA Network

State flexibility has long been integral to Medicaid. After Medicaid was decoupled from the welfare system in the 1996 welfare reforms, states ...

42 CFR Part 430 Subpart B -- State Plans - eCFR

A State plan for Medicaid consists of a standardized template, issued and updated by CMS, that includes both basic requirements and individualized content that ...