Family Planning 1115 Waiver – In 2002 the Arkansas implemented a Family Planning (FP) waiver which had a three-year extension which extends Medicaid eligibility to include women ages 14 through 44 between 133% and 200% of the Federal Poverty Level (FPL).

Section 1115 Waiver – Pending approval for a statewide demonstration program that provides up to two prescriptions per month to Arkansas residents aged 65 and over, with incomes at or below 90 percent of the Federal Poverty Level (FPL) and who are receiving Qualified Medicare Beneficiary (QMB) benefits.

Section 1115 Waiver – In 2004, California received approval to provide aged, blind and disabled adults and children with self directed personal care assistance and service delivery options.

Section 1115 Waiver – In 2004, Colorado received approved to promote self-direction for persons receiving community supports.

Section 1115 Waiver – Proposed in 2002, this waiver would have created the Colorado Family Planning Medicaid Expansion Project which would seek a Medicaid waiver to provide family planning services to persons with incomes at or below 150% of the federal poverty level. WITHDRAWN

Section 1115 Waiver – Submitted in 2001, this project would expand the eligibility of the ConnPACE program to elderly and disabled individuals up to 300% of the federal poverty level (FPL) and convert the ConnPACE program from a solely State-funded program to a pharmacy-only coverage within the Medicaid program. PENDING

Section 1115 Waiver – Submitted in 2002, under this Demonstration project, the State is seeking a waiver of federal law to change the start date of the penalty for improper transfers of assets from the first day of the month of the transfer to the first day of eligibility for Medicaid LTC services. PENDING

Section 1115 Waiver – In 2002, the Delaware Healthy Adult Program was proposed to provide health insurance coverage to an additional 7,075 residents of the State of Delaware with incomes at or below 200% of the Federal poverty level. The increased coverage will be funded by current State and Federal SCHIP allotment shares and required program premiums. DISAPPROVED

Section 1115 Waiver – In 2002, this demonstration was proposed as a statewide program that would provide a prescription drug benefit to elderly and disabled adults below 200% of the Federal Poverty Level or with prescription expenses exceeding 40% of income. DISAPPROVED

Section 1115 Waiver – Approved by the CMS in 2002, DC was given a waiver to expand Medicaid benefits to HIV positive individuals.

Section 1115 Waiver – Pending approval, The DC HIFA would provide health insurance coverage to an additional 1,800 residents of the District of Columbia with incomes at or below 200% of the Federal poverty level.

Florida Medicaid Reform Waiver – In 2005, Florida received approval for its Medicaid Reform waiver. The approved waiver will be submitted to the legislature for authority to implement the program. The waiver does not expand eligibility; however, it makes significant changes to the program.

Section Waiver 1115 – In 2005, Florida received approval to implement the Florida MEDS-AD demonstration which provides coverage for certain aged and disabled individuals with incomes up to 88 percent of the Federal poverty level.

Section 1115 Waiver – In 2002, this demonstration was proposed as a statewide program that would extend pharmacy services and related medical management interventions to qualified individuals whose income is at or below 300 percent of the Federal Poverty Level (FPL). The demonstration would provide prescription drugs to individuals at the Medicaid price plus a dispensing fee. For each prescription filled by a retail pharmacy, the State will pay $1.00 for the first year of the program, $5.00 in the second year, $7.00 in the third and fourth year and $8.00 in the fifth year. DISAPPROVED

Section 1115 Waiver- In 2002, CMS approved Illinois’ application to provide comprehensive pharmacy benefits, with primary care coordination to low-income seniors.

1115 Family Planning Waiver – In 2003, the Illinois Family Planning Expansion Project was approved to extend Medicaid eligibility for family planning services to Medicaid-participating, child-bearing aged women (19-44) who would otherwise lose eligibility. The demonstration provides for a comprehensive set of family planning services and related services and contains provisions to enhance access to primary care services.

Section 1115 Waiver – In 2006, Iowa received approval for the Iowa Family Planning Demonstration Project that extends Medicaid eligibility for family planning services to Medicaid-participating child-bearing aged women from the age of 13 through 44 with incomes at or below 200 percent of the Federal Poverty Level (FPL).

Section 1115 Waiver – Submitted in 2005, Louisiana requested a waiver to pool its Disproportionate Share Hospital (DSH) allotment and use the funds to increase the availability of health insurance coverage and provide greater access to primary health care services for non-Medicaid individuals with income of less than 200% of the federal poverty level (FPL). WITHDRAWN

HIFA Waiver – In 2002, Maine received approval from CMS for a HIFA waiver to expand health insurance coverage to childless adults with incomes at or below 125 percent FPL by redirecting a portion of its disproportionate share hospital allocation to cover this population.

Family Planning 1115 Waiver – In 2006, this demonstration would allow Massachusetts to extend Medicaid(MassHealth) eligibility for family planning services to women and men of childbearing age with incomes at or below 200% of the federal poverty level who would not otherwise qualify for MassHealth. NO FURTHER ACTION TAKEN

Section 1115 Waiver – In 2006, Michigan received approval to extends Medicaid eligibility for family planning services to child-bearing aged women from the age of 19 through 44, who are not otherwise eligible for Medicaid, the State’s Health Insurance Flexibility and Accountability Demonstration (HIFA) or other coverage that provides family planning services, with incomes at or below 185 percent of the Federal Poverty Level (FPL).

Section 1115 Waiver – In 2001, Minnesota received approval from CMS to implement an SCHIP demonstration which allows the state to claim Title XXI funds for parents and relative caretakers of Medicaid and SCHIP eligible children with family incomes up to 200 percent FPL.

HIFA Waiver – In 2000 Minnesota proposed a waiver that would provide expanded health insurance coverage to an additional 115,000 residents of the State of Minnesota with incomes at or below 275 percent of the Federal poverty level. INACTIVE

Section 1115 Waiver – In 2004, Mississippi received a waiver  to cover a portion of an optional Medicaid eligibility group (called the “Poverty Level Aged and Disabled” group) that was eliminated from the State Plan.

Family Planning 1115 Waiver – In 2007 Missouri proposed a waiver that would expand coverage to uninsured women who lose their Medicaid coverage 60 days after the birth of their child.  These women would then be eligible for another year of coverage.  This wavier is currently under review by CMS.

HIFA Demonstration Waiver – In 2003, New Jersey received approval from CMS to modify the SCHIP 1115 waiver.  The waiver modification standardized coverage to uninsured parents and relative caretakers of children in the Medicaid and SCHIP programs whose incomes are at or below 133 percent FPL to that of the parents between 134 percent and 200 percent FPL, which was a standard commercial benefit package.

Section 1115 Waiver – In 1999, New Mexico was approved to implement its title XXI Medicaid expansion to cover children through age 18 in families with income from 185 percent up to 235 percent of the Federal Poverty Level (FPL). New Mexico operates its Title XXI State Children’s Health Insurance Program (SCHIP) Medicaid expansion through this demonstration. This demonstration permits the state to implement co-payment requirements and a 6-month waiting period for the demonstration population.

HIFA Waiver – In 2002, New Mexico was approved to cover uninsured parents of Medicaid and SCHIP children, as well as childless adults, in a partnership with employers in the State. Those eligible for coverage will include uninsured parents of Medicaid and SCHIP children, who are themselves ineligible for Medicaid under the State’s current rules, with incomes up to 200 percent of the Federal poverty level ($36,200 for a family of four). Adults without dependent children, who are otherwise ineligible for Medicaid, will also be eligible with incomes up to 200 percent of FPL. The State will use unspent SCHIP funds to pay for the coverage expansion.

Section 1115 Waiver – Originally approved in 1996, New York’s section 1115 Medicaid demonstration, the Partnership Plan, was re-approved in 2006 and extended for three more years. The demonstration moved approximately 2 million Medicaid beneficiaries from a primarily fee-for-service delivery system to a mandatory managed care environment. In 2001, the Family Health Plus (FHPlus) amendment was approved. FHPlus expanded health insurance to childless adults to 100 percent FPL, and expanded coverage to parents to 150 percent FPL. Prior to 2001, these populations were covered in the state’s Safety Net program. FHPlus is delivered via managed care organizations and has a smaller benefit package versus traditional Medicaid. A Family Planning waiver was also amended in 2003 under the Partnership Plan and expanded family planning services to individuals with net incomes at or below 200 percent FPL.

Section 1115 Waiver – In 2006, CMS approved a three year extension of the Oklahoma SoonerCare Program. The SoonerCare demonstration operates under a Primary Care Case Management model in which the Oklahoma Health Care Authority contracts directly with primary care providers throughout the State to provide basic health care services.  Eligibility includes TANF related children and adults, and non-Medicare Aged, Blind and Disabled. In 2005 the State expanded eligibility to Low Income Non-Disabled Workers and Spouses, Working Disabled and TEFRA Children.  This waiver extends coverage an additional 50,000 residents of the State of Oklahoma with incomes at or below 185 percent FPL in the Oklahoma Employer/Employee Partnership for Insurance Coverage (O-EPIC).

Section 1115 Waiver – In 1999, Oregon was approved to extend Medicaid coverage for family planning services to women and men with a family income between 100 and 185 percent of FPL and teens based on their own income up to 185 percent of FPL.

HIFA Waiver – In 2002, the state applied for both an 1115 and HIFA waiver to amend and expand the state’s existing 1115 waiver  to expand coverage to individuals with incomes below 185 percent. The effort separated the Medicaid program into two benefit packages.

Section 1115 Medicaid Waiver –  Re-approved in 2005 and extended for three years, the state implemented theRhode Island RIte Care demonstration, which provides families on the Family Independence Program and eligible uninsured pregnant women, parents, and children up to age 19 with comprehensive health coverage. The demonstration expanded coverage to children ages 1-6 between 133 and 250 percent FPL, infants ages 0-1 between 185 and 250 percent FPL, children 6-18 between 110 and 250 percent FPL, parents up to 185 percent FPL, and pregnant women between 185 and 250 percent FPL.

Section 1115 SCHIP Demonstration – Renewed in 2005, the state received approval to implement a demonstration that would allow the state to claim Title XXI funding for parents of Medicaid or SCHIP-eligible children with incomes between 100 percent and 185 percent FPL and pregnant women with incomes between 185 percent and 250 percent FPL.

Section 1115 Waiver – Submitted in 2002, this demonstration is a statewide program that would extend pharmacy services and related medical management interventions to certain low-income adults with disabilities and seniors with incomes at or below 200 percent of the Federal Poverty Level (FPL). The current state-only programs Rhode Island Pharmacy Assistance Program for the Elderly (RIPAE), General Public Assistance Program (GPA), and Community Medical Assistance Program (CMAP) will be partially subsumed by the demonstration. The RIx+ demonstration proposed to cover not more than 40,000 enrollees. PENDING

Family Planning 1115 Waiver – Re-approved for a three year extension in 2005, South Carolina’s Family Planning waiver provides medically necessary services and supplies related to birth control, pregnancy prevention and preventive services to all women with incomes at or below 185% of the Federal Poverty Level (FPL) who would not otherwise qualify for Medicaid or any other coverage that includes family planning services.

Section 1115 Waiver – Submitted in 2005, this waiver would expand Medicaid eligibility to two different groups.  As specified in the South Carolina Healthy Connections proposal, the first group is comprised of other uninsured family members that are enrolled in employer group plans as part of “family” coverage, but are otherwise ineligible for Medicaid on their own.  The second groups is those recipients that lose eligibility due to change in circumstances but have a balance in their PHA represent a second expansion group.  These individuals would remain eligible for medical services for a period of 12 months or until the PHA funds are exhausted, whichever occurs first. PENDING

Section 1115 Waiver – In 2007, Texas was approved to implement the SCHIP Cost Share 1115 waiver which sets the cost-sharing limits for children in families with incomes above 133 percent of the Federal poverty level (FPL) up to and including 150 percent of the FPL. This waiver institutes a $25 enrollment fee every 6 months upon initial enrollment and re-enrollment.

HIFA Waiver –  Submitted in 2007, Texas introduced the 3-Share Plan which would will provide health insurance coverage to an additional 3,525 residents of the State of Texas, Galveston County with incomes at/below 200% of the Federal poverty level. PENDING

Section 1115 Waiver – In September of 2005, the Centers for Medicare & Medicaid Services (CMS) approved Vermont’s new Section 1115 waiver, the Global Commitment to Health. Vermont will manage its Medicaid program within a five-year, $4.7 billion budget and the state will be financially at risk to keep expenditures below this target.

Section 1115 Waiver – In 2005 CMS approved The Vermont Long-Term Care Plan, as is a statewide initiative to rebalance long-term care services through managing nursing facility admissions and increasing community-based options.

Section 1115 Waiver –  In 2005, Virginia was approved to implement the FAMIS MOMS program that expands services to pregnant women from over 133% through 200% of the FPL.

Family Planning 1115 Waiver – Approved in 2001, this demonstration is a stand-alone five-year statewide effort with Federal financial assistance to reduce the number of unintended pregnancies in low income populations and the associated costs of maternity and child care by providing comprehensive family planning educational and medical services, intensified in certain areas of the state.

Family Planning 1115 Waiver – In 2002, Wisconsin was approved  to extend Medicaid eligibility for family planning services to women 15-44 years of age whose income is at or below 185% of the Federal Poverty Level (FPL).

HIFA Waiver – Submitted in 2007, Wyoming proposed the CHIP 4 Parents program, which would provide health insurance coverage to an additional 3,720 residents of the State of Wyoming, with incomes at or below 200% of the Federal Poverty Level. PENDING