This web page aggregates monitoring data on authorized Medicaid emergency authorities to handle the COVID-19 Coronavirus emergency. We embrace particulars on Medicaid Catastrophe Aid State Plan Amendments (SPAs), different Medicaid and CHIP SPAs, and different state-reported administrative actions; Part 1115 Waivers; Part 1135 Waivers; and 1915 (c) Waiver Appendix Okay methods. This web page is up to date on a weekly foundation.
Contents of Tracker:
Emergency Authority Detailed Tables:
Go to our State Knowledge and Coverage Actions COVID-19 Tracker for extra information on state responses to COVID-19, and our particular coronavirus matter web page for all our assets.
Authorised Medicaid Emergency Authorities as of December 21, 2020
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Medicaid and CHIP State Plan Amendments and Different State-Reported Administrative Actions to Handle COVID-19: This desk summarizes adjustments authorized by way of Medicaid Catastrophe Aid SPAs and different Medicaid and CHIP SPAs based mostly on approvals posted to Medicaid.gov, and likewise consists of data on state-reported administrative actions to reply to COVID-19 based mostly on overview of state Medicaid company and different state-level web sites. CMS has offered a template for states to request approval of Medicaid Catastrophe Aid State Plan Amendments (SPAs) associated to the COVID-19 Nationwide Emergency. The Catastrophe Aid SPA permits states to make short-term adjustments to their Medicaid state plans and deal with entry and protection points throughout the COVID-19 emergency. States may make adjustments by way of conventional SPAs and might implement adjustments beneath present authority that don’t require SPA approval. (Word that some state-reported actions might require and/or are pending SPA approval.) Knowledge beneath the “Telehealth” header are offered by Manatt Well being (for extra data see notes beneath the desk). Whereas this desk captures state-reported actions taken in response to the COVID-19 emergency, there may be appreciable variation throughout states and states might have adopted coverage choices previous to the emergency that aren’t mirrored right here. Any data on state actions that aren’t recognized right here could be shared right here (please choose Medicaid as the subject for remark).
SPA and Different Administrative Actions to Handle COVID-19 as of December 21, 2020
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Part 1115 Waivers to Handle COVID-19: In response to the COVID-19 public well being emergency, CMS developed a brand new Medicaid Part 1115 demonstration alternative and software template. These demonstrations can be utilized to increase HCBS flexibilities accessible beneath 1915 (c) house and community-based providers waiver Appendix Okay (individually detailed on this tracker) to beneficiaries receiving long-term providers and helps (LTSS) beneath SPA authorities (comparable to 1915 (i) state plan HCBS and 1915 (ok) Neighborhood First Selection) and to permit for applicant self-attestation of assets for the aim of figuring out eligibility for sure teams. CMS may additionally think about approving different provisions beneath this demonstration alternative. State and federal public remark durations and funds neutrality necessities won’t apply; nonetheless, states should full a closing monitoring and analysis report one yr after the demonstration ends. These demonstrations could be retroactive to March 1, 2020 and can expire no later than 60 days after the top of the general public well being emergency.
Authorised Part 1115 Waivers to Handle COVID-19 as of December 21, 2020
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Part 1135 Waivers to Handle COVID-19: If the President has declared an emergency or catastrophe and the Secretary of Well being and Human Providers (HHS) has declared a public well being emergency, the Secretary can use Part 1135 authority to waive or modify sure Medicare, Medicaid, and CHIP necessities to make sure that enough well being care gadgets and providers can be found to fulfill the wants of Medicaid enrollees in affected areas. On March 13, 2020, President Trump issued a proclamation that the COVID-19 outbreak in the USA constitutes a nationwide emergency, starting March 1, 2020. After this declaration, the Heart for Medicare and Medicaid Providers (CMS) issued blanket Part 1135 waivers for a lot of Medicare provisions. Moreover, states are in a position to undergo CMS for approval Part 1135 waivers for Medicaid provisions. These authorized state waivers are summarized within the desk beneath.
Authorised Part 1135 Waivers to Handle COVID-19 as of December 21, 2020
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Part 1915 (c) Waiver Appendix Okay Methods to Handle COVID-19: Most Medicaid house and community-based providers (HCBS) are offered by way of Part 1915 (c) waivers. Different states use Part 1115 to authorize HCBS that might have been offered beneath Part 1915 (c). The desk beneath consists of Appendix Okay approvals for each 1915 (c) and 1115 HCBS waivers. States can use Part 1915 (c) waiver Appendix Okay to amend both of those HCBS waivers to reply to an emergency. For instance, states can modify or broaden HCBS eligibility or providers, modify or droop service planning and supply necessities, and undertake insurance policies to assist suppliers. CMS has posted a pattern Appendix Okay template for COVID-19 for COVID-19 waiver modification requests.
Authorised Part 1915 (c) Waiver Appendix Okay Methods to Handle COVID-19 as of December 21, 2020