Uncharted Territory: Current Trends in Section 1115 Demonstrations

Download Download file    (.pdf, 393.8 KB)

Date: 03/14/06
Author: Theresa Sachs, Jenna Walls, and Isabel Friedenzohn
Publisher: AcademyHealth, State Coverage Initiatives
Type: Policy brief
Level: State

Description:
Policy brief examining new directions in recent Section 1115 demonstration approvals and proposals in seven states including California. It is important to note, however, that the recently passed Deficit Reduction Act of 2005 provides states new authority to make changes in benefit design and cost-sharing through the state plan amendment process, as opposed to submitting waivers, and could change the face of waivers going forward. Whether states in the future will rely on the new federal changes or continue to use 1115 demonstrations as a vehicle for reforming their Medicaid programs remains to be seen.

Categories: