let s talk about the illinois waiver proposal
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Let’s talk about the Illinois Waiver Proposal. FIRST What is a Waiver ? and Why is it important?. No! Not that kind of Waiver!. No! Not that kind of Waiver!. This news is about a Waiver! BUT… What’s a Waiver?. A “WAIVER” is:

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first what is a waiver and why is it important

What is a Waiver?


Why is it important?

no not that kind of waiver

Not that kind of Waiver!

no not that kind of waiver1

Not that kind of Waiver!

this news is about a waiver but what s a waiver
This news is about

a Waiver!


What’s a Waiver?

A “WAIVER” is:

an agreement between the federal government and the state that exempts the state from certain provisions of the federal Medicaid law.


illinois plans to ask the federal government for a waiver but a waiver of what
Medicaid Waiver

Illinois plans to ask the federal government for a Waiver!


a Waiver of what?

medicaid waiver

Medicaid Waiver


Why is that important to

Supportive Housing Providers?

Medicaid Waiver


A WAIVER of Section 1115 of the Social Security Act concerning Medicaid!


What is Section 1115 of the

Social Security Act?

Medicaid Waiver

Section 1115

is for Research and Demonstration Projects

States can apply for program

flexibility to test new or existing

approaches to financing and

delivering MEDICAID

medicaid waiver1
Section 1115 of the Social Security Act
  • gives the Secretary of Health and Human Services authority to approve State proposed
  • Experimental projects
  • Pilot projects, or
  • Demonstration projects
  • that promote the objectives of the Medicaid programs

Medicaid Waiver

medicaid waiver2
Section 1115 Demonstrations
  • can be approved for years
  • can be renewed, typically for an additional years
  • Demonstrations must be “budget neutral” to the Federal government (less than or equal to what would have been spent in the absence of the waiver)

Medicaid Waiver

medicaid waiver3
States may ask to demonstrate and evaluate policy approaches such as:
  • Expanding eligibility to individuals who are not otherwise Medicaid eligible
  • Providing services not typically
  • covered by Medicaid
  • Using innovative service delivery systems
  • that improve care, increase efficiency, and
  • reduce costs.

Medicaid Waiver

medicaid waiver5

Illinois recently announced plans to submit a Waiver application in February, 2015.

Medicaid Waiver

medicaid waiver6
  • The State has indicated interested
  • to include:
  • supportive housing services and
  • supportive housing
  • as covered services under this Waiver application!!!!

Medicaid Waiver

medicaid waiver7
Lots of Questions?

SHPA needs to be actively involved as this Waiver proposal is developed.

Opportunity exists!

Stay tuned!!

Here’s the State’s Plan

Medicaid Waiver

medicaid waiver8
Waiver Timeline

October 18, 2013 - Stakeholder kick-off meeting

November 5, 2013 - Concept paper finalized

December 13, 2013 - First draft of waiver proposal

Oct. 18-Dec. 13, 2013 - Stakeholder meetings

January 5, 2014 - Draft waiver posted for comment

January 15, 2014 - Final waiver w/comments posted

February 15, 2014 - Waiver submitted to CMS


Medicaid Waiver