Building on the work of the Alliance for Health the State of Illinois is launching an effort to develop a Path to Transformation Medicaid Waiver under the Centers for Medicare and Medicaid Services waiver authority, Section 1115 of the Social Security Act. This section gives the Secretary of Health and Human Services authority to approve experimental, pilot, or demonstration projects that promote the objectives of the Medicaid and CHIP programs and that differ from federal program rules. The purpose of these demonstrations, which give States additional flexibility to design and improve their programs, is to demonstrate and evaluate policy approaches such as:
- Expanding eligibility to individuals who are not otherwise Medicaid or CHIP eligible
- Providing services not typically covered by Medicaid such as supportive housing
- Using innovative service delivery systems that improve care, increase efficiency, and reduce costs.
Waivers are generally approved for five years and must result in federal expenditures that are less than or equal to what would have been spent in the absence of the waiver. As we look to establish a more integrated, rational, and efficient healthcare delivery system, we need input from stakeholders to help shape the goals and key strategies of the waiver.
Stakeholder Engagement meeting regarding Illinois' Medicaid 1115 Waiver Application Draft
Representatives from the Governor's Office, Health Management Associates (HMA), and Health & Medicine Policy Research Group (HMPRG) will be available to discuss, answer questions, and hear comments regarding a draft of the application for the Medicaid 1115 Waiver, which will be made available in advance of the Stakeholder Meetings.
Three meetings will be held:
• Meeting A: Thursday, December 19, 2013: 1:00 - 2:45pm at the Thompson Center, Legislative Hearing Room 16-503, 16th floor (Register here
• Meeting B: Thursday, December 19, 2013: 3:00- 4:45pm at the Thompson Center, Legislative Hearing Room 16-503, 16th floor (Register here
• Meeting C: Friday, December 20, 2013: 10:00 - 11:45am, via webinar (Register here
As before, seating is limited, so we ask that you RSVP for only one of the in-person meetings (either Meeting A or B) and send only one person per organization. Meeting C will be a webinar that can be accessed online or participants can call in for audio. The webinar has been set up to facilitate participation for all stakeholders. Videoconference, webinar, and teleconference options will not be available for Meetings A or B on December 19. The same information will be presented at each meeting, and a summary of public comments will be made available.
In November, stakeholders had the opportunity to discuss the Path to Transformation Concept Paper. Written comments were submitted to HMPRG and are being taken into consideration as HMA develops the 1115 Waiver application. The meetings on December 19 and 20 will focus on the draft waiver application.
October 18, 2013 Stakeholder kick-off meeting
Oct. 18-Dec. 13, 2013 Stakeholder meetings
November 5, 2013 Concept paper finalized
December 13, 2013 First draft of waiver proposal
January 5, 2014 Draft waiver posted for comment
January 15, 2014 Final waiver w/comments posted
February 15, 2014 Waiver submitted to CMS
1115 Waiver Kick-Off Meeting Slides
Kick-Off Meeting Attendance List
Slides from November 14, 2013
1115 Waiver Concept Paper