Reform 2020 Section 1115 Waiver Proposal

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Reform 2020 Section 1115 Waiver

The Centers for Medicare & Medicaid Services (CMS) approved Minnesota’s section 1115 demonstration project, entitled Reform 2020 in October 2013.

The five year demonstration provides federal support for the Alternative Care program, which provides supports to help seniors at risk of nursing home placement to stay in their homes. The Reform 2020 demonstration waiver will also provide access to expanded self-directed options under the Community First Services and Supports (CFSS) program for people who would not otherwise be eligible for these services. Implementation of this part of the demonstration is contingent upon Federal approval of additional state plan and waiver authority

The following documents provide additional information:

  • CMS Approval Letter (PDF)
  • Expenditure Authorities (PDF)
  • Special Terms and Conditions (PDF)
  • Reform 2020: Pathways to Independence waiver proposal – November 2012 (PDF)
  • Attachment L: Public comments (PDF)
  • Fact sheet summarizing key initiatives in the waiver proposal (PDF)

  • Reform 2020 Waiver Reports to CMS

    The Reform 2020 waiver special terms and conditions require the state to provide updates on the program’s implementation to CMS. Reports are submitted on a quarterly and annual basis. These reports are listed below for each quarter.

    Reform 2020 Demonstration Year I

  • Quarterly reports for Demonstration Year I (PDF)

  • Reform 2020 Demonstration Year II

  • Quarterly reports for Demonstration Year II (PDF)
  • Annual report for Demonstration Year II – July 1, 2014, through June 30, 2015 (PDF)

  • Reform 2020 Demonstration Year III

  • Quarterly reports for Demonstration Year III (PDF)
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