Reform 2020 Section 1115 Waiver Proposal

Medicaid Waivers Email List Established

This is a free email subscription service that allows you to receive one-way email notification when new information is available about Medicaid waivers such as the Family Planning Program waiver, the Reform 2020 waiver, the Prepaid Medical Assistance Plus or PMAP+ waiver, the Minnesota SeniorCare plus waiver, and new waiver applications.  Subscribers will receive emails when DHS is seeking public comment on items that will be submitted for federal approval, when requests for federal authority are submitted to the federal government, and when waiver requests have been approved or denied. 

You may subscribe to the Medicaid Waivers email list by clicking on Subscriptions and selecting “subscribe” from the drop-down list. If at a later date you decide that you no longer want to receive emails from the Medicaid Waivers email list, you may go to Subscriptions and select “unsubscribe” from the drop-down list.

Additional Opportunities to Receive Updates

The Medicaid Waivers email list does not focus on the waivers that allow Minnesota to provide home and community-based services.  If you would like to receive additional information specific to Minnesota’s Elderly Waiver and Alternative Care Program, go to Subscriptions to subscribe.

If you would like to receive information specific to Minnesota’s home and community-based waivers for persons with disabilities, go to Subscriptions for instructions about signing up for the home and community-based waiver programs electronic mailing list.  Subscribers to this list will receive information regarding the waivers that allow Minnesota to provide specialized services under the Community Alternative Care (CAC), Community Alternatives for Disabled Individuals (CADI), Developmental Disabilities (DD), and Brain Injury (BI) waivers.

You may also be interested in subscribing to the Medicaid and CHIP State Plan Amendments list, which provides email notification when new information is available regarding amendments to Minnesota’s Medicaid and CHIP state plan. A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.  Please go to Subscriptions to subscribe.

You may sign up for as many or as few lists as you like.  With a subscription, you automatically get the updated information on the items of interest to you. You can unsubscribe at any time.

For more information about the Medicaid Waivers email list and other lists, please go to Subscriptions. Thank you for your interest in Medicaid waivers.  Please forward this email to others who may wish to subscribe to the Medicaid Waivers email list. 

Post-Award Public Forum on 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.

Under the terms of the Reform 2020 waiver the Department of Human Services must hold a public forum within six months of the demonstration’s implementation, and annually thereafter, to afford the public with an opportunity to provide meaningful comment on the progress of the demonstration. A public forum to discuss the implementation of the waiver was held on May 22, 2014.

CMS Approves Reform 2020 Section 1115 Waiver

On October 18, 2013 the Department of Human Services (DHS) received approval from the Centers for Medicare and Medicaid Services (CMS) for federal financial participation (FFP) on the Alternative Care program. This approval relates to the contingency items that were a part of Reform 2020. As required by Minnesota Laws 2013, DHS submitted a plan for investing the state dollars made available by the enhanced FFP for Alternative Care to Minnesota Management and Budget (MMB). This plan for the contingency items includes investments in proposals that were passed by the legislature: Enhancing Vulnerable Adult Protection; First Contact – Simplification, Access and Transition Support; HCBS Critical Access Study and Service Development; and Work – Empower and Encourage Independence. This plan was approved by MMB on October 30, 2013.


DHS thanks everyone who has participated in the public input processes for Reform 2020. Your continued input and engagement is appreciated.

Reform 2020 Section 1115 Waiver Request Submitted November 2012


Reform 2020 Waiver Reports to CMS

  • The Reform 2020 waiver special terms and conditions require the state to proide updates on the program’s implementation to CMS. Reports are submitted on a quarterly and
  • annual basis.
  • Reform 2020 Demonstration Year I


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