Reform 2020 Section 1115 Waiver Proposal

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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.

Reform 2020 Waiver Post-Award Public Forum Slides (PDF)
Reform 2020 Public Forum: Community First Services and Supports Slides (PDF)

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.

CMS Approval Letter (PDF)
Expenditure Authorities (PDF
Special Terms and Conditions (PDF

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: Pathways to Independence waiver proposal – November 2012 (PDF)
Attachment L: Public comments (PDF)

Fact sheet summarizing key initiatives in the waiver proposal (PDF)

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