Reform 2020 Section 1115 Waiver Proposal

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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.

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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:


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


Reform 2020 Demonstration Year II


Reform 2020 Demonstration Year III


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