Prepaid Medical Assistance Project Plus (PMAP+) Section 1115 Waiver

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.

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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. 

CMS Approves One-Year Temporary Extension of PMAP+ Waiver through December 31, 2015

On December 30, 2014, the Centers for Medicare & Medicaid Services (CMS) approved a one-year temporary extension of Minnesota’s Prepaid Medical Assistance Project Plus (PMAP+) Section 1115 waiver. DHS has secured CMS approval for BHP funding to run the MinnesotaCare program effective January 1, 2015. Even though the PMAP+ waiver is no longer necessary to continue the Minnesota Care program, several aspects of the PMAP+ waiver continue to be necessary. The PMAP+ waiver extension effective January 1, 2015, through December 31, 2015.

CMS Approval Letter (PDF)
Expenditure Authorities (PDF)

Special Terms and Conditions (PDF)

Public Input on Proposed Renewal of PMAP+ Waiver beyond December 2015

The PMAP+ waiver currently operates under a one-year extension authorized by CMS on December 30, 2014. The PMAP+ waiver provides federal authority for the following:

  • • Medical Assistance for groups not included in Minnesota’s Medicaid state plan; specifically, children ages 12 through 23 months with incomes above 275 percent of poverty and at or below 283 percent of poverty, and parents and caretaker adults with incomes at or below 133 percent of poverty who assume responsibility for and live with an 18-year-old child who is not a full-time secondary school student;
  • • Full Medical Assistance benefits for pregnant women during the period of presumptive eligibility;
  • • Mandatory enrollment of certain groups into prepaid managed care; and
  • • Payments for graduate medical education costs through the MERC fund.

  • Federal authority for the PMAP+ waiver expires on December 31, 2015. The waiver renewal request will seek to continue operating the PMAP+ waiver through December 31, 2018.

    Draft PMAP+ Waiver Renewal Request
    Draft PMAP+ Waiver Renewal Request Attachment A

    Draft PMAP+ Waiver Renewal Request Attachment B

    Draft PMAP+ Waiver Renewal Request Attachment C

    Draft PMAP+ Waiver Renewal Request Attachment D

    Draft PMAP+ Waiver Renewal Request Attachment E

    Draft PMAP+ Waiver Renewal Request Attachment F

    Draft PMAP+ Waiver Renewal Request Attachment G

    Draft PMAP+ Waiver Renewal Request Attachment H

    Draft PMAP+ Waiver Renewal Request Attachment I

    Draft PMAP+ Waiver Renewal Request Attachment J

    Draft PMAP+ Waiver Renewal Request Attachment K

    Draft PMAP+ Waiver Renewal Request Attachment L

    Public comment period
    DHS is holding a 30-day comment period from May 26, 2015 to June 24, 2015, to provide an opportunity for the public to comment on the proposed waiver renewal. DHS intends to submit the renewal request to CMS following the public comment period.

    Please submit your written comments by email to Section1115WaiverComments@state.mn.us or by mail to the address below. DHS would like to provide copies of the comments received in a format that is accessible to people with disabilities. Therefore, please submit comments in Microsoft Word format or incorporate within the email text. If you would also like to provide a signed copy of the comment letter, you may submit a second copy in Adobes PDF format or mail it to the address below.

    Mailing address:
    Marie Zimmerman
    Medicaid Director
    Minnesota Department of Human Services
    P.O. Box 64983
    St. Paul, Minnesota 55164-0983

    Public Hearings
    Two public hearings will be held to provide additional opportunity to comment on the proposed waiver renewal. You may attend either hearing by phone or in person. If you would like to attend by phone, please send an email request to Section1115WaiverComments@state.mn.us to obtain the call-in information. If you would like to attend a hearing in person, the locations for the two public hearings are provided below. If you plan to testify by phone or in person, please send an email to Section1115WaiverComments@state.mn.us indicating that you will testify.

    Public Hearing #1

    Date:

    Tuesday, June 9, 2015

    Time:

    10:00 a.m.

    Location:

    Department of Human Services, Elmer L. Andersen Human Services Building, 540 Cedar, St., St. Paul, MN 55101. Room 2223.

    (This hearing will be held in conjunction with the previously scheduled post-award public forum on the PMAP waiver)

    Public Hearing #2

    Date:

    Thursday, June 11, 2015

    Time:

    9:00 a.m.

    Location:

    Department of Human Services, 444 Lafayette Rd., St. Paul, MN 55155. Room 6146

    Link to Medicaid Waiver Page on CMS Web Site
    CMS will hold a federal comment period following DHS’ submission of the PMAP+ waiver renewal request. At that time you may submit comments directly to CMS by going to http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/Waivers.html and entering Minnesota in the search box.

    Post-Award Public Forum on PMAP+ Waiver Extension through 2015

    Under the terms of the PMAP+ waiver the Department of Human Services must hold a public forum within six months of the demonstration’s implementation, and annually therafter. The forum gives the public an opportunity to provide meaningful comment on the progress of the demonstration. The next public forum is scheduled as follows:

    PMAP Waiver Public Forum

    Date:

    June 9, 2015

    Time:

    11:00 a.m. – Noon

    Location:

    Room 2223 at the Department of Human Services, Elmer L. Andersen Human Services Building, 540 Cedar St., St. Paul, MN 55164

    You may attend the forum by phone or in person. If you would like to attend by phone, please send an email request to Section1115WaiverComments@state.mn.us to obtain call in information.

    PMAP+ Waiver Reports to CMS

    The PMAP+ 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.

    PMAP+ Demonstration Year 19
    1st Quarter Report – July 1, 2013, through September 30, 2013 (PDF)

    2nd Quarter Report – October 1, 2013, through December 31, 2013 (PDF)

    3rd Quarter Report – January 1, 2014, through March 30, 2014 (PDF)

    4th Quarter Report – April 1, 2014, through June 30, 2014 (PDF)

    Annual Report – July 1, 2013, through June 30, 2014 (PDF)


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