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.

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Additional Opportunities to Receive Updates

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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 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 woman during the period of presumptive eligibility;
  • • Mandatory enrollment of certain groups into prepaid managed care; and
  • • Payments of graduate medical education costs through the MERC fund.

  • CMS Approval Letter (PDF)
    Expenditure Authorities (PDF)

    Special Terms and Conditions (PDF)

    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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