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

Health care > Waivers

Current approved waiver

The Prepaid Medical Assistance Project Plus (PMAP+) Section 1115 waiver gives Minnesota authority to provide Medical Assistance (MA) and MinnesotaCare services to people who would not otherwise have been eligible.

Waiver extension request

The PMAP+ waiver is currently approved until Dec. 31, 2013. DHS submitted a placeholder request to renew the current waiver under its current terms (PDF). A 30-day public comment period was held Dec. 3, 2012 to Jan. 2, 2013.

DHS may amend the waiver extension request after the 2013 legislative session, which is expected to focus on health care reform, to reflect any changes in state law. If amended, a public comment period will be held.

Waiver amendment request

DHS is seeking several amendments to the current PMAP+ waiver as a result of actions taken by the 2011 and 2012 Minnesota Legislatures, including the creation of the Healthy Minnesota Contribution Program for adults without children with incomes above 200 percent and up to 250 percent of the federal poverty guidelines.

A 30-day public comment period was announced in the Oct. 15, 2012 State Register (PDF) and closed Nov 14, 2012. Public hearings were held Oct. 24 and Oct. 26, 2012.

DHS submitted the final waiver amendment request to the Centers for Medicare & Medicaid Services (CMS) on Jan. 24, 2013.

Cover letter (PDF)
PMAP+ Special Terms and Conditions with proposed amendments (PDF)
PMAP+ Waiver and Expenditure Authorities with proposed amendments (PDF)
Attachment B (PDF)
Summary table of legislative changes requiring PMAP+ amendments (PDF)
Budget neutrality spreadsheet (PDF), Budget neutrality spreadsheet (XLS)
To request a paper copy of the proposal, please contact Quitina Cook at 651-431-2191.