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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Revised PMAP+ Waiver Renewal Request Submitted

DHS has revised the PMAP+ waiver renewal request in response to comments received from the Centers for Medicare & Medicaid Services (CMS). The waiver application was revised to include a more detailed description of changes related to the Medical Education and Research Costs (MERC) Trust Fund, an update on the post-award public forum held on May 21, 2014, additional information on quality and access to care, an updated project evaluation report at Attachment F and an updated evaluation plan at Attachment G that incorporates the extension period of 2014. The revised renewal request was submitted on August 29, 2014.

PMAP+ Waiver Renewal Application-Revised August 29, 2014 (PDF)
PMAP+ Waiver Renewal Application-Revised August 29, 2014 Attachment B
(EXCEL)
PMAP+ Waiver Renewal Application-Revised August 29, 2014 Attachment C
(EXCEL)

Proposed Renewal of PMAP+ Waiver beyond December 2014

The PMAP+ waiver authorizes federal funding for the MinnesotaCare program. DHS will seek Basic Health Plan (BHP) funding to run the MinnesotaCare program starting in 2015 instead of using the PMAP+ waiver. The PMAP+ waiver will still be necessary to continue operating some aspects of the current Medical Assistance program, including mandatory managed care for groups that would otherwise be excluded and payment of medical education and research. On June 30, 2014 DHS submitted a request to the Centers for Medicare & Medicaid Services (CMS) to renew the PMAP+ waiver through December 31, 2017.

PMAP+ Waiver Renewal Cover Letter (PDF)
PMAP+ Waiver Renewal Application
(PDF)
PMAP+ Waiver Renewal Attachment A
(PDF)
PMAP+ Waiver Renewal Attachment B
(PDF)
PMAP+ Waiver Renewal Attachment C
(PDF)
PMAP+ Waiver Renewal Attachment D
(PDF)
PMAP+ Waiver Renewal Attachment E
(PDF)
PMAP+ Waiver Renewal Attachment F
(PDF)
PMAP+ Waiver Renewal Attachment G
(PDF)
PMAP+ Waiver Renewal Attachment H
(PDF)
PMAP+ Waiver Renewal Attachment I
(PDF)
PMAP+ Waiver Renewal Attachment J
(PDF)

To request a paper copy of the proposal, please contact Quitina Cook at 651-431-2191.

Next Steps

CMS will hold a federal comment period on the proposed PMAP+ waiver renewal soon. At that time, you may submit comments directly to CMS by going to the Medicaid Waiver Page and entering Minnesota in the search box.

Post-Award Public Forum on One-Year Temporary Extension of PMAP+ Waiver

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 in December 2013. This waiver extension has allowed Minnesota to continue to provide MinnesotaCare, while preparing to transition to a Basic Health Plan in 2015. The waiver is currently approved through December 31, 2014.

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 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 21, 2014.

May 21, 2014 PMAP+ Waiver Public Forum Slides (PDF)

CMS Approves One-Year Temporary Extension of PMAP+ Waiver

On December 20, 2013 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. The waiver extension includes modifications in Minnesota’s Medical Assistance program and changes to MinnesotaCare to align the program with the requirements for a Basic Health Plan (BHP) under the Affordable Care Act. The extension ensures the continued provision of services to Minnesotan’s with incomes at or below 200 percent of the federal poverty line, in order to not disrupt coverage as the State prepares a request for a Basic Health Plan. Minnesota will continue to receive federal financial participation for the program at the state’s regular federal medical assistance percentage (FMAP) during the extension period which is set to expire December 31, 2014.

CMS Approval Letter (PDF)
Expenditure Authorities
(PDF)
Special Terms and Conditions
(PDF)
Overview of 2014 PMAP+ Waiver 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)


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