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Prepaid Medical Assistance Project Plus (PMAP+) Section 1115 Waiver
Federal Comment Period Open on PMAP+ Waiver Renewal Request
The federal comment period for the PMAP+ waiver renewal request opened on September 15, 2014 and will remain open until October 15, 2014. You may submit comments directly to CMS by going to the CMS Medicaid Waivers Web Page. DHS submitted a request to the Centers for Medicare & Medicaid Services (CMS) to renew the PMAP+ waiver through December 31, 2017.
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.
You may also be interested in subscribing to the Medicaid and CHIP State Plan Amendments list, which provides email notification when new information is available regarding amendments to Minnesota’s Medicaid and CHIP state plan. A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state. Please go to Subscriptions to subscribe.
You may sign up for as many or as few lists as you like. With a subscription, you automatically get the updated information on the items of interest to you. You can unsubscribe at any time.
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.
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)
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)
To request a paper copy of the proposal, please contact Quitina Cook at 651-431-2191.
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.
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.
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
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