How Medicaid Section 1115 Waivers Are Evolving: Early Insights About What to Watch
How Medicaid Section 1115 Waivers Are Evolving: Early Insights About What to Watch – Issue Brief
Medicaid.gov, About Section 1115 Demonstrations (last accessed Oct. 24, 2017), https://www.medicaid.gov/medicaid/section-1115-demo/about-1115/index.html.
Although the final regulations involving public notice do not require a state-level public comment period for amendments to existing/ongoing demonstrations, CMS has historically applied these regulations to amendments. CMS guidance also encourages states to comply with public notice regulations when making changes that affect benefits, cost sharing, eligibility, and delivery systems. CMS, SHO#12-001 (April 27, 2012), https://www.medicaid.gov/federal-policy-guidance/downloads/sho-12-001.pdf.