Author Archives: Annie Melia

HMAIS Medicaid Managed Care Rate Certifications Inventory

A state-by-state listing of Medicaid managed care rate certifications available on the HMAIS website is presented in the data package below. The data package contains direct links to the rate certifications.

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Market Overview PDF

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DE Diamond State Health Plan Section 1115 Waiver Documents, 2014-24

1. Delaware Section 1115 Waiver Extension Approval May 17, 2024
2. Delaware Section 1115 Waiver Extension Request December 30, 2022
3. Delaware Section 1115 Proposed Waiver Amendment July 6, 2022
4. Delaware Section 1115 Draft Waiver Amendment Request Public Notice, May 2022
5. Delaware Section 1115 Draft Waiver Amendment May 11, 2022
6. Delaware Section 1115 Waiver Extension and Amendment Approval, July 31, 2019
7. Delaware Section 1115 Budget Neutrality Report, Quarter 2, 2019
8. Delaware Section 1115 Budget Neutrality Report, Quarter 3, 2019
9. Delaware Section 1115 Waiver Amendment Request, June 29, 2018
10. Delaware Section 1115 Waiver Extension Request, June 22, 2018
11. Delaware Section 1115 Waiver Demonstration Interim Evaluation Report, Jun 2018
12. Delaware Section 1115 Waiver Amendment Approval, December 2017
13. Delaware Section 1115 Waiver Pending Application, Delaware Diamond State Health Plan, 2014
14. Delaware Section 1115 Waiver Demonstration Approval, Delaware Diamond State Health Plan, 2014
15. Delaware Section 1115 Waiver Fact Sheet, Delaware Diamond State Health Plan

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IL Medical Programs External Quality Review Annual Reports, FY 2012-23

Illinois Department of Healthcare and Family Services, Division of Medical Programs External Quality Review Annual Reports, State Fiscal Years 2012-23.

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VT Global Commitment to Health 1115 Waiver Documents, 2015-24

1. Vermont Section 1115 Global Commitment to Health Demonstration Amendment, April 30, 2024
2. Vermont Section 1115 Global Commitment to Health Demonstration Renewal Application, June 29, 2021
3. Vermont Section 1115 Demonstration Approval, January 28, 2020
4. Vermont Section 1115 Demonstration Budget Neutrality Sheet, 2Q19
5. Vermont Section 1115 Demonstration Fact Sheet, July 2018
6. Vermont Section 1115 Demonstration Substance Use Disorder Amendment Request, January 2018
7. Vermont Section 1115 Demonstration Extension Approval, Global Commitment to Health, 2016
8. Vermont Section 1115 Demonstration Approval, Global Commitment to Health, 2015
9. Vermont Section 1115 Fact Sheet, Global Commitment to Health, 2005
10. Vermont Section 1115 Demonstration Approval, Global Commitment to Health, Pending Extension Application, December 2015

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Market Overview PDF

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MI Section 1115 Behavioral Health Waiver (Formerly Pathways to Integration) Documents, 2016-24

1. Michigan Section 1115 Waiver for Behavioral Health Extension Request, Submitted April 1, 2024
2. Michigan Section 1115 Waiver for Behavioral Health Demonstration Approval, September 30, 2022
3. Michigan Section 1115 Waiver for Behavioral Health Amendment Request, Submitted July 5, 2022
4. Michigan Section 1115 Waiver for Behavioral Health (Formerly Pathway to Integration) Initial Approval, April 9, 2019
5. Michigan Section 1115 Waiver for Behavioral Health (Formerly Pathway to Integration), Submitted to CMS June 2016

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Market Overview PDF

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TN Medicaid Quality Assessment and Performance Improvement Strategy Reports, 2013-23

Tennessee Medicaid Quality Assessment and Performance Improvement Strategy Reports, 2013-23

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UT Medicaid ACO Contracts, 2017-24

1. UT ACO Contracts SFY 2024
2-5. UT ACO Contracts, SFY 2023
6-9. UT ACO Contracts, January 1, 2018 – December 31, 2022
10-17. UT ACO Contracts, January 1, 2017 – December 31, 2017

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