Waiver Renewal

Welcome to the Waiver Renewal Resource Page.  The Department of Health Care Services (DHCS), in consultation with the Legislature and other stakeholders, has been working toward a renewal of our existing federal 1115 waiver that will expire this year.  This webpage provides resources to those who are interested in the waiver renewal process and would like to contribute to the effort.

DHCS has created an e-mail service (listserv) for interested stakeholders such as advocates, consumers, counties, legislative staff, providers, and state associations to register to receive relevant updates on department program initiatives or new projects where stakeholder input is desired. This e-mail service will be used to notify interested stakeholders on the waiver renewal efforts.

Subscribe here if you wish to be added to this e-mail service.

Please email questions, comments, or concerns to WaiverRenewal@dhcs.ca.gov

All documents posted on this page are in Adobe Acrobat (PDF) format except when stated.

Latest Waiver Renewal news

• 1115 Waiver Approval Letter (DHCS) - November 2, 2010
• 1115 Waiver Approval Letter (CMS) - November 2, 2010
• 1115 Waiver Special Terms and Conditions
• Attachment P - March 17, 2011
• Attachment Q - Infrastructure Development, Innovation and Redesign Improvement Projects (Categories 1 & 2) - March 17, 2011
• Attachment Q - Patient Focused Improvements (Category 3) - April 7, 2011
• Attachment Q - Urgent Improvement in Quality and Safety Superset of Interventions (Category 4) - March 17, 2011
• Approval Letter for Attachment P & Q - March 17, 2011 
• 1115 Waiver Authority
• 1115 Expenditure Authority
• Important Update-CMS 60 day Extension Request
• Important Update-CMS 60 day Extension Request-Approval

DHCS DIRECTOR's MESSAGE

• DHCS Director's Message: August 6, 2009  
• DHCS Director's Message: September 17, 2009
• DHCS Director's Message: October 19, 2009
• DHCS Director's Message: December 16, 2009 

RECORDED CONFERENCE

Approval of 1115 Waiver for Stakeholder Committee WEBINAR - November 4, 2010 - Webinar Summary

https://www1.gotomeeting.com/register/342289728 

 David Maxwell-Jolly 1115 Waiver Approval Presentation

MEDICAL HOME WEBINAR ~ February 26, 2010

Click the following link to play the archived conference in Flash format

Registration link: https://cc.callinfo.com/cc/playback/Playback.do?id=g9pdot

Help link: https://cc.callinfo.com/cc/help/ArchivePlaybackInfo.html

Speaker Presentations

• Medical Homes for Children with Special Needs
• Health Care Homes: Working with Vulnerable Populations
• The Pt-Centered Medical Home in the California Safety Net
• From the Practice of the Past to the Practice of the Future
• Agenda
• Patient-Centered Medical Home From Vision to Reality
• Disruptive Innovation for a New Primary Care Model
• Enhanced Medical Home for Medi-Cal's SPD Population
• Initial Lessons from NDP on Practice Transformation to a PCMH
• California Medi-Cal Waiver Options

Concept Paper

• Draft Concept Paper - October 19, 2009
• Final Concept Paper - December 16, 2009

Stakeholder Information

• Stakeholder Advisory Committee Member List - December 31, 2009 
• Save the Date: November 2nd Stakeholder Discussion
• DHCS Concept Paper Stakeholder Meeting PowerPoint Presentation - November 2, 2009

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Resource Documents  

• Medi-Cal Managed Care Quarterly Reports to the Legislature
• Interim Evaluation of the Health Care Coverage Initiative in California – August 13, 2009, UCLA Center for Health Policy Research
• Appendix 1: Medical Home Policy Brief, August 2009, UCLA Center for Health Policy Research
• Appendices 2-11: Health Care Coverage Initiative Medical Home Implementation Interim Findings
• Appendix 12: Kern County Health Care Coverage Initiative Report, June 2009
• Appendix 13: San Mateo County Health Care Coverage Interim Data Report, June 2009
• Appendix 14: Orange County Health Care Coverage Interim Data Report, April 2009
• Appendix 15:  San Diego County Health Care Coverage Initiative Interim Data Report, June 2009
• Mental Health Policy Forum Presentation
  Presented by David Maxwell-Jolly, Director, Department of Health Care Services at the California Mental Health Policy Forum, September 10, 2009
• Enhanced Medical Home For Medi-Cal’s SPD Population
• Considerations for Redesign of the California Children’s Services Program
• Key Points & Major Take-Aways of Medi-Cal Waiver Meetings
• AB 6: New Law Directing Waiver Renewal
• California Medi-Cal Waiver Options
• California Medi-Cal Waiver Options - Supplemental Charts Pack
• Medicaid Hospital Waivers - Comparing California, Florida, and Massachusetts
• State Coverage Initiatives Issue Brief  
• 1115 Waiver Timeline

Ca Senate Office of Research - Medicaid Waiver workshop handouts

An overview of the mechanics of Medicaid waivers and options for California are outlined in the following documents presented at the June 11, 2009, Medicaid seminar hosted by the Senate Office of Research.

• A Roadmap to Coverage: Implementing a Childless Adult Medi-Cal Waiver in California 
• Medicaid Waiver 101 slide show 
• Playing Catch-Up: California Can Improve Medi-Cal Access and Coverage by Obtaining Available and Additional Federal Support
• Medi-Cal's Most Costly FFS Populations: A Look at the Population, Costs, and Diseases
• Comparison of State Waivers

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Kaiser commission on medicaid and the uninsured

• Community Care of North Carolina
• Coverage and Cost Impacts
• Coverage Gains Under Recent Section 1115 Waivers 8/2005
• Expanding Coverage for Low Income 
• Florida Medicaid Reform Waiver 10/2008
• Healthy Indiana Plan 6/2006
• Medicaid for Broader Health Reform
• The Role of Section 1118 Waivers 3/2009
• Utah Primary Care Network Waiver 11/2006
• Vermont's Choices for Care Medicaid LT Services Waiver

1115 Waivers for other states

• Hawaii
• Massachusetts
• Vermont
• District of Columbia
• Quick Reference chart of all states

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