The resources below contain detailed information about the innovative and urgent steps DHCS is taking to help ease restrictions, allowing California health care providers to more effectively fight COVID-19.

1115 Waiver Requests & Approvals

• CMS Approval Letter and STCs Following Approval of CBAS PHE Attachment K Authorities – June 28, 2023
• CA Risk Mitigation Approval Letter – January 28, 2022
• COVID-19 Vaccination Administration Approval Letter – January 14, 2022
• CA Vaccine Administration Carve-out Approval Letter – April 5, 2021
• CMS Approval for COVID Testing in Schools Carve-Out – March 1, 2021
• Section 1115 Waiver Request for COVID Testing in School – December 31, 2020
• Notice to Tribes and Designees of Indian Health Programs: Section 1115 Waiver Request for COVID Testing in School – January 4, 2021
• Notice to Tribes and Designees of Indian Health Programs: Section 1115 Waiver Request – Flexibilities for COVID-19 Vaccines – December 21, 2020
• Section 1115 Waiver Request for Flexibilities Related to COVID-19 Vaccines – December 18, 2020
• CMS Approval for DMC-ODS and CBAS Modifications – October 9, 2020
• CMS Approval Letter for Additional 1115 Waiver COVID-19-Related Flexibilities – July 27, 2020
• Section 1115 Waiver Request For Additional COVID-19-Related Flexibilities – April 3, 2020
• CA COVID 19 Vaccine Administration Approval Letter – 

1135 Waiver Requests & Approvals

• CMS Fourth Approval of Additional 1135 Waivers – March 12, 2021
• CMS Fourth Approval of Additional 1135 Waivers – December 31, 2020
• DHCS Section 1135 Waiver Request – Additional Flexibilities – December 24, 2020
• CMS Approves Additional 1135 Waivers – August 19, 2020
• CMS Approves Additional 1135 Waivers – May 8, 2020
• Section 1135 Waiver Request For Additional COVID-19-Related Flexibilities – April 10, 2020
• CMS Approves First Wave of CA 1135 Waivers for COVID-19 – March 23, 2020
• DHCS Section 1135 Waiver Request – Additional Flexibilities – March 19, 2020
• DHCS Section 1135 Waiver Request For COVID-19 Flexibilities – March 16, 2020

Appendix K Requests & Approvals

• Appendix K for 1915(c) Waiver Approval Letter: Absence Billing Directive – April 5, 2024
• Appendix K for 1915(c) Waiver: Absence Billing Directive – April 5, 2024
• Appendix K for 1915(c) Waiver Approval Letter: Care Economy Payment Authority
• Appendix K for 1915(c) Waiver: Care Economy Payment Authority
• Appendix K for 1915c Waiver Approval Letter: HCBA Personal Care Provider Sick Leave – February 27, 2023
• Appendix K for 1915c Waiver: HCBA Personal Care Provider Sick Leave – February 27, 2023
• Appendix K for 1915(c) Waiver Approval Letter: ALW Case Management Service Modification – November 22, 2022
• Appendix K for 1915(c) Waiver Amendment: ALW Case Management Service Modification – November 22, 2022
• Appendix K for 1915(c) Waiver Approval Letter: HCBS-DD internship and Incentive Payments for Service Providers – November 7, 2022
• Appendix K for 1915(c) Waiver: HCBS-DD internship and Incentive Payments for Service Providers – November 7, 2022
• Appendix K for 1915(c) Waiver Early Approval Letter: CMS Approval to Discontinue CBAS TAS effective October 1, 2022 – September 8, 2022
• Appendix K for 1915(c) Waiver: CMS Approval to Discontinue CBAS TAS effective October 1, 2022 – September 8, 2022
• Appendix K for 1915(c) Waiver Approval Letter: HCBS Self-Directed Support Services – August 11, 2022
• Appendix K for 1915(c) Waiver: HCBS Self-Directed Support Services – August 11, 2022
• Appendix K for 1915c Waivers Approval Letter: HCBS-HCBA ICF/DD-CNC Daily Rates Increase – May 16, 2022
• Appendix K for 1915c Waivers: HCBS-HCBA ICF/DD-CNC Daily Rates Increase – May 16, 2022
• Appendix K for 1915c Waivers Approval Letter: HCBS Managed Care to Fee-For-Service (MSSP Carve Out), Service Delivery System Change – May 11, 2022
• Appendix K for 1915c Waivers: HCBS Managed Care to Fee-For-Service (MSSP Carve Out), Service Delivery System Change – May 11, 2022
• Appendix K for 1915c Waivers Approval Letter: HCBS-DD Rate Increase Associated with Minimum Wage – April 19, 2022
• Appendix K for 1915c Waivers: HCBS-DD Rate Increase Associated with Minimum Wage – April 19, 2022
• Appendix K for 1115 Waivers Approval Letter: Update for Extension of Approval Period – June 9, 2021
• Appendix K for 1115 Waivers: Update for Extension of Approval Period – June 9, 2021
• Appendix K for 1915c Waivers: Consolidated Extension – March 10, 2021
• Appendix K Approval Letter: Consolidated Extension – March 10, 2021
• Appendix K Approval Letter: HIV/AIDS – Evaluation and Assessment Extension – November 23, 2020
• Appendix K for 1915c Waivers: HIV/AIDS – Evaluation and Assessment Extension – November 23, 2020
• Appendix K Approval Letter: HCBA and ALW – Central Valley COVID-19 “Hot Spots” – September 17, 2020
• Appendix K for 1915c Waivers: HCBA and ALW – Central Valley COVID-19 “Hot Spots” – September 18, 2020
• Appendix K for 1915c Waivers: HCBS-DD Assistive Technology – September 18, 2020
• Appendix K Approval Letter: HCBS-DD Assistive Technology – September 14, 2020
• Appendix K for 1915c Waivers: All Eligible Waivers – Retainer Payments for Personal Care Services – August 11, 2020
• Appendix K for 1915c Waivers: HCBA – Extended Hours for Waiver Personal Care Services Providers – August 11, 2020
• Appendix K Approval Letter – August 10, 2020
• Appendix K for 1915c Waivers: Consolidated Extensions and Personal Care Provider Sick Leave – June 8, 2020
• Appendix K Approval Letter – May 27, 2020
• Appendix K for 1915c Waivers: Consolidated COI and HCBS Settings – May 27, 2020
• Appendix K for 1915c Waivers: Consolidated Reporting – May 27, 2020
• Appendix K Approval Letter – April 2, 2020
• Appendix K for 1915c Waivers:  DDS – April 2, 2020
• Appendix K for 1915c Waivers:  HCBA – April 2, 2020
• Appendix K for 1915c Waivers:  ALW – April 2, 2020
• Appendix K for 1915c Waivers:  HIV/AIDS – April 2, 2020
• Appendix K for 1915c Waivers:  MSSP – April 2, 2020
• Flexibility for California Community Transitions – March 17, 2020

State Plan Amendments Requests & Approvals

Approvals

• SPA 22-0014-A: Rescission to the State’s Disaster Relief Policies for the COVID-19 National Emergency – March 24, 2023
• SPA 22-0073-A: Rescission to the State’s Disaster Relief Policies for the COVID-19 National Emergency – March 15, 2023
• SPA 22-0067: Rescission to the State’s Disaster Relief Policies for the COVID-19 National Emergency – February 24, 2023
• SPA 22-0069: Approval for Prescription Drugs Signature Requirements Waiver – February 3, 2023
• SPA 22-0070: COVID-19 Emergency Sick Leave Benefits – February 1, 2023
• SPA 22-0050 Expands Participant Direction for Habilitation Services – December 16, 2022
• SPA 22-0038: Adds Self-Directed Services and Technology Services – September 28, 2022
• SPA 22-0037: Selective Service Scope Modifications – July 22, 2022
• SPA 22-0021 Increase the Reimbursement Rate for the Newborn Screening Program – June 24, 2022
• SPA 21-0050: Approval for Time-Limited Rate Increases, New Service, and New Provider Types for the 1915(i) State Plan – June 24, 2022
• SPA 21-0031: Approval for Provider Rate Increases Reimbursed Under the Alternative Residential Model (ARM) Rate Methodology – March 2, 2022
• SPA 21-0020: Approval for COVID-19 Vaccine Coverage and Reimbursement in FQHCs, RHCs, and Tribal FQHCs – March 2, 2022
• SPA 21-0020: Approval Medicaid Disaster Relief for the COVID-19 National Emergency – March 2, 2022
• SPA 21-0055: Approval for COVID-19 Incentive Payments for IHSS Providers – December 21, 2021
• SPA 21-0049: Approval for State-Operated Community Crisis Homes – December 15, 2021
• SPA 21-0042 – Approval for Extension of COVID-19 IHSS Sick Leave Benefits – July 28, 2021
• SPA 21-0027 – Income Disregard for Golden State Stimulus or Grant Payments – June 4, 2021
• SPA 21-0016 – CMS-Approved State Plan Amendment – March 26, 2021
• SPA 20-0040 – CMS-Approved State Plan Amendment – March 16, 2021
• SPA 20-0025 – CMS-Approved COVID-19 State Plan Amendments – August 20, 2020  
• SPA 20-0024 – CMS-Approved COVID-19 State Plan Amendments – May 14, 2020

Requests

• SPA 22-0070: COVID-19 Emergency Sick Leave Benefits – December 15, 2022
• SPA 22-0069: Proposes Waiver for Drug Counseling Signature Requirements – December 9, 2022
• SPA 22-0038: Proposes to add Self-Directed Support Services and Technology Services – July 6, 2022
• SPA 22-0021: Increase Reimbursement Rate for Newborn Screening Program – April 21, 2022
• SPA 22-0004: Request for COVID-19 Vaccination Coverage and Reimbursement – January 14, 2022
• SPA 21-0050: Proposes Time-Limited Rate Increases, New Service, and New Provider Types for the 1915(i) State Plan – December 22, 2021
• SPA 21-0055 – COVID-19 Incentive Payments for IHSS Providers – October 26, 2021
• SPA 21-0027 – Disaster Relief for the Golden State Supplement and Grant – April 9, 2021
• SPA 21-0020 – Request for COVID-19 Vaccine Reimbursements in FQHCs and RHCs – March 11, 2021
• SPA 21-0016 – Request for Durable Medical Equipment Rates – February 2, 2021
• SPA 21-0003 – Request for Crisis Stabilization Units – January 22, 2021
• SPA 20-0046 Request for COVID Testing in Schools – December 31, 2020
• SPA 20-0046 – Notice to Tribes and Designees of Indian Health Programs: Request for COVID Testing in Schools – January 4, 2021
• SPA 20-0040 – Request for COVID-19 Vaccination Coverage and Reimbursement – December 18, 2020
• SPA 20-0040 – Notice to Tribes and Designees of Indian Health Programs: Request for COVID-19 Vaccine Coverage and Reimbursement – December 21, 2020
• SPA 20-0025 – Request for Additional State Plan Amendments – June 30, 2020
• SPA 20-0024 Request for COVID-19-Related State Plan Amendments – April 3, 2020
• CHIP SPA: Child, Pregnancy Coverage Rules Eased – March 13, 2020

Withdrawals

• Withdrawal of SPA 21-0003: Disaster Relief for COVID-19 Crisis Stabilization Units – February 22, 2022
• SPA 20-0046 – Withdrawal of Request for COVID-19 Testing in Schools – February 25, 2021