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Waiver Requests & Approvals

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

Last modified date: 7/1/2025 10:20 AM