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Bridge to Reform Waiver Resources

Select a topic from the list below to access related documents and resources.

​​Additional Bridge to Reform (BTR) Waiver Resources

• More information on Bridge to Reform Waiver Summary Brief (July 2014)

Drug Medi-Cal Organized Delivery System Amendment

• Approval Letter (Submitted August 14, 2015)

• Technical Corrections Approval Letter (Submitted November 3, 2015)

• Special Terms and Conditions Note: Refer to pages 120-150 and 642-658 for the DMC-ODS system. (Submitted November 3, 2015)

• Expenditure Authority (Submitted November 3, 2015)

• Waiver Authority (Submitted November 3, 2015)

• Amendment Submission (Submitted November 24, 2014)

Full Scope Medi-Cal for Pregnant Women 109-138% FPL Amendment

(CMS Approved: July 31, 2015)

• Approval Letter

• Special Terms and Conditions

• Expenditure Authority

• Waiver Authority

• Amendment Submission (Septem​​ber 3, 2014)

Behavioral Health Therapy for Children Aged 0-20 Technical Change to Attachment N

• Behavioral Health Therapy for Children Aged 0-20 Technical Change to Attachment N (CMS Approved: October 16, 2014)

• Approval Letter

• Attachment N - Technical Change (Approved by CMS)

• Behavioral Health Therapy for Children Aged 0-20 - Technical Change Letter (Submitted Sept. 29, 2014)

• Attachment N - Technical Change Submission (Submitted Sept. 29, 2014)

CCI/ Duals Amendment

(CMS approved: March 2014)

• Approval Letter

• Technical Corrections (May 2014)

• Special Terms and Conditions

• 1115 Expenditure Authority

• 1115 Waiver Authority

• Amendment Submission (June 18, 2013)

NDPH Amendment

(Submitted Dec 4, 2013)

• Amendment Withdrawal (submitted August 12, 2014)

• Amendment Submission (updated December 4, 2013)

• Amendment Submission (June 29, 2012)

2014 Optional Expansion/ Mental Health Integration/ IHS Uncompensated Care Amendment

(CMS approved: December 24, 2013)

• Approval Letter

• 1115 Waiver Authority

• 1115 Expenditure Authority

• Special Terms and Conditions

• 2014 Optional Expansion / Outpatient Mental Health Integration amendment submission - October 30, 2013

Medi-Cal Managed Care Rural County Expansion Amendment

(CMS approved: August 29, 2013)

• Request for Mandatory Enrollment of SPDs (Submitted August 2014, Approved November 28, 2014)                                               

• Approval Letter for Rural SPD and CBAS

HCCI Reallocation of Unspent DY 8 Funds Amendment

(CMS approved: June 28, 2013)

• Approval Letter and Special Terms and Conditions

IHS Facilities and Tribal Facilities Uncompensated Care Claiming Amendment

(CMS approved: December 30, 2014)

• Approval Letter

• Special Terms and Conditions

• Expenditure Authority

• ​IHS Facilities and Tribal Facilities Uncompensated Care Claiming renewal - amendment submission (Submitted Nov. 24, 2014)

IHS Facilities and Tribal Facilities Uncompensated Care Claiming Amendment

(CMS approved: December 24, 2013)

• Approval Letter

• Special Terms and Conditions

• 1115 Expenditure Authority

• IHS Facilities and Tribal Facilities Uncompensated Care Claiming renewal – amendment submission (Included with Dec. 24, 2013 approval for Optional Expansion Amendment)

DSRIP Category 5 – HIV Transition Projects / HCCI Reallocation of unspent DY 7 Funds

• Supplements to Attachment P & Q - (November 19, 2012)

• Approval Letter and Special Terms and Condition

CBAS Amendment

(CMS approved: March 30, 2012) 

• 1115 Expenditure Authority

• Approval Letter

• Special Terms and Conditions

CBAS Renewal Waiver Amendment

(CMS approved: November 28, 2014)     

• CBAS Renewal Waiver Amendment

• 1115 Expenditure Authority

• Approval Letter for Rural SPD and CBAS

• Special Terms and Conditions

• CBAS Renewal Waiver Amendment Submission (June 13, 2014)

Bridge to Reform Section 1115 Waiver

(CMS approved: November 2, 2010)

• Bridge to Reform Approval – Director’s Letter 

• Approval Letter (CMS)

• 1115 Waiver Authority

• A Bridge to Reform (June 2010) 

• CMS Waiver Submission (June 4, 2010)

• Waiver development stakeholder meetings (2010)

• Community-Based Adult Services (CBAS)

• California Children’s Services (CCS)

• Behavioral Health Assessment

60-day extension of Hospital / Uninsured Care Demonstration Waiver

• Request for Extension

• Extension Approval letter