Section 1115 Medicaid Demonstration Waivers Compared
In December 2011, the Centers for Medicare & Medicaid Services (CMS) approved a demonstration waiver for Texas that is modeled, in part, on a demonstration waiver that has been underway in California since November 2010. Both waivers affect hundreds of thousands of Medicaid beneficiaries, involve billions of federal Medicaid matching funds, and are designed, in part, to promote changes in the health care delivery system that will result in better care for individuals, better population health, and reductions in costs through system improvements. These 5-year demonstrations are approved under section 1115 of the Social Security Act, which authorizes the Secretary of Health and Human Services to waive certain federal Medicaid requirements to enable states to conduct demonstrations with federal Medicaid funds.
They have some important similarities:
•Both provide for a significant expansion of the number of Medicaid beneficiaries required to enroll in capitated Medicaid managed care organizations (MCOs). In California, some 380,000 seniors and persons with disabilities in 16 counties who had been receiving Medicaid benefits on a fee-for service basis will be enrolled in MCOs by May 2012. In Texas, about 940,000 Medicaid beneficiaries will be enrolled in capitated managed care by March 2012. •Both waivers provide pools of federal funds known as Delivery System Reform Incentive Payments (DSRIP) that are designed to reward hospital systems for improving access to care and the health of the Medicaid and uninsured patients they serve. In California, up to $3.3 billion is available over the 5-year period; in Texas, between $11.4 and $15.4 billion is available.
The waivers also have some important differences:
•In Texas, individuals dually eligible for Medicare and Medicaid are subject to mandatory enrollment in Medicaid MCOs; in California they are not. •In California, the...