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the Centers for Medicare and Medicaid Services have given the green light to States to block-grant their Medicaid programs in a letter dated January 30th CMS Centers for Medicare and Medicaid Services sent state Medicaid directors a letter announcing an initiative theyamp;#39;re calling the healthy adult opportunity initiative what it really is is a block grant opportunity that permits the states to use section 1115 demonstration waivers to block grant their Medicaid program now you might remember section 1115 demonstration waivers as opportunities for the state to try and experiment to try something new in their Medicaid program that deviates from federal Medicaid laws and rules and regulations because they think they can do Medicaid better they can try a new initiative they can see if it works and see if it overall improves the health of the people of their state so the feds have said to the states you can use section 1115 demonstration waivers to try an experiment called Block Gran