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Medicaid 1115 Demonstration Waivers allow states to waive certain provisions of the Medicaid law and receive additional flexibility to design and improve their programs.
To be eligible for Massachusetts Medicaid, you must be a resident of the state of Massachusetts, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
Section 1115 Benefit Changes - Select Benefit Expansions Waiver Provision# of States with Approved WaiverBehavioral Health Other Community-Based Benefit Expansions*Approved: 23 States (AK, AR, AZ, CA, DE, FL, HI, IL, KS, MA, MD, ME, NC, NJ, NM, NY, OR, RI, UT, VA, VT, WA, WV)2 more rows Nov 29, 2023
1115 demonstration waivers (1115 waivers, 1115 demonstrations) provide federal flexibility for state Medicaid programs to test innovations that support the goals of the Medicaid program, including improving health care outcomes and reducing costs.
If you are enrolled in a health plan through MassHealth or the HealthConnector and need to cancel it because you are now eligible for employer-sponsored coverage, you should contact MassHealth or the HealthConnector directly to disenroll.
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The Texas 1115 Transformation Waiver provides the federal authority for operations of most of the states Medicaid managed care programs, including STAR, STAR+PLUS, STAR Kids, and the Childrens Dental Program.
Home and Community Based Services (HCBS) Waivers are MassHealth programs for individuals who would otherwise require care in a facility. These programs are designed to meet the needs of those who prefer to get long-term care services and supports in their home or community, rather than in an institutional setting.
The waiver, which has operated since 1997, has allowed the State to implement a managed care program which provides comprehensive and coordinated health care to Medicaid recipients, thereby improving their overall health coverage.

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