These are complex arrangements that waive multiple standard Medicaid requirements. The Oregon plan was designed to use cost savings to expand eligibility. TennCare in Tennessee also expanded enrollment, but reimbursement was so low that providers bolted and the program proved disastrous to university programs. These 1115 waivers are for demonstration projects of welfare reform, have broad policy implications, and are approved for five years. Given the magnitude of these implications, the HCFA review process is rigorous.
Intent is to improve access to care and improved cost efficiency.
Also requires evaluation component. Permits trials of broad programs that may cover new services, change reimbursement methods, change eligibility, etc. The Johns Hopkins University on behalf of its Division of Infectious Diseases and AIDS Service. All rights reserved. Physicians and other health care professionals are encouraged to consult other sources and confirm the information contained in this site because no single reference or service can take the place of medical training, education, and experience.