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Pennsylvania Medicaid Coverage Former Foster Care Youth From a Different State & SUD Demonstration

State: Pennsylvania
Waiver Authority:
1115
Status: Approved

Waiver Dates

Approval: 09/29/2017
Effective: 10/01/2017
Expiration: 09/30/2022

Supporting Documents

Approved Application(s) and Related Documents

Date Title
Date 05/22/2020 Title Demonstration Approval (PDF, 2.64 MB)
Date 06/28/2018 Title Fact Sheet (PDF, 54.68 KB)

Administrative Record

Date Title
Date 05/22/2020 Title CMS Approved SUD Evaluation Design (PDF, 1.35 MB)
Date 03/04/2020 Title Quarterly Report October - December 2019 (PDF, 589.21 KB)
Date 03/04/2020 Title Quarterly Report October - December 2019 - Budget Neutrality Workbook (, 442.68 KB)
Date 12/12/2019 Title SUD DY2 Q1 Quarterly Report (PDF, 561.58 KB)
Date 12/12/2019 Title State Annual Report BN Jul 2019–Sept 2019 (, 445.22 KB)
Date 11/27/2019 Title State Annual Report BN Jul 2018–Jun 2019 (, 426.56 KB)
Date 11/27/2019 Title State Annual Report Jul 2018–Jun 2019 (PDF, 672.96 KB)
Date 06/13/2019 Title PA SUD Implementation Plan (PDF, 475.93 KB)
Date 06/13/2019 Title Quarterly Report January – March 2019 (PDF, 530.47 KB)
Date 04/16/2019 Title State Draft Evaluation Design (PDF, 621.83 KB)
Date 03/27/2019 Title FFYC Annual Report October 2017–September 2018 (PDF, 173.72 KB)
Date 03/27/2019 Title SUD DY1 Q1 & Q2 Quarterly Reports (PDF, 308.34 KB)
Date 06/28/2018 Title CMS Amendment Approval – SUD Demonstration (PDF, 673.35 KB)
Date 03/23/2018 Title CMS Amendment Completeness Letter (PDF, 1.06 MB)
Date 03/09/2018 Title PA SUD Demonstration Amendment application (PDF, 2.24 MB) View Comments
Date 09/29/2017 Title Original FFCY Demonstration approval (PDF, 278.12 KB)
Date 05/05/2017 Title State Application for New 1115 (05/05/2017) (PDF, 309.61 KB) View Comments
Date 05/04/2017 Title CMS Completeness Letter (5/4/2017) (PDF, 1.04 MB)
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