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NV-20-0014

We have reviewed the proposed amendment to Attachment 4.19-D of your Medicaid state plan submitted under transmittal number (TN) 20-0014. Effective September 1, 2020, this state plan amendment changes reimbursement for certain intermediate care facilities for individuals with intellectual disabilities (ICF/IIDs) to a cost reimbursement methodology. 

Section 1135 Waiver Flexibilities - Alaska Coronavirus Disease 2019 (Fifth Request)

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Alaska for multiple section 1135 flexibilities on April 2, 2020 and subsequent approvals on May 15, 2020, May 29, 2020, June 3, 2020, June 15, 2020, and August 19, 2020.  Your follow-up communication to CMS on December 18, 2020 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Alaska and requested a waiver or modification of those additional requirements.

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Section 1135 Waiver Flexibilities - Massachusetts Coronavirus Disease 2019 (Fourth Request)

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Massachusetts for multiple section 1135 flexibilities on March 26, 2020.  Your follow-up communication to CMS on July 9, 2020 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Massachusetts and requested a waiver or modification of those additional requirements.

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CMS releases the Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations Upon Conclusion of the COVID-19 Public Health Emergency State Health Official Letter

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