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Federal Disaster Resources

This page provides federal resources that are helpful during emergencies and disasters. We also created Medicaid & CHIP disaster preparedness toolkits to provide states and territories with additional disaster-related information.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Colorado for multiple section 1135 flexibilities on March 26, 2020.  Your follow-up communication to CMS on February 19, 2021 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Colorado and requested a waiver or modification of those additional requirements.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Maine for multiple section 1135 flexibilities on April 7, 2020. Your follow-up communication to CMS on February 17, 2021 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Maine and requested a waiver or modification of those additional requirements.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Tennessee for multiple section 1135 flexibilities on March 31, 2020.  Your follow-up communication to CMS on March 29, 2021 indicated Tennessee’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Texas for multiple section 1135 flexibilities on March 30, 2020 and subsequently on May 22, 2020, July 23, 2020 and September 30, 2020. Your initial request submitted to CMS on March 25, 2020 detailed two federal requirements that pose issues or challenges for the health care delivery system in Texas that CMS initially approved on November 25, 2020.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Nevada for multiple section 1135 flexibilities on April 7, 2020. Your follow-up communication to CMS on December 15, 2020 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Nevada that CMS initially approved on December 18, 2020.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Kentucky for multiple section 1135 flexibilities on March 25, 2020. Your follow-up communication to CMS on December 17, 2020 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Kentucky.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Arkansas for multiple section 1135 flexibilities on March 23, 2020. The COVID-19 pandemic has created delays with the submission of coverage and payment State Plan Amendments (SPAs) in alignment with regulatory SPA submission and notice timelines.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of South Dakota for multiple section 1135 flexibilities on March 24, 2020.  Your follow-up communication to CMS on January11, 2021, indicated South Dakota’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Hawaii for multiple section 1135 flexibilities on March 26, 2020.  Your follow-up communication to CMS on January 27, 2021 indicated Hawaii’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”). 

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Georgia for multiple section 1135 flexibilities on April 1, 2020. Your follow-up communication to CMS on January 12, 2021 indicated Georgia’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”). 
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