As part of the U.S. Department of Health and Human Services’ ongoing effort to assist states with addressing the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) created a demonstration opportunity under the authority of section 1115(a) of the Social Security Act for states to test a variety of options to deliver the most effective care to their Medicaid beneficiaries as a result of the COVID-19 pandemic. CMS also developed a standardized section 1915(c) home and community-based services (HCBS) waiver “Appendix K” template to streamline state requests for flexibilities in delivering home and community-based services (HCBS) to Medicaid beneficiaries during the COVID-19 pandemic. The Appendix K template option is similarly available to states that provide HCBS coverage to beneficiaries under the authority of a section 1115(a) demonstration. In accordance with these new opportunities, the states listed on this page have approved section 1115(a) demonstration programs to address the particular challenges raised by the COVID-19 pandemic in their state.
State | Approval Type | Title of Demonstration |
---|---|---|
Arizona | Appendix K Update Appendix K Update |
Arizona Health Care Cost Containment System (PDF, 886.82 KB) Arizona Health Care Cost Containment System (PDF, 1.06 MB) |
California | Appendix K Update | California Medi-Cal 2020 (PDF, 290.6 KB) |
Delaware | Appendix K Update Amendment |
Delaware Diamond State Health Plan (PDF, 1.1 MB) Delaware Diamond State Health Plan (PDF, 113.89 KB) |
Hawaii | Appendix K Update Appendix K Update |
Hawaii QUEST Integration (PDF, 391.36 KB) Hawaii QUEST Integration (PDF, 3.1 MB) |
Hawaii | New Demonstration | Hawaii COVID-19 Public Health Emergency Demonstration |
Michigan | Amendment | Michigan 1115 Pathway to Integration (PDF, 478.06 KB) |
New Hampshire | New Demonstration | New Hampshire COVID-19 Public Health Emergency (PHE) Demonstration |
New Jersey | Appendix K Update Appendix K Update |
New Jersey FamilyCare Comprehensive Demonstration (PDF, 2.06 MB) New Jersey FamilyCare Comprehensive Demonstration (PDF, 540.53 KB) |
New Mexico | Appendix K Update Appendix K Update |
New Mexico Centennial Care 2.0 (PDF, 309.98 KB) New Mexico Centennial Care 2.0 (PDF, 407.67 KB) |
North Carolina | New Demonstration | North Carolina COVID-19 Public Health Emergency Demonstration |
Rhode Island | Appendix K Update (3/24/20) Appendix K Update (5/1/20) Appendix K Update (5/7/20) Appendix K Update (9/3/20) |
Rhode Island Comprehensive Demonstration |
Rhode Island | New Demonstration | Rhode Island COVID-19 Public Health Emergency Demonstration |
Tennessee | Appendix K Update | TennCare II (PDF, 2.03 MB) |
Texas | Amendment | Texas Healthcare Transformation and Quality Improvement Program (PDF, 646.4 KB) |
Vermont | Appendix K Update | Vermont Global Commitment to Health (PDF, 607.34 KB) |
Vermont | Amendment | Vermont Global Commitment to Health (PDF, 2.31 MB) |
Washington | New Demonstration | Washington COVID-19 Public Health Emergency |