1115 or Waiver Support Systems

How this system supports the Medicaid Program

Under a Medicaid waiver, a state can waive certain Medicaid eligibility requirements, covering care for people who might not otherwise be eligible for Medicaid. A waiver support system could be any enhancement to an MES module that helps facilitate changes to the Medicaid program operationalized by an approved waiver.

CMS-Required Outcomes

None. There are no CMS-Required outcomes for 1115 or Waiver Support Systems.

As such, for an 1115 or Waiver Support system to be certified states will need to create or reuse State-Specific Outcomes which target state-specific problems and derive Medicaid program benefits.

State-Specific Outcomes - CMS Approved

States requesting enhanced FFP for systems that fulfill state-specific program needs, beyond minimum legal requirements and the baseline of the CMS-required outcomes, should propose State-Specific Outcomes which address the proposed enhancements.

When drafting state-specific outcomes statements, keep these tips in mind.

Examples for 1115 or Waiver Support Systems

We are actively gathering and evaluating outcomes statements crafted by states for this business area.

Please send examples from your state that you’d like to share to MES@cms.hhs.gov. Our team will collect and share the best examples.