Project Overview
Mathematica is developing Medicaid 1115 demonstration implementation and monitoring tools to support CMS oversight of these demonstrations. In addition, we are supporting states in addressing the opioid epidemic with a combination of strategies inside and outside of 1115 demonstrations—including those related to housing supports and care coordination services under Medicaid.
In addition to strengthening CMS oversight of Medicaid 1115 demonstrations, the development of new implementation, monitoring, and evaluation tools will help states and the policy community assess the performance of the demonstrations. Ultimately, the insights generated by rigorous state-led monitoring and evaluation will contribute to a larger body of knowledge about how to best provide health care to vulnerable individuals and families through the Medicaid program.
Technical Assistance Collaborative, Inc.
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services

As of May 2020, we are supporting CMS oversight of 28 demonstrations addressing substance use disorder, 4 demonstrations addressing serious mental illness/serious emotional disturbance, and 18 demonstrations testing eligibility and coverage policies.
Evidence & Insights From This Project

Swimming Upstream in Medicaid Delivery Reform Waters to Improve Downstream Outcomes
Does making upstream investments that help Medicaid enrollees and people without insurance get timely primary and preventive care help to avoid more costly and often unnecessary care in hospitals and emergency rooms downstream?
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