Supporting CMS Oversight of Medicaid 1115 Demonstrations

Demonstration types include those with policies affecting eligibility and coverage as well as those addressing substance use disorder (SUD), serious mental illness/serious emotional disturbance (SMI/SED), value-based care (VBC), health-related social needs (HRSN), justice-involved populations, and other initiatives that seek to improve health equity. Under this contract, we create and maintain standardized templates for implementation plans, monitoring metrics and reports, and evaluation design guidance. These products are publicly available on Medicaid.gov. We also synthesize monitoring data as states submit it to CMS, and we have built flexible and interactive analytic tools to enable CMS to track demonstration progress. 

The project also supports CMS in updating its approach to budget neutrality for 1115 demonstrations, allowing investments in innovation across states with both new and longstanding demonstrations. Furthermore, we are delivering technical assistance to support MFP demonstrations by building state grantees’ capacity for data-driven quality improvement; our efforts include streamlining reporting requirements and facilitating a learning collaborative to improve data quality, advance quality measurement for home and community-based services (HCBS), and increase public access to MFP program data.