CMS issues new Section 1115 tools, guidance for states

The Centers for Medicare & Medicaid Services today released new state tools and guidance that provide standard monitoring metrics and recommended research methods for Section 1115 demonstrations that test innovative approaches to Medicaid eligibility and coverage policies. The resources include an implementation plan template, monitoring report template and evaluation design guidance. Section 1115 demonstrations allow states to test new policy approaches such as work requirements, premium assistance to purchase private coverage, and incentives and disincentives for meeting certain program requirements. “We are continually looking for ways to support state flexibility with greater accountability for program performance,” said CMS Administrator Seema Verma. “The best ideas from state leaders are worth testing, so we will continue to support Medicaid demonstrations paired with robust monitoring and rigorous evaluations.”