The state is seeking strategic changes within Medicaid to allow us to move toward a healthier Washington. In order to proceed with any changes, it is working on an agreement with the federal government, a Section 1115 waiver, that will allow us to test new and innovative approaches to providing health coverage and care.
We have reached an agreement in-principle with the Centers for Medicare & Medicaid Services (CMS) for a five-year demonstration waiver. This demonstration project will allow up to $1.5 billion of federal investment to help drive Medicaid transformation — accelerating Healthier Washington’s goals of better health, better care, and lower costs.
During the coming months, we will be negotiating special terms and conditions (STCs), the actual contract for the waiver, with CMS. Throughout negotiations, we will continue to keep our partners and stakeholders informed. [October 2, 2016]
To learn more about Medicaid transformation, view the Medicaid transformation demonstration waiver 101 video.