ITUP Draft Summary of the State’s §1115 Waiver Concepts, dated 2/11/15
The request is for $15-20 billion in increased FFP over 5 years or $3-4 billion a year in federal and state shared savings. The state and federal government would agree on a per member per month cost amount that would be allocated to the state to support the delivery system reforms envisaged. It appears that the state would make the enhanced pmpm available to local managed care organizations who would in turn be responsible to achieve the goals of the waiver.
Download the full draft summary here: Summary of the State’s §1115 Waiver Concepts