The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Idaho for multiple section 1135 flexibilities on March 23, 2020. Your follow-up communication to CMS on July 8, 2022, detailed an additional federal requirement that also poses issues or challenges for the health care delivery system in Idaho and requested a waiver or modification of those additional requirements.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Utah for multiple section 1135 flexibilities on April 10, 2020. Your follow-up communication to CMS on October 28, 2021, requests section 1135 flexibilities for state plan amendment (SPA), UT-21-0010.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Vermont for multiple section 1135 flexibilities on March 30, 2020. Your follow-up communication to CMS on October 6, 2021 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Vermont and requested a waiver or modification of those additional requirements.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Arkansas for multiple section 1135 flexibilities on April 2, 2020. Your follow-up communication to CMS on September 14, 2021, detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Arkansas and requested a waiver or modification of those additional requirements.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Kansas for multiple section 1135 flexibilities on March 25, 2020. Your follow-up communication to CMS on July 14, 2021 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Kansas and requested a waiver or modification of those additional requirements.

On March 13, 2020, the President of the United States issued a proclamation that the COVID-19 outbreak in the United States constitutes a national emergency by the authorities vested in him by the Constitution and the laws of the United States, including sections 201 and 301 of the National Emergencies Act (50 U.S.C. 1601 et seq.), and consistent with section 1135 of the Act.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Colorado for multiple section 1135 flexibilities on March 26, 2020.  Your follow-up communication to CMS on February 19, 2021 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Colorado and requested a waiver or modification of those additional requirements.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Maine for multiple section 1135 flexibilities on April 7, 2020. Your follow-up communication to CMS on February 17, 2021 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Maine and requested a waiver or modification of those additional requirements.

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Tennessee for multiple section 1135 flexibilities on March 31, 2020.  Your follow-up communication to CMS on March 29, 2021 indicated Tennessee’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).

The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Texas for multiple section 1135 flexibilities on March 30, 2020 and subsequently on May 22, 2020, July 23, 2020 and September 30, 2020. Your initial request submitted to CMS on March 25, 2020 detailed two federal requirements that pose issues or challenges for the health care delivery system in Texas that CMS initially approved on November 25, 2020.