Montana State Legislature
Agency Oversight: DPHHS
Agency Oversight: DPHHS
Materials related to the committee's agency oversight duties or presented to the committee by the Department of Public Health and Human Services as part of the oversight responsibilities are listed below by topic area or meeting date.
Section 1115 Waiver Proposals
DPHHS is required, under 53-2-215, MCA, to present proposals for Section 1115 Medicaid waivers to the committee "for review and comment at a public hearing" before the proposal is submitted to the Centers for Medicare and Medicaid Services (CMS) for approval. The department presented three proposals to the committee for review in August 2021:
- a proposed new waiver for the Healing and Ending Addiction Through Recovery and Treatment (HEART) initiative for behavioral health;
- an amendment to the Health and Economic Livelihood Partnership (HELP) Act waiver that would end 12-month continuous eligibility for the Medicaid expansion population; and
- an amendment to the Waiver for Additional Services and Populations (WASP) to end 12-month continuous eligibility and cost-sharing requirements for low-income parents and adults with Severe and Disabling Mental Illness.
Committee members decided at the August meeting that individual members or groups of members could submit comments to DPHHS and CMS but that the committee would not, as a whole, submit comment on the waiver applications.
The following materials pertain to the HEART, HELP, and WASP waiver applications.
- Staff Briefing Paper: Medicaid Section 1115 Waivers, August 10, 2021
- HEART Waiver
- DPHHS Handout: HEART Initiative, June 16, 2021
- DPHHS PowerPoint: HEART Section 1115 Demonstration Legislative Hearing, August 10, 2021
-
HEART Initiative Application, submitted to CMS on October 1, 2021
(includes all public comment received)- DPHHS responses to public comment begin on P. 76
- HELP Act Waiver/ (Medicaid Expansion)
- Staff Briefing Paper: Medicaid Expansion Waiver--CMS Action, January 2022
- CMS Approval Letter, December 21, 2021
- DPHHS PowerPoint: HELP and WASP Section 1115 Demonstration Presentation to CFHHS, August 10, 2021
-
HELP Extension Amendment Application, submitted to CMS on September 3, 2021
(includes all public comment received)- DPHHS responses to public comment begin on P. 15
- Comments submitted by various members of the committee are included starting on P. 73
- Staff Briefing Paper: Medicaid Expansion Waiver--CMS Action, January 2022
- WASP Waiver
- DPHHS PowerPoint: HELP and WASP Section 1115 Demonstration Presentation to CFHHS, August 10, 2021
-
WASP Waiver Amendment Application, submitted to CMS on September 3, 2021
(includes all public comment received)- DPSS Responses to public comment begin on P. 15
- Comments submitted by various members of the committee are included starting on P. 55

