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Public Process for the 2017 Medicaid Waiver Renewal

Waiver Renewal Overview

Oregon's Medicaid Demonstration renewal request has been submitted to the Centers for Medicare and Medicaid Services (CMS) for review and approval. If approved, the waiver would run from July 1, 2017 through June 30, 2022. The state anticipates working with CMS over the coming weeks and months to refine the application for approval. Approval must be received from CMS before Oregon can implement the new waiver.

On August 14, 2016, the Oregon Health Authority resubmitted the 1115 Demonstration Application for Renewal and Amendment to the Centers for Medicare and Medicaid Services. The Oregon Health Authority modified some language and corrected technical errors in the original submission.

The submitted application, including all appendices and public comment logs, can be found here.

In submitting the 2017 renewal request, Oregon has committed to continuing and expanding all of the elements of the 2012 waiver, particularly around integration of behavioral, physical and oral health integration, and has included a significant focus on social determinants of health, population health, and health care quality.

Oregon's Vision

The renewal reflects Oregon's vision to build on the foundation of Oregon's health system transformation, including:

  1. An expanded focus on the integration of physical, behavioral, and oral health care through a performance driven system that makes continual improvements to health outcomes and continues to bend the cost curve.
  2. A strong focus on social determinants of health and health equity across all low-income, vulnerable Oregonians with the goal of improving population health outcomes.
  3. A commitment to an ongoing sustainable rate of growth that includes the 2 percent test, putting the federal investment at risk for not meeting that target and adopting a payment methodology and contracting protocol for CCOs that promotes increased investments on health-related services and advances the use of value-based payments.
  4. Continuing to expand the coordinated care model, including innovative strategies for ensuring better outcomes for members eligible for both Medicare and Medicaid.

How Public Input was Collected

Written comments through June 1, 2016. Newsletters, emails, and public meeting notices were sent to Tribes and stakeholders, and notices were published on the OHA and Secretary of State’s websites soliciting written comments.

An online survey was available to provide comments.

Numerous face-to-face meetings and public hearings were held with stakeholders, Tribal government leaders and the public.

Notices were sent out via:

Thank You

We appreciate all the valuable input!

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