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2017-2022 1115 Waiver Renewal

Overview

Oregon's Medicaid Demonstration renewal request has been approved by the Centers for Medicare & Medicaid Services (CMS). The waiver runs from January 12, 2017 through June 30, 2022.

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 focus on social determinants of health, population health, and health care quality.

The renewal that was approved by CMS 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.

Oregon's 1115 Medicaid Demonstration

Current demonstration (January 12 , 2017 - June 30, 2022)

Renewal Application and Approval Documents

2017 Approval

2016 Application submitted to CMS

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:

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