1115 Waiver Demonstration - California Medi-Cal 2020 - Extension Request


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On September 16, 2020, The California Department of Health Care Services (DHCS) submitted a request for a 12-month extension of the Medi-Cal 2020 Section 1115 waiver demonstration, which is scheduled to expire on December 31, 2020. Although California conducted significant planning for a transition away from the Section 1115 waiver authority for many aspects of the Medi-Cal program, the final development of our approach and the preparation of our health care delivery system has been delayed by the impact of the COVID-19 pandemic. The state requests that the current Medi-Cal 2020 Section 1115 waiver provisions be extended for one year to December 31, 2021. As part of the 12-month extension, the state proposes to make technical changes to the Drug Medi-Cal Organized Delivery System and Tribal contracting requirements and to end Domain Four of the Dental Transformation Initiative. The federal comment period will be open from October 2, 2020 through November 1, 2020.

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