1115 Waiver Demonstration - Michigan 1115 Behavioral Health Demonstration - Extension Request


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On July 6, 2022, The Michigan Department of Health and Human Services (MDHHS) submitted an amendment requesting a one-year extension to implement the §1915(i) State Plan Amendment (SPA) for Community Support Services from 10/1/2022 to 10/1/2023. This request will allow for the state to have additional time to come into compliance with the eligibility determination requirements for the §1915(i) State Plan benefit for Community Support Services stipulated in the current standard terms and conditions (STCs). This process will transition the needs-based eligibility determination from the Pre-Paid Inpatient Health Plans (PIHPs) to the State of Michigan; requiring the State to evaluate and re-evaluate documentation, to determine whether each enrolled, or potential beneficiary meets the needs-based criteria. The federal comment period will be open from August 2, 2022 through September 1, 2022.

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