Basic Medicaid 1115 Waiver
In January 2008 and July 2009, the Montana Department of Public Health and Human Services (DPHHS) submitted Basic Medicaid Waiver extension amendment requests to the Centers for Medicare and Medicaid Services (CMS). As of November 2009, this amendment has not yet been approved.
The Basic Medicaid Waiver currently offers a limited Medicaid benefit package of optional services, called Basic Medicaid, for those Able Bodied Adults age 21 to 64, qualified under Section 1925 and 1931 of the Social Security Act, with incomes at or below 33% of the Federal Poverty Level (FPL), and who are not pregnant or disabled.
The waiver was due to expire on January 31, 2009. To continue the current waiver, DPHHS requests and receives monthly waiver extensions while CMS evaluates the extension amendment.
DPHHS seeks to cover one additional population through the waiver amendment. If approved, Basic Medicaid could be provided for up to 800 otherwise uninsured individuals qualified for the State only Mental Health Services Plan Program, who have schizophrenia or bipolar disorder, who are at least 18 years of age, who are residents of Montana, and who have incomes at or below 150% FPL.
The Medicaid Program Information Handbook explains the program’s benefits and can be found at http://medicaidprovider.hhs.mt.gov/clientpages/clientindex.shtml.
Comments and questions regarding the Basic Medicaid Waiver are encouraged. Please direct any comments to:
Jo Thompson,
Medicaid Analyst, Director’s Office
PO Box 4210
Helena, Montana 59604
(406)444-2584 or via email at jothompson@mt.gov.
Page last updated: 11/25/2009
