Draft 1915(b) Waiver Application


~~“Program Title:
Aged and Disabled Waiver
C. Waiver Number:ID.1076
Original Base Waiver Number: ID.1076.90.R3A.0

The purpose of this amendment to Idaho's Aged and Disabled (A&D) 1915(c) waiver is to align with the 1915(b) waiver application for the Idaho Medicaid Plus program. Idaho Medicaid Plus is a mandatory managed care program for individuals who are eligible for Medicare Parts A and B and full coverage Medicaid, otherwise known as "dual-eligibles." The purpose of Idaho Medicaid Plus is to offer improved coordination of Medicaid-primary services, including behavioral health, Home and Community-Based Services (HCBS), and institutional care. Idaho has offered a voluntary program for dual-eligibles, including A&D waiver beneficiaries, since 2014 under the Medicare Medicaid Coordinated Plan (MMCP). The MMCP is administered by participating Managed Care Entities (MCEs) under a 1915(a)/(c) combination authority.

Idaho Medicaid Plus is a program that will require dual-eligibles who have not enrolled in the MMCP to enroll with a participating MCE that administers Idaho Medicaid Plus. The 1915(b) waiver is being submitted to permit mandatory enrollment in counties in which there are two or more participating MCEs with a phased-in implementation approach. The program will be piloted in Twin Falls county beginning on October
1, 2018, to be expanded into additional counties upon successful implementation and meeting performance thresholds.”

State Policies & Initiatives: 
Medicaid & Employment
  • Medicaid Agencies
  • Home and Community Based Services (HCBS)
Date Enacted: