Waiver Documents
Below are materials and documents related to Utah’s 1115 Demonstration Waiver:
Final 1115 Demonstration Amendment Versions-CMS
- Medicaid Reform 1115 Demonstration Amendment - Twelve-month Extended Postpartum Coverage (Submitted 5.16.23) opens in a new tab
- Medicaid Reform 1115 Demonstration Amendment - Adult Dental (Submitted 7.27.23) opens in a new tab
- Medicaid Reform 1115 Demonstration Amendment - Family Planning Services (Submitted 7.27.23) opens in a new tab
- Medicaid Reform 1115 Demonstration Amendment - Chronic Conditions Support (Submitted 7.27.23) opens in a new tab
- Medicaid Reform 1115 Demonstration Amendment - UPP Premium Increase for Children (Submitted 4.10.23) opens in a new tab
- Medicaid Reform 1115 Demonstration Amendment - Long Term Services and Supports for Behaviorally Complex Individuals (Submitted 12.30.22) opens in a new tab
- Medicaid Reform 1115 Demonstration Amendment - Integrated Behavioral Health Services (Submitted 12.30.22) opens in a new tab
- 1115 Waiver Amendment- Fertility Preservation for Individuals Diagnosed with Cancer (Sumbitted 12.27.2021) opens in a new tab
- 1115 Waiver Amendment-Medical Respite Care (Submitted 12.27.2021) opens in a new tab
- 1115 Waiver Amendment - UPP Premium Reimbursement Increase (2.23.2021) opens in a new tab
- 1115 Waiver Amendment - IVF and Genetic Testing (Submitted 12.31.20) opens in a new tab
- 1115 Waiver Amendment - Dental Benefits for Individuals with Blindness - Disabilities (Submitted 9.11.20) opens in a new tab
- 1115 Waiver Amendment – Behavioral Health Services for Adults with Serious Mental Illness (Submitted 8.3.20) opens in a new tab
- 1115 Waiver Amendment – Medicaid Coverage for Justice-Involved Populations (Submitted 6.29.20) opens in a new tab
- 1115 Demonstration Waiver Amendment – Fallback Plan (Submitted 11.1.19) opens in a new tab
- 1115 Demonstration Waiver Amendment – Utah Medicaid Integrated Care (Submitted 8.28.19) opens in a new tab
- 1115 Demonstration Application – Per Capita Cap (Submitted 7.31.19) opens in a new tab
- Aged Dental and Porcelain Crowns Amendment (Submitted 6.28.19) opens in a new tab
- Adult Social Detoxification Covered Service Amendment (Submitted 2.6.19) opens in a new tab
- 1115 Demonstration Waiver – Family Planning Services, Targeted Adult Dental, and At-risk Youth Amendment Request (Submitted 6.29.18) opens in a new tab
- 1115 Demonstration Waiver – Adult Expansion Amendment Request (Submitted 6.21.18) opens in a new tab
- 1115 Waiver Revisions (Submitted 8.15.17) opens in a new tab
- Dental Benefits for Adults with Disabilities or Blindness (Submitted 1.31.17) opens in a new tab
- 1115 Demonstration Waiver (Submitted 8.18.16) opens in a new tab
Public Comment Draft Amendment Versions
- Adult Dental Draft Amendment opens in a new tab
- Adult Expansion Amendment opens in a new tab
- Aged Dental and Porcelain Crowns Amendment opens in a new tab
- Behavioral Health Services for Adults with Serious Mental Illness Amendment opens in a new tab
- Chronic Conditions Support Draft Amendment opens in a new tab
- Dental Benefits for Individuals with Blindness and Disabilities opens in a new tab
- Fallback Plan Amendment opens in a new tab
- Family Planning Services Amendment opens in a new tab
- Family Planning Services Draft Amendment opens in a new tab
- Fertility Treatments for Individuals Diagnosed with Cancer opens in a new tab
- Integrated Behavioral Health Services Draft Amendment opens in a new tab
- In Vitro Fertilization and Genetic Testing for Qualified Conditions Amendment opens in a new tab
- Long Term Services and Supports for Behaviorally Complex Individuals Draft Amendment opens in a new tab
- Medicaid Coverage for Justice-Involved Populations Amendment opens in a new tab
- Medical Respite Care opens in a new tab
- Per Capita Cap Application opens in a new tab
- Services for At Risk Medicaid Eligible Children/Youth opens in a new tab
- Social Detoxification Amendment opens in a new tab
- Targeted Adult Medicaid/SUD Dental Benefits opens in a new tab
- Twelve-month Extended Postpartum Draft Amendment opens in a new tab
- UPP Premium Reimbursement Increase Amendment opens in a new tab
- UPP Reimbursement Increase for Children Draft Amendment opens in a new tab
- Utah Medicaid Integrated Care Amendment opens in a new tab
Special Terms and Conditions
Waiver Renewal Drafts
- Waiver Renewal (Submitted 9.7.21) opens in a new tab
- Waiver Renewal (Submitted 6.30.21) opens in a new tab
- Waiver Renewal Document opens in a new tab
Monitoring Protocols
Other Documents and Materials
- Phase-Out Plan Clinically Managed Residential Withdrawal Services
- Approved 1115 Medicaid Reform 1115 Demonstration
- Twelve-Month Extended Postpartum Coverage - CMS denial letter opens in a new tab
- Medicaid Expansion: At-A-Glance Chart (Senate Bill 96) opens in a new tab
- 2018 1115 Waiver Amendments Overview opens in a new tab