California Advancing and Innovating Medi-Cal (CalAIM) (formerly “Medi-Cal 2020”)

State:	California
Waiver Authority:	1115
Status:	Pending

Waiver Dates

Approval:	08/31/2005
Effective:	09/01/2005
Expiration:	12/31/2026

Supporting Documents

Pending Application(s) and Related Documents

Date	Title
10/20/2023	Pending Application- Transitional Rent Services Amendment (PDF, 7.59 MB)	View/Submit Comments

Approved Application(s) and Related Documents

Date	Title
03/06/2024	Demonstration Approval – Provider Payment Increase Assessment Attestation Table (PDF, 5.03 MB)
08/13/2015	Fact Sheet (PDF, 46.03 KB)

Administrative Record

Date	Title
03/26/2024	CMS Approved Interim Evaluation Reports – WPC and CCS (PDF, 16.64 MB)
03/06/2024	Reentry Implementation Plan Approval (PDF, 4.62 MB)
12/28/2023	SUD Part A Metrics (July 1, 2023 – September 30, 2023) (XLSX, 501.39 KB)
12/28/2023	SUD Part B Narrative (July 1, 2023 – September 30, 2023) (PDF, 354.17 KB)
12/20/2023	CMS Approved Summative Evaluation Reports (PDF, 14.8 MB)
12/20/2023	GPP Health Equity Monitoring Metrics Protocol Approval (PDF, 3.14 MB)
12/19/2023	Reentry Demonstration Initiative Reinvestment Plan Approval (PDF, 2.4 MB)
11/27/2023	Quarterly Report July 2023-September 2023 (PDF, 1.69 MB)
10/27/2023	CMS Completeness Letter (PDF, 199.9 KB)
08/29/2023	SUD Part A Metrics (April 1, 2023 – June 30, 2023) (XLSX, 501.16 KB)
08/29/2023	SUD Part B Narrative (April 1, 2023 – June 30, 2023) (PDF, 390.14 KB)
08/28/2023	California Quarterly Report April 2023-June 2023 (PDF, 1.11 MB)
08/23/2023	Managed Care Model Amendment Approval (PDF, 2.15 MB)
08/09/2023	COVID Attachment FF Evaluation Design (PDF, 607.89 KB)
06/28/2023	Attachment K Approval (PDF, 3.36 MB)
06/26/2023	SUD/CM Evaluation Design (PDF, 1.25 MB)
06/26/2023	SUD/CM Evaluation Design (PDF, 4.33 MB)
06/22/2023	Technical Corrections and PATH Protocols Approval (PDF, 1.79 MB)
05/30/2023	Quarterly Report January 2023-March 2023 (PDF, 967.51 KB)
05/30/2023	SUD Part A Metrics (January 1, 2023 – March 31, 2023) (XLSX, 499.97 KB)
05/30/2023	SUD Part B Narrative (January 1, 2023 – March 31, 2023) (PDF, 358.28 KB)
05/22/2023	CMS SUD Monitoring Protocol Approval (PDF, 3.61 MB)
05/22/2023	SUD Monitoring Protocol Part A (XLSX, 176.37 KB)
05/22/2023	SUD Monitoring Protocol Part B (PDF, 1.22 MB)
04/21/2023	CMS Approved Risk Mitigation Evaluation Design (PDF, 383.05 KB)
03/29/2023	State Annual Report January 1, 2022 - December 31, 2022 (PDF, 1.76 MB)
03/27/2023	State Acceptance Letter – COVID-19 CHIP Flexibilities (PDF, 250.94 KB)
03/17/2023	CMS COVID-19 Children Aging out of CHIP Approval (PDF, 308.92 KB)
02/23/2023	State Acceptance Letter (PDF, 183.32 KB)
02/16/2023	Global Payment Program and Disproportionate Share Hospital Protocol Approval (PDF, 1.69 MB)
01/26/2023	Reentry Demonstration Initiative Amendment Approval (PDF, 1.89 MB)
12/29/2022	Quarterly Budget Neutrality Report July – September 2022 (XLSM, 746.83 KB)
12/27/2022	Dental Transformation Initiative Program Year 6 - Final Report (01/01/2021- 12/31/2021 (PDF, 679.14 KB)
12/19/2022	Contingency Management and CBAS Protocols Approval (PDF, 1.73 MB)
11/21/2022	State Quarterly Drug Medi-Cal Organized Delivery System (DMC-ODS) Data - July 2022-September 2022 (PDF, 151.46 KB)
11/21/2022	State Quarterly Report - July 2022-September 2022 (PDF, 837.3 KB)
11/18/2022	CMS Completeness Letter (PDF, 239.29 KB)
11/18/2022	Managed Care Model Changes Amendment (PDF, 659.85 KB)	View Comments
11/18/2022	Quarterly Budget Neutrality Report April – June 2022 (XLSM, 776.08 KB)
11/18/2022	Quarterly Budget Neutrality Report January - March 2022 (XLSM, 776.06 KB)
09/08/2022	COVID-19 Public Health Emergency Appendix K Update Approval (PDF, 842.29 KB)
08/09/2022	State Quarterly Drug Medi-Cal Organized Delivery System (DMC-ODS) Data - April 2022-June 2022 (PDF, 148.1 KB)
08/09/2022	State Quarterly Report - April 2022 – June 2022 (PDF, 796.11 KB)
07/06/2022	State Acceptance Letter- Asset Test Amendment (PDF, 219.33 KB)
06/29/2022	Asset Test Amendment Approval (PDF, 1.41 MB)
06/28/2022	Dental Transformation Initiative Program Year 6 – Preliminary Final Report (01/01/2021- 12/31/2021) (PDF, 652.64 KB)
06/03/2022	State Quarterly Report - January 2022 – March 2022 (PDF, 733.01 KB)
05/10/2022	Annual and Close Out Report - January 2021-December 2021 (PDF, 1.33 MB)
04/22/2022	SUD Summative Evaluation Report (PDF, 8.67 MB)
04/13/2022	CMS Completeness Letter – Asset Test Amendment (PDF, 207.45 KB)
04/06/2022	Asset Test Amendment (PDF, 341.31 KB)	View Comments
03/04/2022	PRIME Final Summative Evaluation Report (PDF, 4.08 MB)
02/24/2022	State Quarterly Report Oct 2021–Dec 2021 (PDF, 657.94 KB)
02/24/2022	State Quarterly Report Oct 2021–Dec 2021 Cover Letter (PDF, 258.25 KB)
02/24/2022	State Quarterly Report Oct 2021–Dec 2021 Drug Medi-Cal Organized Delivery System DMC-ODS Data
02/07/2022	State Acceptance of Managed Care Risk Mitigation COVID-19 amendment (PDF, 238.45 KB)
01/28/2022	Risk Mitigation Approval (PDF, 220.26 KB)
01/27/2022	State Acceptance Letter (PDF, 216.79 KB)
01/14/2022	COVID-19 Public Health Emergency Amendment Approval (PDF, 264.26 KB)
12/29/2021	CMS Extension Approval (PDF, 1.49 MB)
12/29/2021	Dental Transformation Initiative Program Year 5 - Final Report (01/01/2020 - 12/31/2020) (PDF, 703.7 KB)
11/16/2021	California Quarterly Report July 2021 - September 2021 (PDF, 1.01 MB)
10/25/2021	California Annual Report July 2020 – June 2021 (PDF, 1.43 MB)
07/20/2021	Quarterly Budget Neutrality Report October 2020 - December 2020 (XLSM, 1.04 MB)
07/15/2021	California Renewal Completeness Letter (PDF, 134.09 KB)
07/15/2021	Medi-Cal 2020/CAL-AIM (DHCS) Renewal Request (PDF, 5.77 MB)	View Comments
05/06/2021	Annual Monitoring Report July 1, 2019 - June 30, 2020 (PDF, 774.07 KB)
04/27/2021	Quarterly Monitoring Report October 1, 2020 - December 31, 2020 (ZIP, 968.91 KB)
04/05/2021	CMS Approved STC Modification (PDF, 4.6 MB)
03/01/2021	CMS Approved STC Modification (PDF, 337.12 KB)
02/12/2021	CMS Letter to State (PDF, 38.92 KB)
12/29/2020	CMS Temporary Extension (PDF, 4.37 MB)
12/23/2020	Dental Transformation Initiative Program Year 4 - Final Report (01/01/2019 – 12/31/2019) (PDF, 604.08 KB)
11/30/2020	Quarterly Monitoring Report July 1, 2020 - September 30, 2020 (ZIP, 1.36 MB)
10/09/2020	CMS Approval - Appendix K Update (PDF, 290.6 KB)
10/02/2020	Extension Request CMS Completeness Determination Letter (PDF, 422.53 KB)
10/02/2020	Medi-Cal 2020 12 Extension Request (PDF, 597.33 KB)	View Comments
09/25/2020	State Acceptance Letter (PDF, 237.02 KB)
09/11/2020	CMS Accepted Interim Evaluation Report - Out-of-state Former Foster Youth (PDF, 603.2 KB)
08/03/2020	CMS Amendment Approval (PDF, 4.13 MB)
07/27/2020	CMS COVID-19 Approval (PDF, 408.56 KB)
05/28/2020	State Quarterly Report – January - March 2020 (PDF, 5.06 MB)
04/06/2020	State COVID-19 Application (PDF, 76.81 KB)
03/18/2020	GPP and PACE Amendment Completeness Determination Letter (PDF, 117.82 KB)
03/02/2020	Global Payment Program Amendment (PDF, 1.87 MB)	View Comments
02/28/2020	State Quarterly Report – October - December 2019 (PDF, 5.56 MB)
02/25/2020	CMS Approval – CA PRIME Final Interim Evaluation Report (PDF, 7.73 MB)
02/25/2020	CMS Approval – DTI Interim Evaluation Report (PDF, 1.36 MB)
02/25/2020	CMS Approval – SPD Interim Evaluation Report (PDF, 3.15 MB)
01/22/2020	California- PRIME Program Final Interim Evaluation Report (PDF, 6.68 MB)
12/19/2019	Medi-Cal 2020 Dental Transformation Initiative Program Year 3 - Final Report (PDF, 1.52 MB)
11/27/2019	Medi-Cal 2020 DY15 Q1 Progress Report (PDF, 1.24 MB)
11/19/2019	CMS Technical Correction (PDF, 4.36 MB)
11/01/2019	Annual Monitoring Report July 1, 2018 – June 30, 2019 (PDF, 1.61 MB)
09/18/2019	Medi-Cal 2020 DY14 Q3 Progress Report (PDF, 518.57 KB)
04/29/2019	Bridge to Reform Safety Net Care Pool (SNCP) Re-Allocation Letter (PDF, 161.37 KB)
02/28/2019	Medi-Cal 2020 DY14 Q2 Progress Report (PDF, 3.03 MB)
01/18/2019	Medi-Cal 2020 DY14 Q1 Progress Report (PDF, 484.33 KB)
10/17/2018	Annual Monitoring Report July 1, 2017 - June 30, 2018 (ZIP, 622.2 KB)
09/19/2018	California Access Assessment Design (PDF, 525.89 KB)
08/01/2018	Annual Monitoring Report July 1, 2016 - June 30, 2017 (PDF, 603.35 KB)
06/07/2018	Technical Correction Attachment N - Capitated Benefits Provided in Managed Care (PDF, 4.14 MB)
05/24/2018	Medi-Cal 2020 DY 13 Q3 Progress Report (PDF, 1.92 MB)
04/05/2018	Approved Evaluation Design for WPC Pilots Medi-Cal 2020 Demonstration (PDF, 2.69 MB)
02/27/2018	Medi-Cal 2020 DY 13 Q2 Progress Report (PDF, 720.89 KB)
12/19/2017	Approved HHP Amendment Medi-Cal 2020 Demonstration (12/19/17) (PDF, 2.83 MB)
12/15/2017	Medi-Cal 2020 Demonstration Amend Dec 15, 2017 (PDF, 3.81 MB)
12/07/2017	Demonstration Approval-Amended (PDF, 2.37 MB)
11/28/2017	Amendment 18 Health Home Amendment Request (PDF, 1.77 MB)	View Comments
11/28/2017	Medi-Cal 2020 DY 13 Q1 Progress Report (PDF, 668.93 KB)
11/03/2017	Approved CCS and SPD Evaluation Designs letter (11/3/2017) (PDF, 109.8 KB)
11/03/2017	California Children’s Services (CCS) Program Approved Evaluation Design (11/3/2017) (PDF, 98.06 KB)
11/03/2017	California Seniors and Persons with Disabilities (SPDs) Program Approved Evaluation Design (PDF, 72.42 KB)
10/26/2017	Updated DMC-ODS CPE Protocol (10/26/2017) (PDF, 152.85 KB)
10/25/2017	California Annual Report DY 12- July 1, 2016- June 30, 2017 (PDF, 629 KB)
09/12/2017	Medi-Cal Dental Transformation Final Evaluation Design (PDF, 555.03 KB)
09/08/2017	State Acceptance Letter – Former Foster Care Youth Amendment (9/8/2017) (PDF, 131.9 KB)
08/24/2017	Medi-Cal 2020 DY 12 Q4 Progress Report (PDF, 470.34 KB)
08/23/2017	Medi-Cal 2020 PRIME Final Evaluation Design (PDF, 529.43 KB)
08/18/2017	CMS Approval Letter – Former Foster Care Youth Amendment (PDF, 559.45 KB)
07/26/2017	Approved Global Payment Program (GPP) Evaluation Design (PDF, 332.9 KB)
06/05/2017	State Application - Former Foster Care Youth Amendment (PDF, 203.69 KB)	View Comments
06/01/2017	CMS Approved Technical Corrections - June 2017 (PDF, 3.36 MB)
06/01/2017	CMS Completeness Letter – Foster Care Youth Amendment (06/01/2017) (PDF, 1.21 MB)
06/01/2017	Medi-Cal 2020 Uncompensated Care Report #2 (PDF, 1.35 MB)
05/30/2017	Medi-Cal 2020 DY 12 Q3 Progress Report (PDF, 452.6 KB)
05/24/2017	California Letter of Withdrawal for MCAP Amendment (PDF, 66.82 KB)
03/16/2017	CA Bridge to Reform Final DSRIP Evaluation Report (3/16/2017) (PDF, 38.22 KB)
03/16/2017	CMS Review of CCS SPD DRI GPP Evaluation Design (3/16/2017) (PDF, 492.37 KB)
03/02/2017	Amendment 19 – Completeness Letter (03/02/2017) (PDF, 72.9 KB)
03/02/2017	Amendment 19- Medi-Cal Access Program Amendment (PDF, 1.18 MB)	View Comments
03/01/2017	Medi-Cal 2020 DY 12 Q2 Progress Report (PDF, 1.61 MB)
01/19/2017	Demonstration Approval (1/19/2017) (PDF, 3.35 MB)
01/06/2017	CA Acceptance Letter (1/6/17) (PDF, 1.38 MB)
12/08/2016	Demonstration Approval (12/08/2016) (PDF, 4.38 MB)
11/28/2016	Medi-Cal 2020 DY 12 Q1 Progress Report (PDF, 547.44 KB)
11/23/2016	Amendment 18 – Completeness Letter (11/23/2016) (PDF, 92 KB)
11/23/2016	CMS Review of WPC Applications (11/23/2016) (PDF, 40.91 KB)
11/22/2016	Demonstration Approval (11/22/2016) (PDF, 3.62 MB)
11/18/2016	CMS Feedback on PRIME Draft Evaluation Design (11/18/2016) (PDF, 62.7 KB)
11/18/2016	PRIME Draft Evaluation Design (11/18/2016) (PDF, 258.17 KB)
11/10/2016	Medi-Cal 2020 Amendment #18 Request- Health Homes Amendment (PDF, 243.46 KB)
11/09/2016	CMS Approval of DSH Coordination Methodology and CBAS Program Integrity (11/09/2016) (PDF, 94.49 KB)
11/07/2016	WPC Draft Evaluation Design (11/7/2016) (PDF, 2.11 MB)
10/28/2016	Annual Report – Demo Year 11 (11/1/15-6/30/16) (PDF, 3.76 MB)
10/21/2016	CMS Approval of Updated Attachment MM - WPC Pilot Requirements and Metrics (PDF, 205.86 KB)
10/21/2016	CMS Review of WPC Applications (10/21/2016) (PDF, 42.09 KB)
09/27/2016	Medi-Cal 2020 California Children Service Pilot Update (PDF, 109.6 KB)
09/19/2016	CCS DTI GPP and SPD Draft Evaluation Designs (9/19/2016) (PDF, 5.45 MB)
09/01/2016	Amendment 17 – Dental Transformation Initiative Program Amendment (09/01/2016) (PDF, 6.62 MB)	View Comments
08/29/2016	Amendment 17 – Completeness Letter (PDF, 73.4 KB)
08/29/2016	Medi-Cal 2020 DY 11 Q2 Progress Report (08/29/2016) (PDF, 917.92 KB)
08/29/2016	PRIME Draft Evaluation Design (8/29/2016) (PDF, 566.99 KB)
07/14/2016	CMS Approval of CA Uncompensated Care Pool Amounts for Years 2-5 (07/14/2016) (PDF, 53.76 KB)
06/23/2016	Amendment 16 - Whole Person Care Tribal Entity Amendment (06/23/2016) (PDF, 244.88 KB)	View Comments
06/23/2016	Amendment 16 – Completeness Letter (06/23/2016) (PDF, 65.81 KB)
06/20/2016	CMS Approval of DMC-ODS Evaluation Design (06/20/2016) (PDF, 1.86 MB)
06/20/2016	Drug Medi-Cal Organized Delivery System Evaluation Design (06/20/2016) (PDF, 1.89 MB)
06/17/2016	CMS Approval of DMC-ODS CPE Protocol (06/17/2016) (PDF, 69.51 KB)
05/31/2016	Medi-Cal 2020 DY 11 Q1 Progress Report (05/31/2016) (PDF, 1.67 MB)
05/31/2016	Medi-Cal 2020 PRIME DY 11 Q1 Quarterly Report (PDF, 136.87 KB)
05/15/2016	CA Uncompensated Care Pool – Report 1 (5/15/2016) (PDF, 3.32 MB)
05/13/2016	CA WPC Protocol and Application Approval Letter (05/13/2016) (PDF, 642.74 KB)
03/21/2016	CA GPP Protocols Approval Letter (03/21/2016) (PDF, 221.01 KB)
03/02/2016	CMS Approval of PRIME Protocols (03/02/2016) (PDF, 883.31 KB)
03/01/2016	Annual Report - Demo Year 10 (03/01/2016) (PDF, 1023.85 KB)
02/24/2016	CMS Approval - Medi-Cal Drug Delivery System County Implementation Plan (02/24/2016) (PDF, 147.28 KB)
12/30/2015	CMS Demonstration Extension Approval – December 2015 (PDF, 2.1 MB)
12/24/2015	Quarter Report – Demo Year 10 (7/1/15-10/31/15) (PDF, 581.33 KB)
12/20/2015	CMS Demonstration Extension Approval – December 2015 (12/20/2015) (PDF, 2.1 MB)
10/31/2015	CMS Agreement in Principle (10/31/2015) (PDF, 3.94 MB)
10/26/2015	CMS Technical Corrections Approval (10/26/2015) (PDF, 4.61 MB)
09/10/2015	State Acceptance Letter – Drug Medi-Cal Organized Delivery System (PDF, 416.57 KB)
08/28/2015	CA Acceptance Letter (08/28/2015) (PDF, 66.77 KB)
08/21/2015	Quarter Report – Demo Year 10 (4/1/15-6/30/15) (PDF, 424.1 KB)
08/13/2015	August 2015 CMS Amendment Approval (08/13/2015) (PDF, 4.58 MB)
07/31/2015	Demonstration Approval (07/31/2015) (PDF, 4.48 MB)
05/29/2015	Quarter Report – Demo Year 10 (1/1/15-3/31/15) (PDF, 444.7 KB)
04/10/2015	Completeness Letter (04/10/2015) (PDF, 32.63 KB)
03/27/2015	California 2015 Extension Request (03/27/2015) (PDF, 7.89 MB)	View Comments
02/27/2015	Quarter Report – Demo Year 10 (10/1/14-12/31/14) (PDF, 742.81 KB)
01/07/2015	DSRIP Midpoint Assessment & CMS Comments (01/07/2015) (PDF, 2.85 MB)
12/31/2014	Bridge to Reform Quarterly Report Oct-Dec 2014 (12/31/2014) (PDF, 229.95 KB)
12/30/2014	CMS Approval Amendment 13 – Tribal Uncompensated Care (12/30/2014) (PDF, 6.94 MB)
12/09/2014	Quarter Report – Demo Year 10 (7/1/14-9/30/14) (PDF, 533.13 KB)
12/05/2014	CRIHB Completeness Letter (12/05/2014) (PDF, 64.74 KB)
12/05/2014	SUD Completeness Letter (12/05/2014) (PDF, 64.52 KB)
12/04/2014	Pending Application - SUD (12/05/2014) (PDF, 624.58 KB)	View Comments
11/28/2014	CMS Approval Amendment 12 – CBAS & SPD Amendment (11/28/2014) (PDF, 8.71 MB)
11/24/2014	CRIHB Application (11/24/2014) (PDF, 486.17 KB)
10/31/2014	Annual Report – Demo Year 9 (7/1/13-6/30/14) (PDF, 811.64 KB)
10/29/2014	Temporary Extension Letter (10/29/2014) (PDF, 79.78 KB)
09/12/2014	Completeness Letter (09/12/2014) (PDF, 91.55 KB)
09/03/2014	Pending Application – Full Scope Medical Coverage for Low Income Pregnant Women (PDF, 526.37 KB)	View Comments
08/29/2014	Quarter Report – Demo Year 9 (4/1/14-6/30/14) (PDF, 453.89 KB)
08/13/2014	Proposal to Amend (08/13/2014) (PDF, 76.25 KB)
08/12/2014	Letter to Amend (08/12/2014) (PDF, 165.95 KB)
08/11/2014	Low Income Health Program Evaluation Design (08/11/2014) (PDF, 10.61 MB)
08/01/2014	Excerpts of current SPD STCs (08/01/2014) (PDF, 620.32 KB)
08/01/2014	Letter to Ammend (08/01/2014) (PDF, 229.04 KB)
08/01/2014	Temporary Extension Letter (08/01/2014) (PDF, 80.28 KB)
07/09/2014	Coordinated Care Initiative (CCI) Evaluation Design (07/09/2014) (PDF, 763.2 KB)
06/13/2014	Letter to Ammend (06/13/2014) (PDF, 70.73 KB)
06/05/2014	CBAS Amendment Standards of Participation (06/05/2014) (PDF, 116.14 KB)
05/29/2014	Quarter Report – Demo Year 9 (1/1/14-3/31/14) (PDF, 485.9 KB)
05/21/2014	Approval Letter (05/21/2014) (PDF, 190.58 KB)
05/21/2014	CMS Technical Corrections - Amendment 11 Coordinated Care Initiative (05/21/2014) (PDF, 8.65 MB)
03/25/2014	Delivery System Reform Incentive Payment Evaluation Design (03/25/2014) (PDF, 466.09 KB)
03/19/2014	CMS Approved Amendment 11 – Coordinated Care Initiative (03/19/2014) (PDF, 4.14 MB)
02/28/2014	Quarter Report – Demo Year 9 (10/1/13-12/31/13) (PDF, 422.95 KB)
01/01/2014	Special Terms and Conditions (Amended 01/01/14) (PDF, 234.03 KB)
12/24/2013	Approval to Amend Letter (12/24/13) (PDF, 229.52 KB)
11/27/2013	Quarter Report – Demo Year 9 (7/1/13-9/30/13) (PDF, 436.31 KB)
10/30/2013	Annual Report – Demo Year 8 (7/1/12-6/30/13) (PDF, 1.55 MB)
10/30/2013	Proposal to Amend Letter (10/30/13) (PDF, 206.02 KB)
09/01/2013	Special Terms and Conditions (09/1/13) (PDF, 1.24 MB)
08/30/2013	Quarter Report – Demo Year 8 (4/1/13-6/30/13) (PDF, 211.2 KB)
08/29/2013	CMS Approval Amendment 9 - Expansion of Medi-Cal Managed Care (08/29/13) (PDF, 3.6 MB)
06/28/2013	CMS Approved Amendment 8 – Safety Net Care Uncompensated Care Pool (06/28/2013) (PDF, 3.59 MB)
06/18/2013	Proposal to Amend Letter (06/18/13) (PDF, 197.86 KB)
06/06/2013	Quarter Report – Demo Year 8 (1/1/13-3/31/13) (PDF, 404.76 KB)
04/26/2013	Letter to Amend (04/26/2013) (PDF, 870.07 KB)
04/05/2013	CMS Approval Amendment 7 - Tribal Uncompensated Care (04/05/13) (PDF, 2.8 MB)
01/16/2013	California Children’s Services Evaluation Design (01/16/2013) (PDF, 2.39 MB)
01/01/2013	Special Terms and Conditions (Amended 01/01/13) (PDF, 3.35 MB)
12/31/2012	Approval to Amend Letter (12/31/12) (PDF, 638.23 KB)
10/30/2012	Expenditure Authority (10/30/12-10/31/2015) (PDF, 175.43 KB)
10/30/2012	Proposal to Amend Letter (10/30/12) (PDF, 296.12 KB)
08/10/2012	Letter Requesting Approval (08/10/12) (PDF, 244.76 KB)
06/29/2012	1115 Waiver Total 1115 (PDF, 175.25 KB)
06/28/2012	Approval to Amend Letter (06/28/12) (PDF, 343.29 KB)
06/22/2012	Draft Amendment Centers For Medicare & Medicaid Services Specials And Conditions (06/22/12) (PDF, 235.36 KB)
06/22/2012	Draft Amendment Centers For Medicare & Medicaid Services Specials And Conditions (06/22/12) (PDF, 235.33 KB)
06/22/2012	Expenditure Authority (06/22/12) (PDF, 285.95 KB)
06/22/2012	Expenditure Authority (06/22/12) (PDF, 285.96 KB)
06/22/2012	Proposal to Amend Letter (06/22/12) (PDF, 371.69 KB)
06/22/2012	Proposal to Amend Letter (06/22/12) (PDF, 371.68 KB)
05/01/2012	Revision Letter (05/1/12) (PDF, 232.69 KB)
05/01/2012	Submission Letter for Pending Amendment (05/01/12) (PDF, 232.71 KB)
04/11/2012	Section 1115 Demo Amendment Proposal (Submitted 04/11/12) (PDF, 341.54 KB)
04/11/2012	Section 115 Demo Amendment Proposal (Submitted 04/11/12) (PDF, 341.52 KB)
04/11/2012	Technical Amendment Request for STCs (PDF, 1.32 MB)
04/11/2012	Technical Amendment Request for STCs (PDF, 1.32 MB)
02/10/2012	Proposed LIHP HIV Transition Plan (02/10/12) (PDF, 324.39 KB)
02/10/2012	Proposed LIHP HIV Transition Plan (2/10/12) (PDF, 324.38 KB)
12/14/2011	Amendment Request Letter (12/14/11) (PDF, 187.61 KB)
12/14/2011	Letter to Amend (12/14/11) (PDF, 187.7 KB)
12/12/2011	Low Income Health Program Allocation Table (12/12/11) (PDF, 164.66 KB)
12/12/2011	Low Income Health Program Allocation Table (12/12/11) (PDF, 164.7 KB)
07/22/2011	Amendment Request Letter (with enclosures) (07/22/11) (PDF, 327.07 KB)
07/22/2011	Letter to Amend (07/22/11) (PDF, 327.21 KB)
11/01/2010	Attachment F (11/1/10-10/31/15) (PDF, 159.01 KB)
11/01/2010	Expenditure Authority (11/1/10-10/31/15 Amended 12/24/13) (PDF, 161.04 KB)
11/01/2010	Expenditure Authority (11/01/10-10/31/15 Amended 04/05/13) (PDF, 164.98 KB)
11/01/2010	Expenditure Authority (11/01/10-10/31/15 Amended 08/29/13) (PDF, 160.59 KB)
11/01/2010	Expenditure Authority (11/01/10-10/31/15 Amended 12/31/12) (PDF, 272.63 KB)
11/01/2010	Expenditure Authority (11/1/10-10/31/15 Amended 06/28/12) (PDF, 157.81 KB)
11/01/2010	Program Description & Context (11/1/10-10/31/15) (PDF, 185.09 KB)
11/01/2010	Special Terms and Conditions (11/01/10-10/31/15 Amended 04/05/13) (PDF, 3.98 MB)
11/01/2010	Special Terms and Conditions (11/01/10-10/31/15 Amended 12/24/13) (PDF, 2.98 MB)
11/01/2010	Special Terms and Conditions (11/1/10-10/31/15 Amended 08/29/2013) (PDF, 2.87 MB)
11/01/2010	Waiver Authority (11/01/10-10/31/15 Amended 12/31/12) (PDF, 186.3 KB)
11/01/2010	Waiver Authority (11/01/10-10/31/15 Amended 12/31/12) (PDF, 186.3 KB)
11/01/2010	Waiver Authority (11/01/10-12/31/15 Amended 12/31/12) (PDF, 186.3 KB)
11/01/2010	Waiver Authority (11/1/10-10/31/15 Amended 06/28/12) (PDF, 139.31 KB)
11/01/2010	Waiver Authority (11/1/10-10/31/15 Amended 12/24/13) (PDF, 139.75 KB)
	Attachment K (PDF, 315.93 KB)
	Attachment N (PDF, 177.36 KB)
	Calculation of the Gap Chart (PDF, 134.67 KB)
	Chart of Hospital Names (PDF, 270.39 KB)
	DPH Chart (PDF, 142.35 KB)
	DPH UPL Calculator (PDF, 233.97 KB)
	Days Chart (PDF, 133.39 KB)
	Discharge/Well Days Chart (PDF, 255.88 KB)
	FFS/PHP Days Chart (PDF, 172.54 KB)
	Funding Flow Chart for HIV Waiver Incentive (PDF, 235.75 KB)
	Funding Flow Chart for HIV Waiver Incentive Program (PDF, 235.75 KB)
	Hospital Contract Type Chart (PDF, 142.47 KB)
	Hospital/Medi-Cal Paid Amounts (PDF, 240.55 KB)
	Inflation Hospital Chart (PDF, 144.52 KB)
	Inpatient UPL Chart (PDF, 137.83 KB)
	Letter to Amend (PDF, 2.44 MB)
	NDPH Inpatient UPL Summary (PDF, 134.73 KB)
	New Managed Care Counties (PDF, 224.71 KB)
	Pediatric/Adult Days Chart (PDF, 285.34 KB)
	Projected Charges for Private Hospitals Chart (PDF, 176.73 KB)
	Projected Medicare Charges Chart (PDF, 201.13 KB)
	Projected Medicare Charges Chart (PDF, 266.65 KB)
	Projected/Adjusted Chart (PDF, 283.43 KB)
	Proposed Amendment to STC 115 (PDF, 197.88 KB)
	Proposed Amendment to STC 115 (PDF, 197.92 KB)
	Proposed Amendment to STC 23.b. and f. (PDF, 970.97 KB)
	Proposed Amendment to STC 23.b. and f. (PDF, 970.98 KB)
	Public Comments (PDF, 95.82 KB)
	Safety Net Financing Division (SNFD) Amendment to the Bridge Reform Waiver (PDF, 167.56 KB)
	Safety Net Financing Division (SNFD) Amendment to the Bridge to Reform Waiver (PDF, 167.61 KB)
	UPL Remaining after Transitions (PDF, 199.13 KB)
	UPL and Expenditure Adjustments for SPD transitions to Managed Care (PDF, 135.03 KB)
	WOW SPD’s (PDF, 260.15 KB)
	Waiver Outline (PDF, 190.88 KB)

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