CMS Approval Letter For California Advancing & Innovating Medi-Cal (CalAIM) 1915(b) Medicaid Waiver Amendment & Renewal

On December 29, 2021, the Centers for Medicare & Medicaid Services (CMS) approved the California Advancing and Innovating Medi-Cal (CalAIM) Medicaid waiver amendment and renewal for the state’s Medicaid 1115 demonstration and 1915(b) waiver, effective January 1, 2022, through December 31, 2026. This document is the CMS approval of the 1915(b) waiver amendment.

The CalAIM provisions are intended to standardize Medicaid managed care plan benefits, add institutional care and major organ transplants into managed care, and carve pharmacy out of managed care. The state also intends to implement Medicaid managed long-term services and supports (MLTSS . . .