On July 13, 2021, Maryland Governor Lawrence J. Hogan, Jr. published this 1115 waiver demonstration waiver renewal application to the U.S. Department of Health and Human Services. This renewal period will focus on maintaining high quality, cost-effective services and pilot programs initiated in the last waiver renewal period. In addition, the Department will focus on alignment with statewide efforts and population health measures designed to achieve success on the Statewide Integrated Health Improvement Strategy (SIHIS) as required by the Center for Medicare and Medicaid Innovation (CMMI) under Maryland’s Total Cost of Care (TCOC) model . . .

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