What Is the 1115 Waiver, and Why Is It Important?

November 20, 2020

What is the 1115 waiver, and why is it important?

Renewed with the federal government every five (5) years, this waiver is a contract between the state and federal government that brings federal Medicaid funding to New Jersey for residential, day, and other services for adults and home-based services for children.

Adult services are funded via both the “Community Care Program” and the “Supports Program” under the Division of Developmental Disabilities.

Children’s services are funded through the “Children’s Support Services Program” under the Children’s System of Care’s Intensive In-Home program.

What is the timeline?

The first 1115 waiver spanned July 2012 – June 2017. The current renewal spans July 2017 – June 2022. The State is now planning for the third iteration, the July 2022 – June 2027 renewal, with the following milestones:

DeadlineMilestoneProgress Update
November 2020DHS solicits stakeholder input.Complete
Before June 30, 2021DHS plans to release a detailed concept paper that highlights the major components of application. This concept paper will be made available for public comment, typically for 30-60 days, prior to submitting a formal application to the Centers for Medicare and Medicaid Services (CMS).Complete
(September 2021)

DHS released their draft plan for public comment.
On or before June 30, 2021DHS plans to submit a renewal application to CMSIn progress
Submitted to CMS on February 28, 2022. 30 Day Federal Public Comment Period runs March 11 to April 10, 2022.
June 30, 2022Current waiver expires

Please note:  We will update this article to document progress as it occurs and to announce opportunities for public comment to keep our stakeholders informed.