CMS Waiver - Request for Amended Waiver
On March 2, 2012, Governor Kitzhaber signed SB 1580, which will launch Coordinated Care Organizations to better serve Oregon Health Plan members with a focus on improved health. To allow the state to move forward quickly with starting CCOs, a Request for Waiver Amendment was sent to the Centers for Medicare and Medicaid Services on March 1, 2012, to start the process of final federal approval. The amended waiver will give Oregon the flexibility it needs to implement Coordinated Care Organizations.
Since established in 1994, the Oregon Health Plan Waiver Demonstration has provided the state's most vulnerable residents with high-quality, evidence-based health care while containing spending growth.
As we look to the future, Oregon is ready to build on that success and to take it further to meet three goals:
- Transform Oregon's Medicaid delivery system to focus on prevention, integration, and coordination of health care across the continuum of care with the goal of improving outcomes and bending the cost curve;
- Promote the Triple Aim of better health, better health care, and lower per capita costs; and
- Establish supportive partnerships with CMS to implement innovative strategies for providing high-quality, cost-effective, person-centered health care under Medicaid and Medicare.
The Request for Amended Waiver has been presented to Oregon’s seven tribal governments and the Governor-appointed Medicaid Advisory Committee.
The Waiver was created after a year of public process that led to legislation (HB 3650) in 2011, which created Coordinated Care Organizations, and in 2012 (SB 1580), which lays out the implementation requirements for CCOs. This process included meetings with tribes, stakeholders, public work groups, Oregon Health Policy Board Meetings, and legislative committees.
Transforming the Oregon Health Plan, Waiver and Next Steps
Webinar. March 2, 2012:
Concurrent with CMS review of the waiver, OHA is moving forward to put the steps in place for potential CCOs to apply this spring. A full timeline is available here