The Centers for Medicare & Medicaid Services (CMS) announced that they will no longer approve any new state Section 1115 Demonstration projects that expand continuous eligibility or test workforce initiatives. Existing demonstration projects will continue until they expire. Pennsylvania 1115 Waivers scheduled to expire on Sept. 30, 2027 include the “Keystones of Health” waiver, which includes a provision for continuous Medicaid eligibility for 12 months for individuals aged 19 through 64 leaving incarceration, provided they meet certain high-risk criteria, and the waiver to provide continuous Medicaid coverage to children from birth to age 6 regardless of changes in circumstances or the need for periodic renewals. CMS will work with states to develop phase-out plans for these programs.
