1) MHSP 3,000 Capped Less than or Only Limited Standard MHSP Standard Waiver Spending: to 150% Funds Mental Medicaid State Only Medicaid Population FPL State Health Services Program: State Expansion Benefits, up or pay $3 Plan See previous of to $425 premium Dialectical Cost description of Effort. Mental for Behavior Share. Waiver Funding Health Employer Treatment population for from the Prescription Sponsored services, further detail. current State Drugs, Plan or $12 generic only MHSP PACT, and Private and $17 Program 72 Hour Health non will be used Services. Insurance. generic, up to fund MEG to $425 1) MHSP mental Waiver. health Federal Spending: drug. Budget Neutrality Surplus from the existing Section 1115 Medicaid Waiver will be used to MEG 1) MHSP Waiver. Number Demonstration Financial Current Proposed Current Proposed Current Proposed of Population Eligibility Members
1) MHSP Waiver Population Expansion See previous description of Waiver population for further detail. 3,000 Capped Less than or to 150% FPL Only Funds Spending: State of Effort. Funding from the current State only MHSP Program will be used to fund MEG 1) MHSP Waiver. Federal Spending: Budget Neutrality Surplus from the existing Section 1115 Medicaid Waiver will be used to MEG 1) MHSP Waiver. Limited Mental Health Benefits, up to $425 Mental Health Prescription Drugs, PACT, and 72 Hour Services. Standard Medicaid Services or pay premium for Employer Sponsored Plan or Private Health Insurance. MHSP State Only Program: $3 Dialectical Behavior Treatment services, $12 generic and $17 non generic, up to $425 mental health drug. Standard Medicaid State Plan Cost Share. Demonstration Population Number of Members Financial Eligibility Current Proposed Current Proposed Current Proposed
MT1115WASPRenewalApplication508ABD71516.docx