Page 35

assistance program under AS 47.07.020. (d) Notwithstanding (a) — (c) of this section, the department may (1) apply for a section 1915(i) option under 42 U.S.C. 1396n to improve services and care through home and community-based services to obtain, at a minimum, a 50 percent federal match; (2) apply for a section 1915(k) option under 42 U.S.C. 1396n to provide home and community-based services and support to increase the federal match for these programs from 50 percent to 56 percent; (3) apply for a section 1945 option under 42 U.S.C. 1396w-4 to provide coordinated care through health homes for individuals with chronic conditions and to increase the federal match for the services to 90 percent for the first eight quarters the required state plan amendment is in effect; (4) evaluate and seek permission from the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, to participate in various demonstration projects, including payment reform, care management programs, workforce development and innovation, and innovative services delivery models; and (5) provide incentives for telehealth, including increasing the capability for and reimbursement of telehealth for recipients. (e) Notwithstanding (a) — (c) of this section, and in addition to the projects and services described under (d) and (f) of this section, the department shall apply for a section 1115 waiver under 42 U.S.C. 1315(a) to establish one or more demonstration projects focused on innovative payment models for one or more groups of medical assistance recipients in one or more specific geographic areas. The demonstration project or projects may include (1) managed care organizations as described under 42 U.S.C. 1396u-2; (2) community care organizations; (3) patient-centered medical homes as described under 42 U.S.C. 256a-1; or (4) other innovative payment models that ensure access to health care without reducing the quality of care. (f) Notwithstanding (a) — (c) of this section, and in addition to the projects and services described under (d) and (e) of this section, the department shall apply for a section 1115 waiver under 42 U.S.C. 1315(a) to establish one or more demonstration projects focused on improving the state's behavioral health system for medical assistance recipients. The department shall engage stakeholders and the community in the development of a project or projects under this subsection. The demonstration project or projects must (1) be consistent with the comprehensive and integrated behavioral health program described under AS 47.05.270(b); and (2) include continuing cooperation with the grant-funded community mental health clinics and drug and alcohol treatment centers that have historically provided care to recipients of behavioral health services. (g) Notwithstanding (a) — (c) of this section, and in addition to the projects and services described under (d) — (f) of this section, the department may apply for a section 1115 waiver under 42 U.S.C. 1315(a) to establish one or more demonstration projects focused on addressing