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TEAMKY Demonstration
Approval Period: January 1, 2025 through December 31, 2029
Page 6 of 155 CENTERS FOR MEDICARE & MEDICAID SERVICES SPECIAL TERMS AND CONDITIONS
NUMBERS: 11-W-00306/4
21-W-00067/4
TITLE:
TEAMKY 1115 Demonstration
AWARDEE: Kentucky Cabinet for Health and Family Services
I. PREFACE
The following are the Special Terms and Conditions (STCs) for the “TEAMKY” (formerly KY Helping to Engage and Achieve Long Term Health (KY HEALTH)) section 1115(a) Medicaid and CHIP demonstration (hereinafter “demonstration”) to enable Kentucky (referred to herein as the state) to operate this demonstration. The Centers for Medicare & Medicaid Services (CMS) has granted the state waivers of requirements under sections 1902(a) and section 2107 of the Social Security Act (the Act), and expenditure authorities authorizing federal matching of demonstration costs that are not otherwise matchable, and which are separately enumerated. These STCs set forth in detail the nature, character, and extent of federal involvement in the demonstration, and the state’s obligations to CMS related to this demonstration. The TEAMKY demonstration will be statewide and is approved from January 1, 2025 through December 31, 2029.
The STCs have been arranged into the following subject areas:
I. Preface II. Program Description and Objectives III. General Program Requirements IV. Eligibility and Enrollment V. Benefits VII. Health-Related Social Needs VIII. Reentry Demonstration Initiative IX. Delivery System IX. Monitoring and Reporting Requirements X. General Financial Requirements XI. Budget Neutrality XII. CHIP Monitoring Allotment Neutrality XIIV. Evaluation of the Demonstration XIV. Opioid Use Disorder (OUD)/Substance Use Disorder (SUD) Program and Benefits XV. Serious Mental Illness (SMI) Program and Benefits XVI. Schedule of Deliverables for the Demonstration Period
Additional attachments have been included to provide supplementary information and guidance for specific STCs.