What we're working on

About MTP

The initial MTP waiver period ended on June 30, 2023. On that same day, the Centers for Medicare & Medicaid Systems (CMS) approved MTP to continue for an additional five years, beginning July 1, 2023. We call the MTP renewal “MTP 2.0,” which will help widen our reach to provide more programs, services, and supports to our most vulnerable populations.

Goals

Under the renewal, our goals are to:

• Expand coverage and access to care, ensuring that people can get the care they need.
• Advance whole-person primary, preventive, and home- and community-based care.
• Accelerate care delivery and payment innovation focused on health-related social needs.

We will accomplish these goals through numerous MTP programs, including existing and new programs.

Resources

• About MTP 2.0 (August 2023)
• CMS approval letter

MTP 2.0 application

In our renewal application, we proposed multiple changes to our existing MTP programs and proposed new ones. CMS approved most of these changes.

• MTP 2.0 waiver renewal application (full application) | acronym glossary
  • Appendix A: health-related services (HRS) menu
  • Appendix B: budget neutrality
  • Appendix C: interim evaluation findings report
  • Appendix D: external quality review organization (EQRO) reports
  • Appendix E: Washington State Register notice
  • Appendix F: full public notice
  • Appendix G: Dear Tribal Leader Letter
  • Appendix H: summary of public notice and Tribal Consultation
• MTP renewal executive summary, which also serves as Appendix F

*IMD stands for institution for mental diseases. IMDs are defined as hospitals, nursing facilities, or other institutions with more than 16 beds that primarily provide diagnosis, treatment, or care of persons with mental illnesses. This includes medical attention, nursing care, and related services.

We acknowledge the term “mental disease” may be harmful or stigmatizing. We use it in this context only to reflect the legal terminology used in statute.