CMS has updated California's 1115 waiver by upping its uncompensated care funding to public hospitals by $472 million annually for the next four years.
Under California's waiver, known as Medi-Cal 2020, the federal government originally approved $6.2 billion to be paid out over a five-year period to help California advance value-based reform initiatives, according to California Healthline.
The waiver, approved by CMS in January, initially designated $236 million for uncompensated care costs. CMS notified state officials on July 14 that it had upped that number to nearly $1.8 billion for the next four-year period.
The funding change is effective immediately.
CMS granted Tennessee a two-month temporary extension on its 1115 waiver June 30. Unlike California, Tennessee hasn't expanded its Medicaid program.