On July 27, 2017, the Centers for Medicare & Medicaid Services issued this letter, which approved a waiver extension for New Jersey's section 1115(a) demonstration, NJ FamilyCare Comprehension Demonstration. The waiver not only consolidates authority for several existing Medicaid waivers, but initiates a variety of health reforms in New Jersey's Medicaid program. Among the key changes authorized by the waiver are: an expansion in managed care to long-term services and supports and behavioral health services; targeted home and community-based services for populations of children; and in-home community supports for individuals with intellectual and developmental . . .