This document was released on November 20, 2018, by the Centers for Medicare & Medicaid Services (CMS). The document is a re-approval of the state's 1115 Medicaid waiver called "Helping To Engage & Achieve Long Term Health" (HEALTH). CMS had initially approved the Kentucky HEALTH waiver, but court order in June 2018 required CMS to re-evaluate how—and whether—the waiver provisions for cost sharing and community engagement/work requirements would affect Medicaid coverage . . .