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New Jersey Section 1115 Waiver Amendment

On February 27, 2020, New Jersey submitted to the Centers for Medicare and Medicaid Services a request to amend the state’s existing Section 1115 demonstration program. This amendment would make two modifications. First, it seeks to expand Medicaid...

New Hampshire Draft 1332 Waiver Application

On March 25, 2020, New Hampshire released a draft Section 1332 waiver application that the state plans to submit to the Centers for Medicare and Medicaid Services (CMS) for the purpose of creating a state-based reinsurance program. The state acce...

Oklahoma Draft Block Grant Waiver Application

Background On March 16, 2020, Oklahoma Governor Kevin Stitt issued a draft Section 1115 waiver application to expand the state’s Medicaid program (SoonerCare) and make other modifications. ...

Idaho 1115 Waiver Summary – Institutions for Mental Diseases

On January 3, 2020, Idaho submitted a new section 1115 waiver application to the Centers for Medicare and Medicaid Services (CMS).  Specifically, Idaho is requesting a 5-year section 1115 demonstration that authorizes the state to receive federa...

Georgia 1115 Waiver Application

On March 27, 2019, Governor Brian Kemp of Georgia signed and enacted Senate Bill 106, otherwise known as the Patients First Act. This legislation authorizes the Georgia Department of Community Health to submit a Section 1115 Demonstration waiver ...

Tennessee Block Grant Waiver Summary

On November 20, 2019, Tennessee submitted a Section 1115 waiver application to the Centers for Medicare and Medicaid Services (CMS), which, if approved, would implement a block grant for the state’s Medicaid program (TennCare). The final waiver...

Recently Approved 1332 Waivers

Through Section 1332 of the Affordable Care Act (ACA) states have the ability to apply for waivers requesting authority to amend ACA provisions in the individual and small group market place.  A 1332 wavier grants the states flexibility in ensur...

Idaho 1115 Waiver Application

On September 27, 2019, Idaho submitted a new section 1115 waiver application to the Centers for Medicare and Medicaid Services (CMS).  The waiver seeks approval to establish a work requirement for certain eligible Medicaid beneficiaries in the A...

CMS Approves Colorado and North Dakota 1332 Waiver Applications

On July 31, 2019, the Centers for Medicare and Medicaid Services (CMS) approved Section 1332 waiver applications for Colorado and North Dakota to implement state reinsurance programs. Below is a summary of the waivers. Colorado Colo...

Utah Medicaid 1115 Waiver Summary

On June 22, 2018, Utah submitted an 1115 waiver amendment to the Centers for Medicare and Medicaid Services (CMS) seeking to implement a partial and capped Medicaid expansion, as well as Medicaid work requirements for certain populations. Followi...

Ohio Section 1115 Waiver Approval

On March 15, 2019, the Centers for Medicare and Medicaid Services (CMS) approved Ohio’s Medicaid 1115 waiver, allowing the state to implement work requirements for certain Medicaid recipients.

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Section 1115 Guidance

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State Innovation Waivers for ACA

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Administration Releases Marketplace Proposed Rule

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DelBene Leads Letter to CMS to Delay MSSP Application Timeline

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Exchange Program Integrity Proposed Rule

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CMS Awards $8.6 Million to Strengthen States Insurance Markets

The Trump Administration announced the State Flexibility to Stabilize the Market Grant Program which will provide funding to 30 states and the District of Columbia for state exchanges.  About $8.6 million is being awarded to states for planning ...

Short-term Plans Final Rule

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CMS Actuary Report Differs from CBO; 13M Still Uninsured Under AHCA

Today the Centers for Medicare and Medicaid Services’ Office of the Actuary released its report estimating the “financial effect of the ‘American Health Care Act of 2017”, legislation that would repeal and replace portion...

CMS seeks public input on reducing the regulatory burdens of the Patient Protection and Affordable Care Act (PPACA)

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President Trump Selects Seema Verma to Serve as CMS Administrator

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House Republicans Call on CMS to Halt Future CMMI Models

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