Federal law and regulations set guidelines for how states operate their Medicaid and CHIP programs.  States, though, can request that the Secretary of Health and Human Services waive certain laws or regulations in order to demonstrate new methods for providing coverage, cover populations not ordinarily covered, or make other changes to Medicaid and CHIP.  Waivers have become an important source of variation in Medicaid and CHIP programs across states and impact the way that many children and families receive care.

Joint Letters:
  • July 16, 2014 letter to CMS on the Alabama Proposal for Section 1115 Medicaid Demonstration Project
  • April 10, 2014 letter to CMS on the the Healthy Pennsylvania Private Coverage Option Demonstration.December 18, 2013 letter to CMS on the “Healthy Michigan” proposal.
    • April 10, 2014 letter to CMS on Pennsylvania with a focus on children.
  • September 26, 2013 letter to CMS on Iowa’s two proposals for Section 1115 Medicaid Waivers—Iowa Marketplace Choice Plan and Iowa Wellness Plan.
  • September 6, 2013 letter to CMS on the Arkansas Health Care Independence Program (“Private Option”) Demonstration proposal.
  • September 19, 2012 letter to CMS on Kansas’s resubmitted waiver that would move all in the Medicaid program into managed care
  • June 27, 2012 letter to CMS on the new review and approval process for section 1115 demonstrations
  • January 26, 2012 letter asks HHS to reject Wisconsin’s maintenance-of-effort waiver proposal
  • October 21, 2011 letter asks HHS to reject aspects of California’s demonstration waiver proposal that threaten to reduce coverage
  • October 17, 2011 letter asks the White House to finalize the proposed regulations on public participation in Section 1115 research and demonstration proposals (75 FR 56946) as soon as possible
  • August 3, 2011 letter asks CMS to reject aspects of Utah’s demonstration waiver proposal that threaten to reduce children’s coverage
  • April 13, 2011 letter asks HHS to finalize the proposed regulations on public participation in Section 1115 research and demonstration proposals (75 FR 56946) as soon as possible
  • February 14, 2011 letter expresses concern to HHS about a Section 1115 demonstration proposal that was submitted by Arizona to waive the maintenance of effort requirement
Comments:
  • October 23, 2014 comments to CMS on Iowa’s waiver amendment regarding the non-emergency transportation (NEMT) benefit.
  • October 17, 2014 comments to CMS on the amendment to the Arkansas Health Care Independence Program demonstration project.
  • September 21, 2014 comments to CMS on the Health Indiana Plan (HIP) 2.0 Demonstration proposal from Georgetown CCF and the Center on Budget and Policy Priorities
  • September 21, 2014 comments to CMS on the Health Indiana Plan (HIP 2.0) Demonstration proposal, submitted by fourteen national organizations
  • April 10, 2014 comments to CMS on the Healthy Pennsylvania Private Coverage Option Demonstration
  • September 26, 2013 comments to CMS on Iowa’s two proposals for Section 1115 Medicaid Waivers—Iowa Marketplace Choice Plan and Iowa Wellness Plan.
  • September 6, 2013 comments to CMS on the Arkansas Health Care Independence Program (“Private Option”) Demonstration proposal.
  • November 16, 2010 comments on the proposed federal regulations on public process for Medicaid and CHIP demonstration waivers.
CCF Resources: