Waivers
Section 1115 of the Social Security Act establishes authority for the Secretary of Health and Human Services (HHS) to waive certain provisions of the Medicaid and CHIP statutes for a state to establish an “experimental, pilot or demonstration” project that promotes the objectives of the program. Such demonstrations are intended to test and learn about new approaches to program design and administration. States have obtained Section 1115 waivers that make broad changes in Medicaid eligibility, benefits, cost sharing, and delivery and payment of care.
The Biden Administration CMS Unwinds the Tennessee “Block Grant”
Two and a half years ago, on January 8, 2021, with considerable fanfare, the Trump administration CMS announced the approval of a Medicaid “aggregate cap waiver” for Tennessee. The Governor was more forthcoming, trumpeting the state’s receipt of a “block grant waiver.” You say “aggregate cap,” I say “block grant,” let’s call the whole thing […]
An Analysis of Georgia’s Section 1115 Medicaid Pathways to Coverage Program
Download Full Report In July 2023, Georgia will begin enrollment into its new Medicaid Pathways to Coverage (“Pathways”) program, with coverage expected to begin in September 2023. The program would offer coverage to a subset of low-income adults who meet a work reporting requirement and, depending on their income, pay a monthly premium. Georgia will […]
Low-Income Parents at Significant Risk Under the House-Passed Medicaid Work Reporting Requirements in Debt Ceiling Bill
We’ve been closely reading Section 321 of the House-passed debt ceiling bill which would establish a pernicious new maze of red tape to trip people up and cause them to lose Medicaid coverage. While posing as a “work requirement”, this is really a plan to make people jump through more hoops in order to keep […]
Comments on Oklahoma Medicaid Waiver Extension Application
The Center on Budget and Policy Priorities and the Georgetown University Center for Children and Families submitted these comments to CMS regarding the Oklahoma Medicaid waiver extension application.
Comments on Kansas Medicaid Waiver Extension Application
The Center on Budget and Policy Priorities and the Georgetown University Center for Children and Families submitted these comments to CMS regarding the Kansas Medicaid waiver extension application.
Comments on New Mexico Medicaid Waiver Extension Application
The Center on Budget and Policy Priorities and the Georgetown University Center for Children and Families submitted these comments to CMS regarding the New Mexico Medicaid waiver extension application.