CMS Announces New Fast Track Review for 1115 Waiver Extensions

CMS announced a new process to "fast track" states’ requests to extend established Medicaid and CHIP section 1115 demonstrations, available for states that can demonstrate progress towards achieving the demonstration’s objectives and are not requesting substantial changes. Demonstration programs that involve "complex policy areas," including Medicaid expansion tied to enhanced Federal Medical Assistance Percentage (FMAP) and Delivery System Reform Incentive Payment (DSRIP), are not eligible. The timeframe for review will be comparable to what CMS uses for approving Medicaid section 1915 waivers or state plan amendments.

CMS Releases Resources on 1332 Waivers

CMS' Center for Consumer Information and Insurance Oversight (CCIIO) released resources dedicated to the 1332 State Innovation Waiver Application Process that clarify the process for states to submit an application. Section 1332 of the ACA allows states to waive certain statutory requirements to provide access to healthcare coverage through innovative approaches that are at least as comprehensive and affordable as under ACA requirements.