States may seek a waiver as a vehicle for demonstrating or implementing new or different ways to administer (deliver and pay for) their Medicaid, CHIP, and Health Insurance Marketplace programs. While there are many types of waivers, those that are most often relevant for health centers and their patients are Section 1115 and Section 1332 waivers. An 1115 waiver is the broadest type of waiver available under Medicaid and is used by states to create demonstration projects intended to improve Medicaid and/or CHIP programs. A 1332 waiver, otherwise known as a "State Innovation Waiver," allows states to waive certain Affordable Care Act (ACA) provisions related to the Health Insurance Marketplaces and the individual and employer mandates.
- Understand key aspects of current 1115 and 1332 waiver proposals and the approval processes.
- Learn how to design strategic responses and comments to waiver proposals.
- Understand how the federal Administrative Procedure Act plays a role in the waiver process.