Tuesday, December 22, 2015

Government Issues New ACA Waiver Guidance

Dianne De La Mare

On December 16, 2015, the US Department of Health and Human Services (HHS) and the Department of the Treasury issued new guidance for states interested in seeking a State Innovation Waiver under section 1332 of the Affordable Care Act (ACA). The guidance provides states with flexibility to pursue innovative waiver proposals while preserving the important protections of the ACA.

The guidance focuses on coverage, affordability, comprehensiveness, deficit neutrality, impact of other program changes and funding available to the states. The guidance also explains how the HHS and Treasury Secretaries will evaluate waiver applications, so that states have the information they need as they consider a waiver application.

By way of background, 1332 State Innovation Waivers allow states to receive federal funding to implement alternative models of health care coverage that provide high quality, affordable coverage to their residents. In order for a State Innovation Waiver to be approved, a state’s alternative model must provide access to quality health care that is at least as comprehensive and affordable as would be provided absent the waiver; provide coverage to a comparable number of residents as would be provided absent a waiver; and refrain from increasing the federal deficit.

To learn more about the guidance go to https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-12-11.html.

No comments:

Post a Comment