By Erica Teichert | October
22, 2018
The CMS
on Monday handed state governors significant power to overhaul their Medicaid
programs and changed the way it will evaluate waivers.
In a dramatic overhaul of the current 1332 waiver process, the CMS said state legislatures will no longer have to approve waiver plans. Instead, governors will be able to take action on their own.
The agency also emphasized that state Medicaid waivers should encourage residents to consider "competitive private coverage" such as association health plans rather than government-sponsored health coverage.
"The analysis of comprehensiveness and affordability of coverage under a waiver should focus on the nature of coverage that is made available to state residents (access to coverage), rather than on the coverage that residents actually purchase," the CMS notice said.
In a dramatic overhaul of the current 1332 waiver process, the CMS said state legislatures will no longer have to approve waiver plans. Instead, governors will be able to take action on their own.
The agency also emphasized that state Medicaid waivers should encourage residents to consider "competitive private coverage" such as association health plans rather than government-sponsored health coverage.
"The analysis of comprehensiveness and affordability of coverage under a waiver should focus on the nature of coverage that is made available to state residents (access to coverage), rather than on the coverage that residents actually purchase," the CMS notice said.
Erica
Teichert assigns, edits and directs news coverage for Modern Healthcare’s
website and magazine. She previously served as the publication’s New York
bureau chief and legal reporter. Before joining Modern Healthcare in 2016, she
worked at Law360 as legal newswire’s first D.C. bureau chief after three years
as a court reporter covering the U.S. Supreme Court, D.C. Circuit and other
federal courts and agencies. Prior to that, she worked as an associate editor
for FierceMarkets. She has a bachelor's degree in communications with a print
journalism emphasis from Brigham Young University.
http://www.modernhealthcare.com/article/20181022/NEWS/181029996?utm_source=modernhealthcare&utm_medium=email&utm_content=20181022-NEWS-181029996&utm_campaign=mh-alert
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