Jan, 28, 2025

CMS Releases Guidance on Optional Long-Term Use of Unwinding-Related Section 1902(e)(14) Waivers

On November 14, 2024, CMS released its second installment in its series of Medicaid and CHIP guidance intended to support state efforts to verify eligibility and conduct renewals in compliance with federal Medicaid and CHIP requirements. A new expert perspective summarizes the latest CMCS Informational Bulletin and accompanying slide deck which address the continued use of unwinding-related section 1902(e)(14) waivers beyond the previously established expiration date of June 30, 2025. CMS points to existing federal authority for states to continue permanently at state option in a materially similar way over half of the unwinding-related section 1902(e)(14) waivers. As a result of this guidance, the flexibilities that had the biggest impact on increasing ex parte rates and maintaining coverage for eligible individuals are now permanent for states.