| Mar 23, 2020

Federal Authorities in the State Context

(i.e., Section 1135 Waivers, Section 1115 Waivers, 1915(c) Waiver Appendix K, Medicaid State Plan Amendments (SPAs))

If you have materials you are willing to share with other states through this page, or if there are topics of particular concern that you would like addressed, please contact SHVS.


SHVS/Manatt Health/Georgetown CHIR Implications of Health Care Provisions for States in the Second COVID Stimulus Bill  Webinar slides and recording that explores the key health care provisions in the second COVID-19 stimulus bill.

SHVS/Manatt Health. State Medicaid and CHIP Strategies to Respond to the COVID-19 Public Health Crisis  This expert perspective, written by experts at Manatt Health, discusses strategies state Medicaid and CHIP agencies can pursue as part of their response to COVID-19.

SHVS/Manatt Health. Responding to COVID-19: State Strategies for Medicaid and Commercial Health Insurance Oversight  Webinar recording and slide deck from webinar hosted on March 18, 2020.




CMS.  Section 1135 Waiver Flexibilities  This page includes federal background information on Section 1135 waivers and a CMS-developed template for states and territories. 

CMS. Federal Disaster Resources  This page catalogs CMS’s approved COVID-19 State Section 1135 waivers. 

CMS. 1115 Application Process  This page includes guidance and a template for COVID-19 1115 waiver demonstrations. 

CMS. State Plan Flexibilities  This page includes guidance and templates for the Medicaid State Plan Disaster Relief SPA and CHIP Disaster Relief SPA.

CMS.  Emergency Preparedness and Response for Home and Community Based (HCBS) 1915(c) Waivers This page includes 1915(c) Waiver Appendix K templates, instructions, and CMS ‘s approved COVID-19 State Appendix K documents. 

Kaiser Family Foundation.  Medicaid Emergency Authority Tracker: Approved State Actions to Address COVID-19  This page includes details on Section 1135 waivers and 1915 (c) Waiver Appendix K strategies.

CMS.  Long-Term Care Nursing Homes Telehealth and Telemedicine Toolkit 



CMS.  CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19  CMS announced it is granting exceptions from reporting requirements and extensions for clinicians and providers participating in Medicare quality reporting programs. 

CMS. COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers This broad-sweeping guidance outlines a host of blanket waivers and flexibilities that the Administration is affording to health care providers.

CMS. Fact Sheet: Expansion Of The Accelerated And Advance Payments Program For Providers And Suppliers During COVID-19 Emergency  CMS expands Accelerated and Advance Payments to all Medicare FFS providers and suppliers.

CMS. Frequently Asked Questions (FAQs), CLIA Guidance During the COVID-19 Emergency

CMS.  Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing  This letter requests that hospitals report testing data to HHS and bed capacity and supplies to CDC’s National Healthcare Safety Network on a daily basis.

Congress.  H.R. 6201 Families First Coronavirus Response Act   Second COVID-19 response / stimulus bill.

CMS. Families First Coronavirus Response Act – Increased FMAP FAQs 

CMS. Coverage and Benefits Related to COVID-19 Medicaid and CHIP

CMS. Medicaid State Plan Fee-for-Service Payments for Services Delivered Via Telehealth 

CMS. The Center for Consumer Information & Insurance Oversight Fact Sheets & Frequently Asked Questions (FAQs) Compilation of COVID-19 FAQs on private insurance issues

CMS. COVID-19 Resources for States Compilation of resources for state on Medicare, Medicaid, and CHIP, including transcripts and recordings of all-state calls.

CMS. Coronavirus Waivers and Flexibilities  Resources on waivers and flexibilities available to states and providers.

Internal Revenue Service (IRS). Cornonavirus Tax Relief  Information on federal tax provisions, guidance, and operational changes responding to COVID-19.

CMS. Podcasts and Transcripts: COVID-19 Stakeholder Calls Recordings and transcripts of CMS calls on COVID-19 with states and other stakeholders.

Internal Revenue Service (IRS). High-deductible health plans can cover coronavirus costs

Internal Revenue Service (IRS). Tax Day now July 15: Treasury, IRS extend filing deadline and federal tax payments regardless of amount owed 

CMS. FAQs on Availability and Usage of Telehealth Services through Private Health Insurance Coverage in Response to Coronavirus Disease 2019  CCIIO FAQs on telehealth coverage.

CMS.  FAQs on Catastrophic Plan Coverage and the Coronavirus Disease 2019 (COVID-19)  CCIIO guidance on COVID-19 coverage and catastrophic plans.

CMS. FAQs on Prescription Drugs and the Coronavirus Disease 2019 (COVID-19) for Issuers Offering Health Insurance Coverage in the Individual and Small Group Markets  CCIIO guidance on Rx coverage and COVID-19.

CMS.  Payment and Grace Period Flexibilities Associated with the COVID-19 National Emergency  CCIIO guidance on grace periods.

Internal Revenue Service (IRS).  HIGH DEDUCTIBLE HEALTH PLANS AND EXPENSES RELATED TO COVID-19  IRS Notice allowing HDHPs to waive cost-sharing for COVID-19 testing & treatment.



Manatt Health. Infographic: 1st COVID Bill: Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020  A new infographic detailing the U.S. Department of Health and Human Services (HHS) agencies allotted funds in the first COVID-19 bill, Preparedness and Response Supplemental Appropriations Act, 2020—including the Public Health and Social Services Emergency Fund, the National Institutes of Health (NIH) , the Health Resources and Services Administration (HRSA) and the Centers for Disease Control (CDC)—as well as the amounts of the funding, the uses and the recipients.

Manatt Health. Summary of Healthcare Provisions of COVID-19 Stimulus Package #3 (CARES Act)

Manatt Health. Summary of Key Healthcare Provisions in the Second COVID-19 Stimulus Bill

Medicaid and CHIP Payment and Access Commission. Medicaid’s Role in Disasters and Public Health Emergencies



ASTHO. State Emergency Declarations and COVID-19

California. All Plan Letter  Reinforces plans’ obligations under existing state authority to cover all medically necessary treatment, including for COVID-19, without prior authorization.

California.  DHCS COVID‑19 Response  CA developed a robust, centralized COVID-19 resource page that provides guidance related to providers, HCBS, and federal requests/waivers.

New Jersey. Letter to HHS and CMS requesting an SEP  The governor of theis state sent a letter to HHS and CMS requesting a SEP to allow for uninsured and underinsured residents to enroll in health coverage through healthcare.gov.

Pennsylvania.  Letter to HHS and CMS requesting an SEP  The governor of theis state sent a letter to HHS and CMS requesting a SEP to allow for uninsured and underinsured residents to enroll in health coverage through healthcare.gov.