Issue Briefs | Feb 2, 2024

States Can Still Maximize Coverage Retention Through 1902(e)(14) Flexibilities

Patti Boozang, Kinda Serafi, Kaylee O’Connor, and Michelle Savuto, Manatt Health

To date, the Centers for Medicare & Medicaid Services (CMS) has approved nearly 400 section 1902(e)(14) waivers that 52 states (including Washington D.C.) and territories are employing to support the return to regular eligibility and enrollment operations following the expiration of the Medicaid continuous coverage requirement. To encourage states’ take-up of the flexibilities, CMS announced an extension of all unwinding-related section 1902(e)(14) waivers through December 31, 2024 (or a later date approved by CMS) and offered new operational considerations and illustrative scenarios to assist states in implementing the waivers. This issue brief is intended to help states evaluate whether to take up additional section 1902(e)(14) waiver flexibilities and determine which to explore further based on emerging evidence of their effectiveness.