As federal health reform legislation has stalled, health policy attention turns to the states, which have many tools to reform their health care systems. While 1115 waivers rightly get a lot of attention, because of their ability to reshape state Medicaid programs, the Affordable Care Act’s Section 1332 waivers continue to be a promising avenue for states.
Updated: Medicaid State Plan Amendment Requirements of the Affordable Care Act
Center for Health Care Strategies
A number of provisions in the Affordable Care Act (ACA), from changes to income eligibility (section 2002) to coverage for freestanding birth center services (section 2301), require states to alter Medicaid eligibility guidelines, service benefits, or payment criteria. To assist in determining which provisions require states to submit amendments to their Medicaid state plan, the Center for Health Care Strategies, with support from the State Network, has developed a resource which catalogs required and optional provisions that may require amendments, including links to the applicable ACA text, deadlines for approval, and available guidance. The hyperlinks within the document link directly to the specific sections of ACA referenced and to supporting documentation for those sections where available. States may use this document to plan sufficient time for development, stakeholder engagement, submission and approval of the applicable amendments to CMS.
This document has been updated as of July 2013 to reflect the latest guidance.