Understanding State 1115 Waivers Designed to Reduce Medicaid Eligibility

Guidance released last week by the Centers for Medicare and Medicaid Services could speed up approval of Section 1115 demonstration waivers, which allow states to test innovations in Medicaid without formal legislative action. As George Washington University’s Sara Rosenbaum and colleagues explain on To the Point, these demonstrations could add conditions for Medicaid coverage, such as work requirements, monthly premium obligations, and limits on how long beneficiaries can be enrolled.