Waiver 1115 Information

Section 1115 Medicaid waivers allow states to explore new options for providing health coverage to persons who would otherwise not be eligible and allow states to examine innovative ways to deliver care by waiving certain requirements of the Medicaid Act.

While waivers can be important tools that can help states respond to the needs of low-income individuals, they also present concerns for health advocates working to protect the rights of Medicaid enrollees and promote transparency in state waiver processes.

Sec. 1115 of the Social Security Act allows the Secretary of Health and Human Services to waive some requirements of the Medicaid Act so that states can test novel approaches to improving medical assistance for low-income people.

Under the current administration, several states are seeking waivers to impose harmful cuts and restrictions. The first set of harmful waivers have been approved for Kentucky and Arkansas, with a number of states seeking to enact similar changes to Medicaid. Learn more about Medicaid waivers and how the National Health Law Program is combating the Trump administration’s illegal use of waivers to weaken Medicaid.

View 1115 Waiver Resources By State

results in Tennessee.
  • A.M.C. v. Smith, Middle District of Tennessee

    Thirty-five children and adults from across Tennessee brought a class action challenging the State for wrongfully terminating people’s health insurance under Tennessee’s Medicaid program, known as TennCare. The Plaintiffs allege that TennCare’s system for reevaluating eligibility is defective and fails to provide the notice and opportunity for hearing required by the Medicaid Act and the Constitution. They also claim that TennCare’s eligibility redetermination process discriminates against people with disabilities.

  • Letter to CMS Requesting Extension for TennCare II Demonstration Comment Period

    On Monday, December 23, 2019, the National Health Law Program sent a letter to CMS Administrator Seema Verma asking her to extend the public comment period for Tennessee’s section 1115 waiver application that seeks to transform the State’s Medicaid program into a block grant. The CMS comment site is blocking and/or deterring submission of comments from the public—a problem first detected over the weekend.

  • Letter to CMS Concerning TennCare II Demonstration

    In a letter to administrator Seema Verma, the National Health Law Program has asked CMS to return Tennessee’s recently submitted section 1115 application to the State. Tennessee says the proposal would create a block grant. However, the NHeLP letter says the proposal is so short on specifics and is vague to the point where the public will not be able to meaningfully review and comment on it.

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