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1115 Waivers

CMS eliminates ‘fast-track’ process for certain Medicaid section 1115 waivers

AHA News·October 9, 2026
CMS eliminates ‘fast-track’ process for certain Medicaid section 1115 waivers

The Centers for Medicare & Medicaid Services has ended its expedited review process for certain Section 1115 demonstration extensions to ensure compliance with new budget neutrality requirements. This change follows a July 2025 reconciliation bill that mandates the CMS chief actuary certify the financial impact of these demonstration projects.

HNH Insight

While this article discusses the broader regulatory environment for 1115 waivers, it highlights the increasing federal scrutiny on the budget neutrality of demonstration projects, which often include innovative social determinants of health initiatives like nutrition services.

Read original article on AHA News
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