Medicaid’s Social-Needs Waivers Reach Renewal With Their Federal Framework Already
This article examines the precarious position of state Medicaid 1115 waivers that include Health-Related Social Needs (HRSN) services, such as nutrition support and housing assistance. As these programs approach renewal, providers face uncertainty due to shifts in federal guidance and administrative priorities regarding the sustainability of these social-needs initiatives.
HNH Insight
The article highlights a critical tension in current Medicaid policy: while states are increasingly using 1115 waivers to address social determinants of health like nutrition, the lack of a stable, long-term federal framework creates significant operational risks for healthcare providers who have invested in these services.
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