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1115 Waivers

Medicaid 1115 HRSN Waivers Expire: Rescinded Guidance & Renewal Risks

Acuity News·November 7, 2026
Medicaid 1115 HRSN Waivers Expire: Rescinded Guidance & Renewal Risks

This article details how the federal framework authorizing housing and nutrition services under Medicaid 1115 waivers was withdrawn in 2025, creating significant uncertainty for states seeking renewals. Providers currently relying on these waivers for nutrition counseling and home-delivered meals face potential funding cliffs as existing demonstrations expire without clear paths for approval.

HNH Insight

The shift in federal policy toward stricter budget neutrality and the withdrawal of support for non-medical social determinants of health (SDOH) services marks a major pivot in Medicaid demonstration strategy, moving away from the broad nutrition and housing initiatives seen in previous years.

Read original article on Acuity News
Medicaid
1115 Waiver
Nutrition Services
Health Policy
CMS

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