Medicaid Waiver Tracker: State 1115 Waiver Status
- Okay, hear's a summary of the provided text, focusing on the key information regarding Medicaid waivers related to Health-Related Social Needs (HRSN) and incarcerated individuals:
- * HRSN Waivers (Biden Administration): The Biden administration introduced a framework for states to address Health-Related Social Needs (HRSN) through Medicaid waivers.
- In essence, the text details two key Medicaid waiver initiatives under the Biden administration - one focused on HRSN and the other on pre-release coverage for incarcerated individuals...
Okay, hear’s a summary of the provided text, focusing on the key information regarding Medicaid waivers related to Health-Related Social Needs (HRSN) and incarcerated individuals:
Key Takeaways:
* HRSN Waivers (Biden Administration): The Biden administration introduced a framework for states to address Health-Related Social Needs (HRSN) through Medicaid waivers. This was detailed in the HRSN framework and accompanying guidance.
* HRSN Waiver Rescission (Trump Administration): In March 2025,the Trump administration rescinded the Biden administration’s HRSN guidance. However, existing HRSN approvals remain valid. Future HRSN/SDOH requests will be evaluated on a case-by-case basis.
* SDOH Waivers (Broader): Beyond the specific HRSN framework, states have also pursued waivers related to Social Determinants of health (SDOH) more broadly.
* resources for HRSN/SDOH Waivers:
* KFF’s medicaid Waiver Tracker (SDOH table)
* KFF’s HRSN waiver watch (March 2024)
* Medicaid Pre-Release Coverage (Incarcerated Individuals): the Biden administration also encouraged states to apply for waivers to provide Medicaid coverage before individuals are released from incarceration.This aims to improve care transitions, continuity of coverage, health outcomes, and reduce recidivism.
* Inmate Exclusion Policy: This exhibition allows states a partial waiver of the inmate exclusion policy.
* Pre-Release waiver Approval: 19 states have had waivers approved for pre-release services. These waivers have been pursued by governors from both parties.
* Resources for Pre-Release Waivers:
* KFF’s Medicaid waiver Tracker (“Eligibility Changes” table)
* KFF’s waiver watch (August 2024)
In essence, the text details two key Medicaid waiver initiatives under the Biden administration – one focused on HRSN and the other on pre-release coverage for incarcerated individuals – and notes a subsequent reversal of the HRSN guidance by the trump administration. The KFF resources are highlighted as valuable tools for tracking the status of these waivers across different states.