Politico June 7, 2024
By Chelsea Cirruzzo and Ben Leonard

With Sophie Gardner

Driving The Day

STATES’ MEDICAID INNOVATION STRUGGLE — The Biden administration is struggling to keep up with an influx of requests from states wanting to implement innovative Medicaid expansions, POLITICO’s Kelly Hooper reports.

The process of reviewing requests for the Social Security Act’s Section 1115 waivers — which allow states to roll out experimental projects to better serve Medicaid enrollees — used to average 71 days.

Partly because of staffing challenges at CMS, Medicaid programs wait more than 450 days on average for their applications to be approved, according to the National Association of Medicaid Directors.

The backlog delays care for vulnerable people, state Medicaid directors say. Some of them fear the upcoming presidential election and a...

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