DOI submits Section 1332 Coverage Choice waiver; DHW suspends public comments for Section 1115 waiver

The Department of Insurance submitted the Section 1332 Coverage Choice Waiver application to the Centers for Medicare and Medicaid Services (CMS) on Monday, July 15, seeking federal approval to allow individuals between 100-138% of the federal poverty limit the option to receive tax credits to remain on the state-based private marketplace or enroll in Medicaid.

Recent discussions with CMS late last week suggested necessary changes to the dual-track 1115 Coverage Choice waiver, and the possibility that an 1115 waiver may not be necessary in addition to the 1332 waiver. Based on this feedback, IDHW has ended the public comment period for the Section 1115 Coverage Choice waiver application, which began on July 3, while seeking further guidance from CMS and the Center for Consumer Information and Insurance Oversight. The department will initiate a new comment period if needed. Continue reading

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Department of Health and Welfare seeks public comments on Section 1115 Coverage Choice Waiver

BOISE – The Idaho Department of Health and Welfare (IDHW) is requesting public comment through public hearings, email, or traditional mail regarding a draft Section 1115 Waiver application. Public comments will be accepted until August 9th, and the department plans to submit the waiver application to the Centers for Medicare and Medicaid Services (CMS) as soon as possible after that date.

The purpose of the waiver, titled the Idaho Coverage Choice Waiver, is to allow Idahoans with incomes from 100% to 138% of the Federal Poverty Level the choice to continue receiving tax credits to reduce premiums for private health insurance, or to enroll in Medicaid. The Idaho Coverage Choice Waiver is being requested in response to changes in Idaho law during the 2019 legislative session. The proposed effective date for the waiver is January 1, 2020. Without the waiver, individuals who are currently eligible for a tax credit and enrolled in private insurance coverage will be required to enroll in Medicaid. Continue reading