1902(e)(14)(A) Sample Request Language


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Hello State Medicaid Directors,

As states prepare to restore routine operations, CMS has worked closely with state agencies and other stakeholders to identify ways to efficiently renew eligible individuals, and reduce churn. To support states facing significant operational issues and streamline the renewal or fair hearing processes to protect otherwise eligible beneficiaries at risk of inappropriately losing coverage during the unwinding period, CMS will provide states with limited use of section 1902(e)(14)(A) authority in appropriate circumstances and subject to CMS approval.

As we discussed during the April 1st NAMD/CMS (Bi-weekly) Unwinding Work Group Meeting, states interested in one or more of the temporary waiver authorities must submit a letter to CMS requesting such authority.  These authorities were described in the March 3, 2022 Centers for Medicare & Medicaid Services (CMS) State Health Official (SHO) letter #22-001.  CMS is providing the attached sample language to guide states in crafting a letter to request the waiver and to indicate the authority they seek. 

For any additional questions or technical assistance requests, please contact your Medicaid State Lead and copy the CMS Unwinding TA mailbox at CMSUnwindingSupport@cms.hhs.gov.