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Medicaid Monitor
Friday, November 13, 2026 · Updated Thu 5:36 PM MT · 46 stories on Thursday, November 12
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Fri, Nov 13 · 46 stories on Thursday, November 12PRO
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State PolicyMay 22, 2024

NAMD Calls for Congressional Action to Improve Section 1115 Waiver Process

The National Association of Medicaid Directors is urging Congress to reform the Section 1115 waiver system to better support state innovation in Medicaid programs. NAMD argues the current waiver process limits states' ability to pursue program improvements aligned with health and wellness goals. The commentary does not specify particular legislative proposals or timelines. For Medicaid managed care organizations, waiver reforms could expand opportunities for state-MCO partnerships on value-based care, social determinants of health interventions, and delivery system innovations.

Why it mattersSection 1115 waiver modifications directly shape MCO contract terms, covered services, payment methodologies, and quality metrics in participating states.

Managed Care

Read the full article at medicaiddirectors.org →
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