1332 Waivers and Health Centers

Emerging Issues #12

The Affordable Care Act (ACA) Section 1332 waiver option (or “state innovation waiver”) allows states to request approval for their alternative approach to the ACA related to the health insurance marketplace and employer and individual mandates, beginning January 1, 2017. This resource is important to health centers in states developing 1332 waivers since these waivers may impact the health center. Two examples of important changes a waiver could influence relate to Qualified Health Plans’ network inclusion of essential community providers and requirements on Prospective Payment System rates.

Documents to download

HITEQ_1332_Waivers_2016(.pdf, 476.05 KB) - 742 download(s)

Resource Links

Link to the original document on the NACHC website

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Tags: marketplace mandate 1332 waiver

Intended Audience

health center staff

Acknowledgements

This resource collection was compiled by the HITEQ staff with portions contributed by Chris Espersen, HITEQ Advisory Committee member and Independent Contractor and Past President of Midwest Clinicians Network; Shane McBride, Independent Contractor and Past Vice President of Quality and Clinical Systems at South End Community Health Center; Chris Grasso, Associate Director for Informatics & Data Services- The Fenway Institute; and Ed Phippen, Principal - Phippen Consulting, LLC.

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