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1332 Waivers and Health Centers
Emerging Issues #12

Resource Topic: HIT/Data
Resource Subtopic: Value Based Payment

Year Developed: 2016 5:04 PM

Resource Type: Publication

Primary Audience: Enabling Staff

Language: English

Developed by: HITEQ (See other resources developed by this organization).

Resource Summary: This document offers an overview of the Affordable Care Act (ACA) Section 1332 waiver option (or “state innovation waiver”) and key information to help health centers engage in the development of state innovation waivers in their states. 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.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,375,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.