COVID-19 Information

Sellers Dorsey is tracking and assessing the large volume of information coming from the Trump Administration, Congress, CMS, and state governments regarding Medicaid and COVID-19. We are focusing significant effort on delivering guidance to our healthcare clients, particularly those on all sides of Medicaid, to help position them to remain financially secure, serve their populations, and advocate for their needs during this unprecedented situation.

Our team has created a summary of the impact of COVID-19 on federal Medicaid waiver authorities and additional resources to address COVID-19.

We will update this summary as information becomes available.

States with 1135 waiver approvals
Appendix K 1915(c ) waiver approvals
Covid-19 1115 waiver requests

Updated May 29, 2020

As of May 28, CMS has approved 74 Section 1135 waiver requests for states and territories, including second approvals from 16 states. New approvals are in bold. An asterisk indicates more than one approval.
Alabama* | Alaska* | Arizona* | Arkansas* | California* | CNMI | Colorado | Connecticut* | Delaware | District of Columbia* | Florida | Georgia* | Hawaii | Idaho | Illinois | Indiana* | Iowa* | Kansas | Kentucky | Louisiana* | Maine | Maryland* | Massachusetts* | Michigan | Minnesota* | Mississippi | Missouri* | Montana | Nebraska* | New Hampshire* | New Jersey | New Mexico | New York* | Nevada | North Carolina | North Dakota* | Ohio | Oklahoma | Oregon* | Pennsylvania | Puerto Rico | Rhode Island* | South Carolina | South Dakota | Tennessee | Texas* | US Virgin Islands | Vermont | Virginia* | Washington* | West Virginia | Wisconsin | Wyoming

CMS has approved Appendix K submissions for state 1915(c) waivers for 44 states. CMS has approved second or third Appendix K submissions from 18 of those states. New approvals are in bold. An asterisk indicates more than one approval.
Alaska | Arizona| Arkansas | California* | Colorado* | Connecticut | Delaware| District of Columbia | Florida | Georgia | Hawaii* | Illinois | Iowa | Kansas | Kentucky | Louisiana | Maine* |Maryland* | Massachusetts | Minnesota* | Mississippi* | Missouri | Montana | Nebraska | Nevada | New Hampshire | New Mexico* | New York* | North Carolina* | North Dakota | Ohio | Oklahoma* | Oregon* | Pennsylvania* | Rhode Island | South Carolina | South Dakota* | Tennessee | Utah | Virginia | Washington* | West Virginia | Wisconsin* | Wyoming*

Only one standalone COVID-19 1115 waiver has been approved. At least 19 COVID-19 1115 waiver requests have been submitted. No new submissions have been identified.
Arizona | Arkansas | California | Colorado | Georgia | Illinois | Iowa | Massachusetts | Missouri | New Hampshire | New Mexico | New York | North Carolina | Oregon | Rhode Island | South Carolina | Tennessee | Texas | Washington

Between May 22 – May 27, CMS approved three new time-limited COVID-19 response SPAs in Alabama, Delaware, and Virginia. Of note, Alabama’s SPA includes a rate increase for certain inpatient hospital stays.

You can find information about all approved Medicaid 1135 waivers here on the Medicaid.gov website.

If you would like additional information about COVID-19 or wish to speak to our experts about other issues facing your organization, please contact us using the form below. We will include you on periodic email updates while we continue to monitor and filter new information.