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Letter to States on State Relief and Empowerment Waiver 2018 Guidance

This letter from Administrator Seema Verma to state governors informs states on updated 2018 guidance for section 1332 State Relief and Empowerment Waivers, which empowers states to pursue innovative reforms.

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: October 22, 2018

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.