Negotiating Federal Approvals

Many state health care system reforms require changes to both a state’s Medicaid program and its State Children’s Health Insurance Program (CHIP). Securing the necessary federal approvals can make or break a state health care reform initiative. The Center for Health Law and Economics at UMass Medical School has significant experience in drafting those crucial Medicaid and CHIP State Plan amendments and waiver proposals. We negotiate directly with the Centers for Medicare & Medicaid Services (CMS) to obtain federal approvals for proposed policy and program changes.

With a deep knowledge of both Medicaid and CHIP law, we are able to assist public sector health agencies in obtaining necessary federal approvals with the least amount of back-and-forth — which translates into time savings for our clients. The Center for Health Law and Economics at UMass Medical School works as a partner with agencies, managing waiver processes from start to finish and aggressively representing the agency at each step of the way.

The Center for Health Law and Economics offers extensive services to secure federal approvals, such as the following:

  • Drafting State Plan amendments and waiver documents
  • Assessing strategies for obtaining necessary and timely federal approvals
  • Providing multi-state analyses to determine precedence for waiver requests
  • Communicating directly with federal officials
  • Representing the agency in negotiations with federal officials
  • Responding to regulator questions and requests for additional information