Waivers allow states to set aside certain Medicaid and Children’s Health Insurance Program (CHIP) statutory or regulatory provisions in order to test innovative strategies for delivering or financing care more cost-effectively. Waivers are powerful tools. They enable states to transform programs, improve quality of care, and expand coverage, while simultaneously preserving or increasing federal financial contributions to their state health care systems.

Staff at the Center for Health Law and Economics at UMass Medical School has significant experience in designing and negotiating Medicaid and CHIP waivers to implement comprehensive or discrete program changes. The Center for Health Law and Economics at UMass Medical School works as a partner with agencies, managing the waiver process from start to finish and aggressively representing the agency at each step of the way.

Our waiver services include the following:

  • Designing comprehensive or discrete waiver programs
  • Drafting all waiver documents, including waiver proposals and amendments
  • 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 public sector health agencies in negotiations with federal officials
  • Responding to regulator questions and requests for additional information
  • Interpreting complex waiver documents for stakeholders
  • Developing stakeholder communication strategies
  • Advising states on how best to implement and finance waiver programs