Dossier
Centers for Medicare and Medicaid Services chief actuary
Coverage of Centers for Medicare and Medicaid Services chief actuary in the Nexus archive.
- Trump administration tightens oversight of state Medicaid demonstration programs
The Trump administration announced stricter financial oversight for state Medicaid demonstration waivers, requiring certification from the CMS chief actuary to ensure no increase in federal spending. Starting January 1, 2024, states must submit detailed spending analyses and documentation for waiver approvals, part of a broader effort to curb Medicaid spending.