Dossier
Medicaid demonstration waivers
Coverage of Medicaid demonstration waivers 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 budget neutrality. States must now provide more spending analyses and documentation, with applications denied if they increase federal spending or deviate from projected costs.