Share Your Thoughts on Medicaid’s Innovative State Waiver

  • The Nevada Division of Health Care Financing and Policy (Nevada Medicaid) has begun a 30-day public comment period for a State Section 1332 State Innovation Waiver application. This is the initial step in proposing new state health insurance options to the Centers for Medicare and Medicaid Services, as mandated by Nevada Revised Statute 695K.
  • The proposal seeks federal approval for implementing a state-based reinsurance program, an annual bonus payment program to reward health insurance carriers that improve health outcomes and quality of care, and a loan repayment program to support health care providers who commit to living and practicing in Nevada for at least four years. Nevada Medicaid Administrator Stacie Weeks states these initiatives aim to improve Nevadans’ access to healthcare while strengthening the marketplace for those who buy their own health insurance.
  • Nevada Governor Joe Lombardo is proposing a Market Stabilization Program to mitigate potential risks to the state’s health care system due to the implementation of the new health insurance options. The public comment period runs from November 20 through December 20, 2023, and feedback is encouraged from stakeholders, the public, patients, insurers, and providers.


Nevada Medicaid Initiates Public Comment Period for State Section 1332 Innovation Waiver

Nevada Division of Health Care Financing and Policy, also known as Nevada Medicaid, marked the initiation of a 30-day public comment period for a State Section 1332 State Innovation Waiver application on Monday. This is the initial official move in forwarding a proposal to the Centers for Medicare and Medicaid Services for the actualization of new state health insurance possibilities, as necessitated by the Nevada Revised Statute 695K.

New Health Insurance Options Proposed

The proposal encompasses a request for federal approval for the execution of:

  • A no-cost state-based reinsurance scheme.
  • An annual bonus scheme rewarding health insurance providers who significantly improve health outcomes and quality of care.
  • A loan repayment program designed to aid health care providers who agree to live and practice in Nevada for a minimum of four years.

Nevada Medicaid Administrator, Stacie Weeks, stated, “The new initiatives set out in this waiver application aim to enhance Nevadans’ access to health care and fortify the marketplace for those purchasing their own health insurance.”

Proposed Market Stabilization Program

In the waiver application, Governor Joe Lombardo is proposing a new Market Stabilization Program. This program is designed to buffer the state’s health care system from potential risks associated with the implementation of the new health insurance options.

Public Comment Period Open

The public comment period runs from November 20 to December 20, 2023. Stakeholders, the public, patients, insurers, and providers are urged to submit their feedback regarding the proposed changes.


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