As states work through their Medicaid unwinding efforts, some states have submitted waiver requests to Centers for Medicare & Medicaid Services (CMS) to enable different flexibilities. Options for states were initially outlined in March 2022, in the State Health Official (SHO) letter #22-001. Under Section 1902(e)(14)(A), states can extend timeframes, involve additional organizations and their data, and use other social service program renewals to determine Medicaid eligibility for a limited period of time. To undertake any of these flexibilities, states must discuss their desire to implement one or more of these flexibilities. CMS has approved 163 waivers in 43 states and posted a table of approved waivers here.

LeadingAge is maintaining a one-stop-shop of Medicaid Unwinding resources here.