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Administration warns Section 1115 waiver investments are vulnerable in renewal; administration outlines defense strategy
Summary
State Medicaid officials told the committee that Vermont's Section 1115 (Global Commitment) waiver provides federal funding and flexibility but that many waiver investments are at risk in the 2027 renewal; officials said they are prioritizing preservation and building evaluation evidence.
Agency officials briefed the committee on the state's Section 1115 Global Commitment waiver, explaining that the waiver provides federal financial participation and regulatory flexibility that permits the state to fund services and investments otherwise outside the Medicaid state plan.
Ashley Berliner, director of Medicaid policy for the Agency of Human Services, told members that the waiver is legally required to be budget neutral and that investments authorized under the waiver are under close federal scrutiny. "Investments are at…
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