DHCS Seeks Additional Section 1135 Waiver Flexibilities

Late last week, the Department of Health Care Services (DHCS) requested from the Centers for Medicare and Medicaid Services (CMS) additional Section 1135 Waiver flexibilities amid the ongoing COVID-19 pandemic. Recall last month, DHCS requested from CMS and was approved for flexibilities in key areas, including prior authorization eligibility, telehealth, service authorizations, administrative timelines, and rate setting methodologies.

The latest waiver flexibility request from DHCS seeks Medicare blanket waivers for Medicaid-only providers, service authorization and utilization control waivers, managed care health assessment and quality assessment/performance improvement activities, telehealth/telephonic/virtual visit waivers, and clarification of previous DHCS requests. The request further seeks a retroactive effective date of March 1, 2020.

The full DHCS letter is available here.