1115 Medicaid waivers : from care delivery innovations to work requirements Explainer (Commonwealth Fund) United States. Eligibility Determination Employment Medicaid -- organization & administration After months of debate, the Medicaid program emerged from efforts to repeal and replace the Affordable Care Act (ACA) without major legislative changes. Now, however, the Trump administration is encouraging states to apply for waivers that place new conditions on Medicaid eligibility as well as additional costs on beneficiaries in the form of premiums and copayments at the point of service. To better understand the continuing controversy over Medicaid, let's take a look at the waiver program's objectives and how states have used waivers in the past. Are recently proposed state waivers consistent with Medicaid's underlying mission? And are federal and state authorities appropriately evaluating them for their impact on Medicaid populations? [New York, N.Y.] : Commonwealth Fund, April 2018 Commonwealth Fund, issuing body. Technical Report Text 1 online resource (1 PDF file (2 pages)). nlm:nlmuid-101729192-pdf 101729192 http://resource.nlm.nih.gov/101729192 English United States Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. http://creativecommons.org/licenses/by/4.0