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1332 Waiver

Understanding Ohio's State Innovation Waiver

Thank you for visiting the Ohio Department of Insurance’s webpage concerning the department’s application for a state innovation waiver. The state innovation waiver, or 1332 waiver, was created in the Affordable Care Act and allows states to apply to the federal government to waive certain federal requirements in a way that more specifically fit the local needs of Ohioans. 
This page is designed to provide information about the steps the department is undertaking to prepare a waiver application that could be submitted to the federal Centers for Medicare and Medicaid Services (CMS), which is the governing authority for such waivers.
 Specifically, the waiver process is designed to identify options – especially those that may become available as Congress makes changes to current law and as the new administration has indicated it will provide more flexibility for waiver applications.  Options that can help alleviate some of the law’s impacts and provide the state with more flexibility would be included in an application. 
As the department goes through this process, public input will be important.  In the coming months you will find more information added to this page including an opportunity for comments that you may wish to provide regarding a 1332 waiver application. In addition to accepting feedback through the department’s website, public forums will also be conducted allowing stakeholders to weigh in on the waiver application.
​​We welcome you to follow along as we go through this process and ask you to stay involved by returning to this page as it develops, by signing up for our emails on waiver news, and ultimately by lending your voice to our work.

Receive Waiver News

Click here to read Ohio Department of Insurance Director Jillian Froment's letter to Centers for Medicare and Medicaid Services Administrator Seema Verma. Click here to receive waiver news.


CMS Rules: Guidelines and Requirements 

The actual process of filing a waiver application as well as the information required in such a waiver request are established by the federal Centers for Medicare and Medicaid Services (CMS). We have linked the CMS guidelines and requirements for your convenience.
Request for Proposal (RFP)
An application for a waiver requires a great deal of technical information and analysis.  The department will need to supplement its own staff knowledge with the work of experts particularly experienced in preparing such waiver applications.
Linked here is the Request for Proposal (RFP) which the department is using to invite professional organizations to suggest methods they would use to aid the department in the preparation of a waiver.  The responses to the RFP will also include suggested costs connected to their work.





The State of Ohio is an Equal Opportunity Employer

Ohio Department of Insurance
50 W. Town Street, Third Floor - Suite 300
Columbus, Ohio  43215
John Kasich, Governor | Jillian Froment, Director
General Info: 614-644-2658 | Consumer Hotline: 800-686-1526
Fraud Hotline: 800-686-1527 | OSHIIP Hotline: 800-686-1578