US · guidance
CMS Pub. 100-16, ch. 9, § 10
Introduction
A list of waivers or modifications approved for MAOs offering employer/union-sponsored group
health plans is set forth in this chapter. As noted in §10.1, as a condition of CMS granting the
particular waiver or modification, MAOs must demonstrate that they meet the criteria established
by CMS as outlined in the specific waiver. For each waiver, CMS has noted whether the
waiver/modification applies to “800 Series” MA plans, Direct Contract MA plans, or
employer/union-sponsored group health plan enrollments in individual MA plans. Each of these
waivers/modifications will automatically apply to those MAOs approved to offer EGWPs or
individual plans that satisfy the applicable criteria; thus, they do not need to be granted on an
individual basis. However, some waivers may be restricted to particular kinds of entities and/or
a particular set of circumstances as noted. A complete list of currently-approved waivers can be
found in Appendix II.
History
(Rev. 111, 05-03-13, Effective: 05-03-13, Implementation: 05-03-13)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
6e332708c5660e5ddc9931e174607961e69e4b10095db5d7be5a54fa0c282c70
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