CMS Gives States Flexibility In Using Leftover Establishment Grant Funds

New CMS guidance out Monday (June 8) clarifies that states can use establishment grants, obtained under Section 1311 of the Affordable Care Act, on a range of operations spanning from marketplace IT to long-term capital planning. The long-awaited frequently asked questions document comes after the HHS Inspector General cautioned that state exchanges may be using 1311 grants for non-establishment purposes, though no specifics were ever issued on how the funds could be spent. Exchange experts warn that while the clarity...