Due to the government shutdown, updates to information on this website may be limited or delayed. State Medicaid and Children’s Health Insurance Programs (CHIP) continue to operate. Continue to work with the programs in your state to access coverage. For more information about government operating status, visit OPM.gov.

U.S. flag

An official website of the United States government

Ohio Section 1115 Demonstration Waiver for Substance Use Disorder Treatment

State: Ohio
Waiver Authority:
1115
Status: Pending

Waiver Dates

Approval: 09/24/2019
Effective: 10/01/2019
Expiration: 12/31/2025

Supporting Documents

Pending Application(s) and Related Documents

Date Title View
04/01/2024 Pending Application - Extension Request (PDF, 36.01 MB) View/Submit Comments

Approved Application(s) and Related Documents

Date Title
06/25/2025 Monitoring Redesign Overlay Letter (PDF, 16.24 MB)

Administrative Record

Date Title View
06/23/2025 Quarterly Monitoring Report (Part A) – January to March 2025 (XLSX, 866.62 KB)
06/23/2025 Quarterly Monitoring Report (Part A) – October to December 2024 (XLSX, 865.05 KB)
06/23/2025 Quarterly Monitoring Report (Part B) – January to March 2025 (PDF, 3.34 MB)
06/23/2025 Quarterly Monitoring Report (Part B) – October to December 2024 (PDF, 3.36 MB)
06/18/2025 CMS Temporary Extension Approval (PDF, 226.69 KB)
06/03/2025 Retrospective Metrics Report – July 2023 – June 2024 (XLSX, 3.88 MB)
05/30/2025 Quarterly Metrics Report (Part A) – July – September 2024 (XLSX, 863.91 KB)
05/30/2025 Quarterly Monitoring Report (Part B) July– September 2024 (PDF, 3.35 MB)
03/17/2025 CMS Approved SUD Interim Evaluation Report (PDF, 17.36 MB)
03/06/2025 CMS Temporary Extension Approval (PDF, 263 KB)
10/17/2024 Quarterly Monitoring Report (Part A) – April to June 2024 (XLSX, 1.07 MB)
10/17/2024 Quarterly Monitoring Report (Part B) – April to June 2024 (PDF, 3.37 MB)
09/04/2024 CMS Temporary Extension Approval (PDF, 274.93 KB)
07/26/2024 Quarterly Monitoring Report (Part A) - January to March 2024 (XLSX, 1.07 MB)
07/26/2024 Quarterly Monitoring Report (Part B) - January to March 2024 (PDF, 3.36 MB)
06/28/2024 Quarterly Monitoring Report (Part A) - July to September 2023 (XLSX, 1.09 MB)
06/28/2024 Quarterly Monitoring Report (Part A) - October to December 2023 (XLSX, 1.07 MB)
06/28/2024 Quarterly Monitoring Report (Part B) - July to September 2023 (PDF, 3.34 MB)
06/28/2024 Quarterly Monitoring Report (Part B) - October to December 2023 (PDF, 3.35 MB)
04/11/2024 CMS Completeness Letter (PDF, 242.35 KB)
08/28/2023 Quarterly Monitoring Report (Part A) - April to June 2023 (XLSX, 1.07 MB)
08/28/2023 Quarterly Monitoring Report (Part B) - April to June 2023 (PDF, 3.36 MB)
05/30/2023 Quarterly Monitoring Report (Part A) - January to March 2023 (XLSX, 1.07 MB)
05/30/2023 Quarterly Monitoring Report (Part B) - January to March 2023 (PDF, 3.37 MB)
02/27/2023 Quarterly Monitoring Report (Part A) - October to December 2022 (XLSX, 1.07 MB)
02/27/2023 Quarterly Monitoring Report (Part B) - October to December 2022 (PDF, 3.4 MB)
12/28/2022 Quarterly Monitoring Report (Part A) - July to September 2022 (XLSX, 1.09 MB)
12/28/2022 Quarterly Monitoring Report (Part B) - July to September 2022 (PDF, 3.34 MB)
11/30/2022 Mid-Point Assessment (PDF, 3.94 MB)
10/20/2022 Demonstration Approval (PDF, 598.17 KB)
08/24/2022 Quarterly Monitoring Report – April 2022 – June 2022 (XLSX, 1.07 MB)
08/24/2022 Quarterly Monitoring Report – April 2022 – June 2022 (PDF, 3.36 MB)
08/22/2022 Amendment Acceptance Letter (PDF, 223.9 KB)
07/21/2022 Demonstration Approval – Budget Neutrality Amendment (PDF, 573.78 KB)
05/28/2022 Quarterly Monitoring Report – January 2022 – March 2022 (PDF, 3.35 MB)
05/28/2022 Quarterly Monitoring Report – January 2022 – March 2022 (XLSX, 1.07 MB)
03/01/2022 Quarterly Monitoring Report – October 2021 – December 2021 (PDF, 3.35 MB)
03/01/2022 Quarterly Monitoring Report – October 2021 – December 2021 (XLSX, 1.07 MB)
12/28/2021 Quarterly Monitoring Report – July 2021 – September 2021 (XLSX, 672.07 KB)
12/28/2021 Quarterly Monitoring Report – July 2021 – September 2021 (PDF, 301.49 KB)
10/28/2021 CMS Completeness Letter (PDF, 207.31 KB)
10/22/2021 State Amendment Request (PDF, 1.29 MB) View Comments
10/05/2021 Quarterly Monitoring Report January 1-March 31 2021 (PDF, 301.46 KB)
09/24/2021 Budget Neutrality Workbook April-June 2021 (XLSM, 431.92 KB)
09/24/2021 Quarterly Monitoring Report April 1-June 30 2021 (PDF, 271.19 KB)
09/24/2021 State Quarterly Report – April 1 – June 30, 2021 (Part A) (XLSX, 831.41 KB)
06/30/2021 Budget Neutrality Workbook January-March 2021 (XLSM, 431.88 KB)
06/30/2021 Budget Neutrality Workbook October-December 2020 (XLSM, 431.86 KB)
06/25/2021 Revised Quarterly Monitoring Reports January 1-December 31 2020 (PDF, 239.43 KB)
06/25/2021 State Quarterly Report – January 1 – March 31, 2021 (Part A) (XLSX, 831.12 KB)
06/25/2021 State Quarterly Report – October 1 – December 31, 2020 and Retrospective (Part A)” (XLSX, 2.59 MB)
02/17/2021 Budget Neutrality Workbook July-September 2020 (XLSM, 431.53 KB)
02/12/2021 CMS Letter to State (PDF, 38.9 KB)
01/15/2021 Letter from State - Rescinded (PDF, 1.13 MB)
12/28/2020 Ohio 2020 Annual Report (PDF, 121.81 KB)
11/09/2020 Demonstration Approval - SUD Evaluation Design (PDF, 3.66 MB)
10/08/2020 CMS Approval Letter SUD Monitoring Protocol (PDF, 175.9 KB)
10/08/2020 CMS Approved SUD Monitoring Protocol Part A (XLSX, 195.08 KB)
10/08/2020 CMS Approved SUD Monitoring Protocol Part B (PDF, 414.29 KB)
08/27/2020 Budget Neutrality Workbook April-June 2020 (XLSM, 424.22 KB)
08/27/2020 Quarterly Monitoring Report April-June 2020 (PDF, 392.09 KB)
05/30/2020 Quarterly Monitoring Report January–March 2020 (PDF, 392.66 KB)
05/29/2020 Budget Neutrality Workbook January–March 2020 (XLSM, 430.08 KB)
03/30/2020 Budget Neutrality Workbook October–December 2019 (XLSM, 430.29 KB)
03/30/2020 Quarterly Monitoring Report October–December 2019 (PDF, 425.1 KB)
10/21/2019 Demonstration Acceptance Letter from the State (PDF, 818.16 KB)
09/24/2019 Demonstration Approval (PDF, 2.7 MB)
01/17/2019 CMS Completeness Letter (PDF, 179.84 KB)
01/02/2019 State Application (PDF, 1.44 MB) View Comments
Return to State Waivers List