Section 1115 demonstrations and waiver authorities in section 1915 of the Social Security Act are vehicles states can use to test new or existing ways to deliver and pay for health care services in Medicaid and the Children’s Health Insurance Program (CHIP). All current and concluded state programs authorized under these authorities may be accessed using the below dynamic list. Learn more about the section 1915(b), section 1915(c), and section 1115 authorities.
State Waivers List
Montana
Approval Date: July 1, 1990
Effective Date: July 1, 2023
Montana
Approval Date: November 27, 2006
Effective Date: July 1, 2020
Montana
Approval Date: April 8, 2016
Effective Date: April 8, 2016
Montana
Approval Date: December 29, 2008
Effective Date: January 1, 2017
Montana
Approval Date: October 17, 2015
Effective Date: October 17, 2015
Nebraska
Approval Date: July 1, 1995
Effective Date: January 1, 2024
Nebraska
Approval Date: July 10, 2006
Effective Date: August 1, 2009
Nebraska
Approval Date: June 1, 1989
Effective Date: March 1, 2022
Nebraska
Approval Date: January 1, 2003
Effective Date: March 1, 2022
Nebraska
Approval Date: March 1, 2024
Effective Date: March 1, 2024