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
South Dakota
Approval Date: October 1, 1988
Effective Date: October 1, 2021
South Dakota
Approval Date: No Approval Date
Effective Date: No Effective Date
South Dakota
Approval Date: April 30, 2018
Effective Date: May 1, 2018
Tennessee
Approval Date: January 8, 2021
Effective Date: January 8, 2021
Tennessee
Approval Date: November 27, 2024
Effective Date: January 1, 2025
Tennessee
Approval Date: November 22, 2024
Effective Date: January 1, 2025
Tennessee
Approval Date: November 27, 2024
Effective Date: January 1, 2025
Texas
Approval Date: May 13, 2015
Effective Date: June 1, 2020
Texas
Approval Date: January 22, 2020
Effective Date: January 22, 2020
Link:
Texas
Approval Date: August 27, 2014
Effective Date: September 1, 2017
Link: