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
North Carolina
Approval Date: March 25, 2025
Effective Date: September 25, 2024
Status:
Approved
Authority:
1115
North Carolina
Approval Date: October 19, 2018
Effective Date: January 1, 2019
Status:
Pending
Authority:
1115
North Carolina
Approval Date: January 1, 2004
Effective Date: April 1, 2008
Status:
Terminated
Authority:
1915 (c)
North Carolina
Approval Date: April 1, 2013
Effective Date: April 1, 2013
Status:
Terminated
Authority:
1915 (c)
North Carolina
Approval Date: April 1, 2013
Effective Date: April 1, 2013
Status:
Terminated
Authority:
1915 (c)
North Dakota
Approval Date: January 29, 2024
Effective Date: November 1, 2023
Status:
Approved
Authority:
1915 (c)
North Dakota
Approval Date: June 28, 2023
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
North Dakota
Approval Date: January 17, 2006
Effective Date: April 1, 2009
Status:
Terminated
Authority:
1915 (c)
North Dakota
Approval Date: April 1, 1994
Effective Date: April 1, 2017
Status:
Approved
Authority:
1915 (c)
North Dakota
Approval Date: April 1, 2008
Effective Date: June 1, 2021
Status:
Approved
Authority:
1915 (c)