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
Delaware
Approval Date: July 1, 1986
Effective Date: July 1, 2009
Delaware
Approval Date: May 17, 1995
Effective Date: January 1, 1996
Delaware
Approval Date: December 31, 2014
Effective Date: July 1, 2019
District of Columbia
Approval Date: November 6, 2019
Effective Date: January 1, 2020
District of Columbia
Approval Date: January 4, 1999
Effective Date: February 7, 2022
District of Columbia
Approval Date: October 28, 2020
Effective Date: November 1, 2020
District of Columbia
Approval Date: September 1, 1998
Effective Date: October 1, 2022
District of Columbia
Approval Date: October 28, 2010
Effective Date: November 1, 2010
Florida
Approval Date: March 21, 2024
Effective Date: April 1, 2024
Florida
Approval Date: June 20, 2024
Effective Date: April 1, 2024