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
Alabama
Approval Date: June 14, 2019
Effective Date: January 1, 2022
Alabama
Approval Date: September 12, 2018
Effective Date: January 1, 2024
Arkansas
Approval Date: March 14, 2023
Effective Date: April 1, 2023
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Arkansas
Approval Date: December 22, 2021
Effective Date: January 1, 2022
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Arkansas
Approval Date: December 4, 1997
Effective Date: January 1, 2021
Arkansas
Approval Date: September 18, 2017
Effective Date: April 1, 2022
California
Approval Date: March 17, 1995
Effective Date: January 1, 2022
Colorado
Approval Date: December 8, 2020
Effective Date: January 1, 2021
Colorado
Approval Date: May 30, 2025
Effective Date: July 1, 2025
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Colorado
Approval Date: December 23, 2024
Effective Date: July 1, 2025
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