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: No Approval Date
Effective Date: No Effective Date
Arizona
Approval Date: October 1, 2011
Effective Date: October 22, 2011
California
Approval Date: October 1, 1998
Effective Date: January 1, 2023
California
Approval Date: October 16, 2024
Effective Date: September 1, 2005
Colorado
Approval Date: May 30, 2024
Effective Date: July 1, 2024
Colorado
Approval Date: July 1, 1996
Effective Date: July 1, 2019
Delaware
Approval Date: May 17, 1995
Effective Date: January 1, 1996
District of Columbia
Approval Date: September 1, 1998
Effective Date: October 1, 2022
Florida
Approval Date: June 20, 2024
Effective Date: April 1, 2024
Florida
Approval Date: December 13, 2024
Effective Date: January 1, 2025