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
Nebraska
Approval Date: June 1, 1989
Effective Date: March 1, 2022
Texas
Approval Date: December 31, 2011
Effective Date: September 1, 2009
Texas
Approval Date: September 1, 2001
Effective Date: September 1, 2009
Wyoming
Approval Date: June 30, 2015
Effective Date: October 1, 2013
Wyoming
Approval Date: July 22, 2026
Effective Date: April 1, 2024
Wyoming
Approval Date: July 22, 2026
Effective Date: April 1, 2024