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
California
Approval Date: October 16, 2024
Effective Date: September 1, 2005
Status:
Pending
Authority:
1115
Colorado
Approval Date: September 27, 2002
Effective Date: October 8, 2002
Status:
Approved
Authority:
1115
Colorado
Approval Date: November 13, 2020
Effective Date: January 1, 2021
Status:
Pending
Authority:
1115
Colorado
Approval Date: July 1, 2018
Effective Date: January 2, 2018
Status:
Approved
Authority:
1915 (c)
Connecticut
Approval Date: April 14, 2022
Effective Date: April 14, 2022
Status:
Pending
Authority:
1115
Connecticut
Approval Date: December 15, 2022
Effective Date: December 15, 2022
Link:
Status:
Approved
Authority:
1115
Delaware
Approval Date: May 17, 1995
Effective Date: January 1, 1996
Status:
Approved
Authority:
1115
District of Columbia
Approval Date: November 6, 2019
Effective Date: January 1, 2020
Status:
Pending
Authority:
1115
Florida
Approval Date: May 30, 2025
Effective Date: July 1, 2025
Status:
Approved
Authority:
1915 (c)
Florida
Approval Date: October 19, 2005
Effective Date: July 1, 2006
Status:
Approved
Authority:
1115