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
Pennsylvania
Approval Date: July 1, 1999
Effective Date: January 1, 2023
South Carolina
Approval Date: June 9, 2009
Effective Date: July 1, 2022
South Carolina
Approval Date: July 1, 1995
Effective Date: July 1, 2023
South Carolina
Approval Date: October 1, 1991
Effective Date: January 1, 2022
South Carolina
Approval Date: December 12, 2019
Effective Date: December 12, 2019
Tennessee
Approval Date: November 27, 2024
Effective Date: January 1, 2025
Tennessee
Approval Date: November 22, 2024
Effective Date: January 1, 2025
Tennessee
Approval Date: November 27, 2024
Effective Date: January 1, 2025
Texas
Approval Date: January 22, 2020
Effective Date: January 22, 2020
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Texas
Approval Date: December 12, 2011
Effective Date: December 12, 2011