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
South Carolina
Approval Date: October 1, 1991
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (c)
South Carolina
Approval Date: December 1, 1994
Effective Date: December 1, 2022
Status:
Approved
Authority:
1915 (c)
South Dakota
Approval Date: June 1, 1994
Effective Date: June 1, 2022
Status:
Approved
Authority:
1915 (c)
South Dakota
Approval Date: October 1, 1998
Effective Date: June 1, 2022
Status:
Approved
Authority:
1915 (c)
South Dakota
Approval Date: October 1, 1988
Effective Date: October 1, 2021
Status:
Approved
Authority:
1915 (c)
Tennessee
Approval Date: January 8, 2021
Effective Date: January 8, 2021
Status:
Pending
Authority:
1115
Tennessee
Approval Date: November 27, 2024
Effective Date: January 1, 2025
Status:
Approved
Authority:
1915 (c)
Texas
Approval Date: September 1, 2001
Effective Date: September 1, 2009
Status:
Terminated
Authority:
1915 (c)
Texas
Approval Date: March 1, 1995
Effective Date: March 1, 2018
Status:
Approved
Authority:
1915 (c)
Texas
Approval Date: February 18, 2004
Effective Date: March 1, 2022
Status:
Approved
Authority:
1915 (c)