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: September 26, 2023
Effective Date: October 1, 2023
New Hampshire
Approval Date: November 1, 1993
Effective Date: November 1, 2021
New York
Approval Date: April 1, 1995
Effective Date: September 1, 2022
North Carolina
Approval Date: No Approval Date
Effective Date: April 1, 2022
Pennsylvania
Approval Date: April 1, 2002
Effective Date: January 1, 2025
South Carolina
Approval Date: July 1, 1995
Effective Date: July 1, 2023
Utah
Approval Date: July 1, 1996
Effective Date: July 1, 2024
West Virginia
Approval Date: December 23, 2011
Effective Date: July 1, 2025
Wisconsin
Approval Date: January 1, 1995
Effective Date: January 1, 2009
Wyoming
Approval Date: July 1, 2001
Effective Date: July 1, 2014