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
Maine
Approval Date: July 1, 1987
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Maine
Approval Date: March 27, 2015
Effective Date: March 27, 2015
Status:
Terminated
Authority:
1915 (c)
Maine
Approval Date: July 1, 2007
Effective Date: January 1, 2021
Status:
Approved
Authority:
1915 (c)
Maryland
Approval Date: June 21, 2024
Effective Date: July 1, 2024
Status:
Approved
Authority:
1915 (c)
Massachusetts
Approval Date: May 23, 2025
Effective Date: October 1, 2025
Status:
Approved
Authority:
1915 (c)
Michigan
Approval Date: October 1, 1983
Effective Date: October 1, 2024
Status:
Approved
Authority:
1915 (c)
Mississippi
Approval Date: June 26, 2023
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: August 26, 2010
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: June 30, 2017
Effective Date: July 1, 2012
Status:
Approved
Authority:
1915 (c)
Montana
Approval Date: December 21, 2016
Effective Date: January 1, 2017
Status:
Terminated
Authority:
1915 (b4)