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
Nevada
Approval Date: July 1, 1992
Effective Date: July 1, 2025
New Hampshire
Approval Date: July 1, 1984
Effective Date: July 1, 2022
New Jersey
Approval Date: October 1, 1988
Effective Date: October 1, 2011
New Mexico
Approval Date: July 29, 2008
Effective Date: August 1, 2008
North Carolina
Approval Date: October 1, 1982
Effective Date: November 1, 2024
North Carolina
Approval Date: January 1, 2004
Effective Date: April 1, 2008
North Carolina
Approval Date: April 1, 2013
Effective Date: April 1, 2013
North Carolina
Approval Date: April 1, 2013
Effective Date: April 1, 2013
North Dakota
Approval Date: April 1, 1994
Effective Date: April 1, 2017
Ohio
Approval Date: July 1, 1999
Effective Date: July 1, 2021