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
North Carolina
Approval Date: March 25, 2025
Effective Date: September 25, 2024
Status:
Expired
Authority:
1115
North Carolina
Approval Date: October 19, 2018
Effective Date: January 1, 2019
Status:
Approved
Authority:
1115
North Dakota
Approval Date: May 19, 2022
Effective Date: March 1, 2022
Status:
Expired
Authority:
1115
Ohio
Approval Date: September 24, 2019
Effective Date: October 1, 2019
Status:
Pending
Authority:
1115
Oklahoma
Approval Date: September 22, 2010
Effective Date: October 1, 2013
Status:
Terminated
Authority:
1915 (c)
Oklahoma
Approval Date: October 12, 1995
Effective Date: April 1, 1996
Link:
Status:
Pending
Authority:
1115
Oregon
Approval Date: November 8, 2023
Effective Date: January 1, 2024
Status:
Approved
Authority:
1115
Oregon
Approval Date: October 16, 2024
Effective Date: February 1, 1994
Link:
Status:
Approved
Authority:
1115
Oregon
Approval Date: April 8, 2021
Effective Date: April 8, 2021
Status:
Pending
Authority:
1115
Oregon
Approval Date: February 13, 2024
Effective Date: February 13, 2024
Status:
Approved
Authority:
1115