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
Alabama
Approval Date: March 16, 2011
Effective Date: April 1, 2021
Alabama
Approval Date: October 1, 1984
Effective Date: October 1, 2022
Alaska
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Alaska
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Arkansas
Approval Date: July 1, 1991
Effective Date: July 1, 2021
California
Approval Date: September 26, 2024
Effective Date: July 1, 2024
California
Approval Date: August 24, 2005
Effective Date: September 1, 2005
Colorado
Approval Date: June 6, 2012
Effective Date: July 1, 2025
Colorado
Approval Date: July 1, 1985
Effective Date: July 1, 2022
Colorado
Approval Date: July 1, 2002
Effective Date: July 1, 2022
Colorado
Approval Date: January 1, 1994
Effective Date: January 1, 2009
Colorado
Approval Date: July 1, 1995
Effective Date: July 1, 2022
Connecticut
Approval Date: October 1, 2005
Effective Date: October 1, 2023
Connecticut
Approval Date: March 22, 2011
Effective Date: April 1, 2021
Connecticut
Approval Date: July 1, 1987
Effective Date: July 1, 2025
Connecticut
Approval Date: February 1, 2005
Effective Date: February 1, 2023
Connecticut
Approval Date: September 15, 2009
Effective Date: April 1, 2022
Connecticut
Approval Date: March 26, 2025
Effective Date: March 29, 2025
Delaware
Approval Date: July 1, 1986
Effective Date: July 1, 2009
Florida
Approval Date: February 1, 2013
Effective Date: July 1, 2013
Florida
Approval Date: February 11, 2008
Effective Date: February 14, 2011
Florida
Approval Date: July 1, 1993
Effective Date: July 1, 2013
Florida
Approval Date: March 1, 2005
Effective Date: March 1, 2008
Florida
Approval Date: July 1, 1993
Effective Date: July 1, 2013
Florida
Approval Date: February 11, 2008
Effective Date: February 14, 2011
Florida
Approval Date: October 1, 1995
Effective Date: October 1, 2008
Florida
Approval Date: July 1, 1998
Effective Date: July 1, 2011
Georgia
Approval Date: October 1, 1984
Effective Date: November 9, 2022
Georgia
Approval Date: April 1, 1992
Effective Date: July 1, 2021
Hawaii
Approval Date: July 1, 1981
Effective Date: July 1, 2021
Idaho
Approval Date: October 1, 1992
Effective Date: April 1, 2023
Idaho
Approval Date: October 1, 1992
Effective Date: April 1, 2023
Illinois
Approval Date: July 1, 1999
Effective Date: July 1, 2022
Illinois
Approval Date: October 1, 1986
Effective Date: October 1, 2021
Illinois
Approval Date: July 1, 1999
Effective Date: July 1, 2017
Illinois
Approval Date: October 1, 1986
Effective Date: July 1, 2021
Illinois
Approval Date: September 28, 2023
Effective Date: October 1, 2023
Indiana
Approval Date: January 1, 1990
Effective Date: January 1, 2008
Link:
Indiana
Approval Date: June 6, 2025
Effective Date: July 16, 2025
Indiana
Approval Date: June 6, 2025
Effective Date: July 16, 2025
Indiana
Approval Date: July 1, 1990
Effective Date: July 1, 2023
Indiana
Approval Date: January 1, 2000
Effective Date: January 1, 2023
Iowa
Approval Date: September 17, 2024
Effective Date: October 1, 2024
Iowa
Approval Date: August 1, 1992
Effective Date: October 1, 2022
Iowa
Approval Date: June 10, 2025
Effective Date: July 1, 2025
Iowa
Approval Date: December 21, 2023
Effective Date: October 1, 2023
Iowa
Approval Date: June 26, 2024
Effective Date: July 1, 2024
Kansas
Approval Date: December 19, 2024
Effective Date: January 1, 2025
Kentucky
Approval Date: March 25, 2024
Effective Date: May 1, 2024
Kentucky
Approval Date: March 25, 2024
Effective Date: May 1, 2024
Kentucky
Approval Date: December 17, 2012
Effective Date: February 15, 2013
Kentucky
Approval Date: January 1, 1987
Effective Date: August 1, 2025
Kentucky
Approval Date: March 25, 2024
Effective Date: May 1, 2024
Louisiana
Approval Date: July 25, 2023
Effective Date: July 1, 2022
Louisiana
Approval Date: March 15, 2024
Effective Date: July 1, 2024
Louisiana
Approval Date: September 24, 2009
Effective Date: July 1, 2023
Maine
Approval Date: August 9, 2023
Effective Date: July 1, 2023
Michigan
Approval Date: November 30, 2023
Effective Date: December 1, 2023
Minnesota
Approval Date: April 1, 1992
Effective Date: April 1, 2026
Minnesota
Approval Date: October 1, 1987
Effective Date: October 1, 2025
Minnesota
Approval Date: April 1, 1985
Effective Date: April 1, 2023
Minnesota
Approval Date: July 1, 1984
Effective Date: July 1, 2022
Minnesota
Approval Date: July 23, 1982
Effective Date: July 1, 2023
Mississippi
Approval Date: June 26, 2023
Effective Date: July 1, 2023
Missouri
Approval Date: October 10, 2012
Effective Date: July 1, 2025
Missouri
Approval Date: July 1, 1980
Effective Date: July 1, 2023
Montana
Approval Date: January 23, 2006
Effective Date: July 1, 2009
Montana
Approval Date: June 20, 2024
Effective Date: July 1, 2024
Montana
Approval Date: November 27, 2006
Effective Date: July 1, 2020
Nebraska
Approval Date: August 1, 1991
Effective Date: August 1, 2021
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
Ohio
Approval Date: June 20, 2024
Effective Date: July 1, 2024
Ohio
Approval Date: December 1, 2002
Effective Date: July 1, 2021
Ohio
Approval Date: December 13, 2023
Effective Date: January 1, 2024
Ohio
Approval Date: June 7, 2023
Effective Date: July 1, 2023
Ohio
Approval Date: December 9, 2011
Effective Date: July 1, 2025
Ohio
Approval Date: June 30, 2014
Effective Date: June 30, 2014
Ohio
Approval Date: June 30, 2017
Effective Date: June 30, 2017
Ohio
Approval Date: June 30, 2015
Effective Date: June 30, 2015
Oklahoma
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Oklahoma
Approval Date: July 1, 1988
Effective Date: July 1, 2021
Oklahoma
Approval Date: July 1, 2003
Effective Date: July 1, 2021
Oklahoma
Approval Date: July 1, 1999
Effective Date: July 1, 2022
Oklahoma
Approval Date: September 22, 2010
Effective Date: October 1, 2013
Oklahoma
Approval Date: October 7, 2010
Effective Date: March 1, 2014
South Carolina
Approval Date: July 1, 2003
Effective Date: July 1, 2021
South Carolina
Approval Date: June 9, 2009
Effective Date: July 1, 2022
South Carolina
Approval Date: October 1, 1991
Effective Date: January 1, 2022
South Dakota
Approval Date: October 1, 1988
Effective Date: October 1, 2021
Texas
Approval Date: September 1, 1991
Effective Date: September 1, 2024
Utah
Approval Date: July 1, 2007
Effective Date: July 1, 2025