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
New York
Approval Date: March 19, 2026
Effective Date: April 1, 2025
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Montana
Approval Date: March 17, 2026
Effective Date: March 27, 2026
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Nevada
Approval Date: February 27, 2026
Effective Date: April 1, 2026
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Oklahoma
Approval Date: February 27, 2026
Effective Date: January 1, 2025
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Louisiana
Approval Date: February 18, 2026
Effective Date: July 1, 2026
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Louisiana
Approval Date: February 18, 2026
Effective Date: March 1, 2026
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Connecticut
Approval Date: January 30, 2026
Effective Date: April 1, 2026
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Iowa
Approval Date: January 23, 2026
Effective Date: April 1, 2024
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Wisconsin
Approval Date: January 7, 2026
Effective Date: January 1, 2025
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Maryland
Approval Date: December 22, 2025
Effective Date: February 1, 2026
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