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
Oregon
Approval Date: December 22, 2025
Effective Date: January 1, 2026
Link:
Michigan
Approval Date: December 22, 2025
Effective Date: January 1, 2026
Link:
Oregon
Approval Date: December 17, 2025
Effective Date: January 1, 2026
Link:
Louisiana
Approval Date: December 15, 2025
Effective Date: March 1, 2026
Link:
Missouri
Approval Date: December 12, 2025
Effective Date: January 1, 2026
Link:
Indiana
Approval Date: December 5, 2025
Effective Date: December 31, 2025
Link:
Virginia
Approval Date: November 24, 2025
Effective Date: December 1, 2025
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Kentucky
Approval Date: November 6, 2025
Effective Date: January 1, 2026
Indiana
Approval Date: October 22, 2025
Effective Date: January 1, 2026
Link:
Pennsylvania
Approval Date: October 15, 2025
Effective Date: January 1, 2026
Link: