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 Mexico
Approval Date: October 14, 2025
Effective Date: September 28, 2025
Maryland
Approval Date: October 5, 2025
Effective Date: October 5, 2025
Maryland
Approval Date: October 5, 2025
Effective Date: October 5, 2025
Virginia
Approval Date: September 15, 2025
Effective Date: October 1, 2025
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South Carolina
Approval Date: August 1, 2025
Effective Date: August 1, 2020
Arkansas
Approval Date: July 22, 2025
Effective Date: July 22, 2025
Connecticut
Approval Date: July 18, 2025
Effective Date: October 1, 2025
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New Hampshire
Approval Date: June 26, 2025
Effective Date: July 1, 2025
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Idaho
Approval Date: June 26, 2025
Effective Date: July 1, 2025
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Kentucky
Approval Date: June 23, 2025
Effective Date: January 1, 2026
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