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
Massachusetts
Approval Date: May 23, 2025
Effective Date: October 1, 2025
Nebraska
Approval Date: April 30, 2025
Effective Date: July 1, 2025
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Kentucky
Approval Date: March 28, 2025
Effective Date: April 1, 2025
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Connecticut
Approval Date: March 26, 2025
Effective Date: March 29, 2025
New York
Approval Date: March 26, 2025
Effective Date: April 1, 2025
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North Carolina
Approval Date: March 25, 2025
Effective Date: September 25, 2024
Ohio
Approval Date: March 19, 2025
Effective Date: April 1, 2025
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Ohio
Approval Date: March 17, 2025
Effective Date: April 1, 2025
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Florida
Approval Date: February 21, 2025
Effective Date: February 1, 2025
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Michigan
Approval Date: December 27, 2024
Effective Date: December 27, 2024