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 21, 2021
Effective Date: October 21, 2021
Alabama
Approval Date: June 14, 2019
Effective Date: January 1, 2022
Alabama
Approval Date: October 1, 2002
Effective Date: October 1, 2025
Alabama
Approval Date: October 1, 2004
Effective Date: October 1, 2012
Alabama
Approval Date: September 30, 1981
Effective Date: October 1, 2025
Alabama
Approval Date: October 1, 1984
Effective Date: October 1, 2022
Alabama
Approval Date: April 1, 1992
Effective Date: October 1, 2020
Alabama
Approval Date: February 22, 2003
Effective Date: February 22, 2021
Alabama
Approval Date: October 21, 2021
Effective Date: October 21, 2021
Alabama
Approval Date: February 9, 2016
Effective Date: April 1, 2017
Alabama
Approval Date: No Approval Date
Effective Date: No Effective Date
Alabama
Approval Date: July 1, 2000
Effective Date: October 1, 2000
Link:
Alabama
Approval Date: May 20, 2022
Effective Date: May 20, 2022
Alabama
Approval Date: No Approval Date
Effective Date: No Effective Date
Alabama
Approval Date: September 12, 2018
Effective Date: January 1, 2024
Alabama
Approval Date: October 1, 2004
Effective Date: September 1, 2017
Alaska
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Alaska
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Alaska
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Alaska
Approval Date: June 27, 2023
Effective Date: July 1, 2023
Alaska
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Alaska
Approval Date: November 21, 2018
Effective Date: January 1, 2019
Arizona
Approval Date: October 1, 2011
Effective Date: October 22, 2011
Arkansas
Approval Date: July 23, 2012
Effective Date: July 1, 2024
Arkansas
Approval Date: July 1, 1991
Effective Date: July 1, 2021
Arkansas
Approval Date: July 1, 1991
Effective Date: March 1, 2022
Arkansas
Approval Date: December 1, 2002
Effective Date: July 1, 2021
Arkansas
Approval Date: August 19, 1997
Effective Date: September 1, 1997
Link:
Arkansas
Approval Date: December 21, 2021
Effective Date: January 1, 2022
Arkansas
Approval Date: December 4, 1997
Effective Date: January 1, 2021
Arkansas
Approval Date: July 22, 2025
Effective Date: July 22, 2025
Arkansas
Approval Date: March 3, 2006
Effective Date: October 1, 2006
Arkansas
Approval Date: June 18, 1996
Effective Date: September 1, 1997
Arkansas
Approval Date: September 27, 2013
Effective Date: October 1, 2013
Link:
Arkansas
Approval Date: October 17, 2002
Effective Date: January 1, 2003
Arkansas
Approval Date: September 18, 2017
Effective Date: April 1, 2022
Arkansas
Approval Date: December 11, 2017
Effective Date: January 1, 2018
Link:
Arkansas
Approval Date: July 1, 1997
Effective Date: July 1, 2010
California
Approval Date: February 16, 2024
Effective Date: March 1, 2024
California
Approval Date: October 1, 1998
Effective Date: January 1, 2023
California
Approval Date: July 1, 1987
Effective Date: January 1, 2023
California
Approval Date: January 1, 2007
Effective Date: January 1, 2015
California
Approval Date: January 1, 1989
Effective Date: January 1, 2023
California
Approval Date: September 26, 2024
Effective Date: July 1, 2024
California
Approval Date: December 3, 2008
Effective Date: January 1, 2019
California
Approval Date: May 22, 2012
Effective Date: July 1, 2012
California
Approval Date: June 6, 2018
Effective Date: July 1, 2021
California
Approval Date: March 17, 1995
Effective Date: January 1, 2022
California
Approval Date: August 24, 2005
Effective Date: September 1, 2005
California
Approval Date: December 16, 2024
Effective Date: January 1, 2025
California
Approval Date: No Approval Date
Effective Date: No Effective Date
Colorado
Approval Date: December 8, 2020
Effective Date: January 1, 2021
Colorado
Approval Date: January 26, 2007
Effective Date: July 1, 2025
Colorado
Approval Date: May 30, 2024
Effective Date: July 1, 2024
Colorado
Approval Date: July 1, 1990
Effective Date: July 1, 2023
Colorado
Approval Date: June 6, 2012
Effective Date: July 1, 2025
Colorado
Approval Date: May 30, 2024
Effective Date: July 1, 2024
Colorado
Approval Date: July 1, 1985
Effective Date: July 1, 2022
Colorado
Approval Date: May 30, 2024
Effective Date: July 1, 2024
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
Colorado
Approval Date: July 1, 1996
Effective Date: July 1, 2019
Colorado
Approval Date: May 30, 2025
Effective Date: July 1, 2025
Link:
Colorado
Approval Date: June 17, 2025
Effective Date: July 1, 2025
Link:
Colorado
Approval Date: June 17, 2025
Effective Date: July 1, 2025
Link:
Colorado
Approval Date: September 27, 2002
Effective Date: October 8, 2002
Colorado
Approval Date: March 30, 2012
Effective Date: April 1, 2012
Colorado
Approval Date: May 24, 2023
Effective Date: July 1, 2023
Colorado
Approval Date: November 13, 2020
Effective Date: January 1, 2021
Colorado
Approval Date: No Approval Date
Effective Date: No Effective Date
Colorado
Approval Date: July 1, 2018
Effective Date: January 2, 2018
Connecticut
Approval Date: No Approval Date
Effective Date: No Effective Date
Connecticut
Approval Date: August 16, 2021
Effective Date: August 16, 2021
Connecticut
Approval Date: April 14, 2022
Effective Date: April 14, 2022
Connecticut
Approval Date: December 15, 2022
Effective Date: December 15, 2022
Link:
Connecticut
Approval Date: November 26, 2014
Effective Date: December 1, 2024
Connecticut
Approval Date: January 1, 1999
Effective Date: January 1, 2022
Connecticut
Approval Date: October 1, 2005
Effective Date: October 1, 2023
Connecticut
Approval Date: January 29, 2014
Effective Date: February 1, 2014
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: December 31, 2012
Effective Date: January 1, 2023
Connecticut
Approval Date: June 29, 2015
Effective Date: April 1, 2021
Connecticut
Approval Date: February 1, 2005
Effective Date: February 1, 2023
Connecticut
Approval Date: January 1, 1984
Effective Date: January 1, 2022
Connecticut
Approval Date: No Approval Date
Effective Date: No Effective Date
Connecticut
Approval Date: September 15, 2009
Effective Date: April 1, 2022
Connecticut
Approval Date: March 26, 2025
Effective Date: March 29, 2025
Connecticut
Approval Date: January 30, 2026
Effective Date: April 1, 2026
Link:
Connecticut
Approval Date: September 20, 2017
Effective Date: October 1, 2021
Delaware
Approval Date: July 1, 1991
Effective Date: July 1, 2009
Delaware
Approval Date: March 7, 2024
Effective Date: July 1, 2024
Delaware
Approval Date: July 1, 1986
Effective Date: July 1, 2009
Delaware
Approval Date: May 17, 1995
Effective Date: January 1, 1996
Delaware
Approval Date: December 31, 2014
Effective Date: July 1, 2019
District of Columbia
Approval Date: November 6, 2019
Effective Date: January 1, 2020
District of Columbia
Approval Date: January 4, 1999
Effective Date: February 7, 2022
District of Columbia
Approval Date: October 28, 2020
Effective Date: October 1, 2025