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
Kentucky
Approval Date: October 21, 2010
Effective Date: January 1, 2023
Kentucky
Approval Date: October 16, 2015
Effective Date: January 1, 2021
Link:
Kentucky
Approval Date: No Approval Date
Effective Date: No Effective Date
Kentucky
Approval Date: March 25, 2024
Effective Date: May 1, 2024
Kentucky
Approval Date: March 25, 2024
Effective Date: May 1, 2024
Kentucky
Approval Date: November 6, 2025
Effective Date: January 1, 2026
Kentucky
Approval Date: December 17, 2012
Effective Date: February 15, 2013
Kentucky
Approval Date: January 1, 1987
Effective Date: August 1, 2025
Kentucky
Approval Date: March 25, 2024
Effective Date: May 1, 2024
Kentucky
Approval Date: October 1, 1987
Effective Date: October 1, 2025
Kentucky
Approval Date: March 25, 2024
Effective Date: May 1, 2024
Kentucky
Approval Date: January 12, 2018
Effective Date: April 1, 2019
Louisiana
Approval Date: February 1, 2018
Effective Date: February 1, 2018
Louisiana
Approval Date: July 25, 2023
Effective Date: July 1, 2022
Louisiana
Approval Date: March 8, 2024
Effective Date: July 1, 2024
Louisiana
Approval Date: March 15, 2024
Effective Date: July 1, 2024
Louisiana
Approval Date: November 3, 2011
Effective Date: July 1, 2022
Louisiana
Approval Date: April 24, 2003
Effective Date: January 1, 2017
Louisiana
Approval Date: September 24, 2009
Effective Date: July 1, 2023
Louisiana
Approval Date: March 6, 2024
Effective Date: July 1, 2024
Louisiana
Approval Date: No Approval Date
Effective Date: No Effective Date
Louisiana
Approval Date: October 18, 2011
Effective Date: July 1, 2022
Louisiana
Approval Date: June 23, 2014
Effective Date: July 1, 2022
Louisiana
Approval Date: September 22, 2010
Effective Date: October 1, 2010
Louisiana
Approval Date: No Approval Date
Effective Date: No Effective Date
Louisiana
Approval Date: June 6, 2006
Effective Date: September 1, 2006
Maine
Approval Date: September 13, 2002
Effective Date: October 1, 2001
Link:
Maine
Approval Date: February 24, 2000
Effective Date: July 1, 2002
Maine
Approval Date: June 5, 2012
Effective Date: May 1, 2020
Maine
Approval Date: December 22, 2020
Effective Date: January 1, 2021
Maine
Approval Date: December 21, 2018
Effective Date: July 1, 2019
Link:
Maine
Approval Date: December 27, 2014
Effective Date: December 27, 2014
Maine
Approval Date: August 9, 2023
Effective Date: July 1, 2023
Maine
Approval Date: August 25, 2023
Effective Date: July 1, 2023
Maine
Approval Date: May 6, 2014
Effective Date: July 1, 2024
Maine
Approval Date: July 1, 1987
Effective Date: July 1, 2025
Maine
Approval Date: March 27, 2015
Effective Date: March 27, 2015
Maine
Approval Date: July 1, 2007
Effective Date: January 1, 2021
Maryland
Approval Date: November 6, 2014
Effective Date: January 1, 2023
Maryland
Approval Date: October 30, 1996
Effective Date: July 1, 1997
Link:
Maryland
Approval Date: March 1, 2003
Effective Date: July 1, 2021
Maryland
Approval Date: September 17, 2013
Effective Date: January 1, 2019
Maryland
Approval Date: July 1, 1984
Effective Date: July 1, 2023
Maryland
Approval Date: December 7, 2017
Effective Date: July 1, 2023
Maryland
Approval Date: November 21, 2017
Effective Date: July 1, 2023
Maryland
Approval Date: July 1, 1993
Effective Date: January 1, 2023
Maryland
Approval Date: July 1, 2001
Effective Date: January 6, 2014
Maryland
Approval Date: June 29, 2023
Effective Date: July 1, 2023
Maryland
Approval Date: September 25, 2014
Effective Date: October 1, 2020
Maryland
Approval Date: July 1, 1985
Effective Date: July 1, 2023
Maryland
Approval Date: July 6, 2013
Effective Date: June 30, 2013
Maryland
Approval Date: September 30, 2014
Effective Date: September 30, 2014
Maryland
Approval Date: June 21, 2024
Effective Date: July 1, 2024
Massachusetts
Approval Date: July 19, 2023
Effective Date: May 1, 2023
Massachusetts
Approval Date: July 19, 2023
Effective Date: May 1, 2023
Massachusetts
Approval Date: June 27, 2023
Effective Date: July 1, 2023
Massachusetts
Approval Date: May 23, 2025
Effective Date: October 1, 2025
Massachusetts
Approval Date: June 27, 2023
Effective Date: July 1, 2023
Massachusetts
Approval Date: March 29, 2024
Effective Date: March 29, 2024
Massachusetts
Approval Date: June 27, 2023
Effective Date: July 1, 2023
Massachusetts
Approval Date: July 19, 2023
Effective Date: April 1, 2023
Massachusetts
Approval Date: July 19, 2023
Effective Date: April 1, 2023
Massachusetts
Approval Date: July 1, 2001
Effective Date: July 1, 2024
Massachusetts
Approval Date: December 30, 2020
Effective Date: March 1, 2020
Massachusetts
Approval Date: April 24, 1995
Effective Date: July 1, 1997
Link:
Massachusetts
Approval Date: January 16, 2013
Effective Date: April 1, 2013
Michigan
Approval Date: March 3, 2016
Effective Date: March 3, 2016
Michigan
Approval Date: April 1, 2009
Effective Date: January 1, 2023
Michigan
Approval Date: December 22, 2009
Effective Date: January 1, 2010
Link:
Michigan
Approval Date: October 1, 1983
Effective Date: October 1, 2024
Michigan
Approval Date: October 1, 2013
Effective Date: October 1, 2023
Link:
Michigan
Approval Date: November 30, 2023
Effective Date: December 1, 2023
Michigan
Approval Date: October 1, 1987
Effective Date: October 1, 2024
Michigan
Approval Date: December 17, 2024
Effective Date: January 1, 2025
Michigan
Approval Date: December 22, 2014
Effective Date: January 1, 2023
Link:
Michigan
Approval Date: October 1, 2005
Effective Date: October 1, 2024
Michigan
Approval Date: March 1, 2006
Effective Date: April 1, 2006
Michigan
Approval Date: April 5, 2019
Effective Date: April 5, 2019
Michigan
Approval Date: No Approval Date
Effective Date: No Effective Date
Michigan
Approval Date: May 30, 1997
Effective Date: January 1, 2024
Michigan
Approval Date: December 27, 2024
Effective Date: December 27, 2024
Minnesota
Approval Date: February 22, 2013
Effective Date: April 1, 2022
Minnesota
Approval Date: January 1, 1998
Effective Date: July 1, 2020
Minnesota
Approval Date: July 20, 2004
Effective Date: July 1, 2006
Minnesota
Approval Date: No Approval Date
Effective Date: No Effective Date
Minnesota
Approval Date: April 27, 1995
Effective Date: July 1, 1995
Minnesota
Approval Date: No Approval Date
Effective Date: No Effective Date
Minnesota
Approval Date: October 18, 2013
Effective Date: November 1, 2013
Minnesota
Approval Date: No Approval Date
Effective Date: No Effective Date
Minnesota
Approval Date: June 28, 2019
Effective Date: July 1, 2019
Minnesota
Approval Date: April 1, 1992
Effective Date: April 1, 2021
Minnesota
Approval Date: October 1, 1987
Effective Date: October 1, 2020
Minnesota
Approval Date: April 1, 1985
Effective Date: April 1, 2023
Minnesota
Approval Date: July 1, 1984
Effective Date: July 1, 2022
Minnesota
Approval Date: July 23, 1982
Effective Date: July 1, 2023
Minnesota
Approval Date: March 21, 2005
Effective Date: July 1, 2021
Mississippi
Approval Date: August 9, 2017
Effective Date: August 9, 2017
Mississippi
Approval Date: September 10, 2004
Effective Date: October 1, 2024
Link:
Mississippi
Approval Date: June 26, 2023
Effective Date: July 1, 2023
Mississippi
Approval Date: January 31, 2003
Effective Date: October 1, 2003