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
Mississippi
Approval Date: October 1, 2000
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
Mississippi
Approval Date: June 26, 2023
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
Mississippi
Approval Date: June 26, 2023
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
Mississippi
Approval Date: June 26, 2023
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
Mississippi
Approval Date: September 27, 2012
Effective Date: October 1, 2012
Status:
Approved
Authority:
1915 (c)
Mississippi
Approval Date: July 1, 2001
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
Mississippi
Approval Date: June 4, 2015
Effective Date: July 1, 2015
Status:
Terminated
Authority:
1915 (b4)
Mississippi
Approval Date: September 30, 2014
Effective Date: September 30, 2014
Status:
Terminated
Authority:
1915 (c)
Missouri
Approval Date: June 2, 2021
Effective Date: June 2, 2021
Status:
Pending
Authority:
1115
Missouri
Approval Date: July 28, 2010
Effective Date: August 1, 2010
Status:
Expired
Authority:
1115
Missouri
Approval Date: September 30, 2010
Effective Date: January 1, 2024
Status:
Approved
Authority:
1915 (b1)
1915 (b2)
1915 (b4)
Missouri
Approval Date: September 24, 2021
Effective Date: October 1, 2021
Status:
Approved
Authority:
1915 (b4)
Missouri
Approval Date: No Approval Date
Effective Date: No Effective Date
Status:
Withdrawn
Authority:
1115
Missouri
Approval Date: December 6, 2023
Effective Date: December 6, 2023
Status:
Approved
Authority:
1115
Missouri
Approval Date: No Approval Date
Effective Date: No Effective Date
Status:
Terminated
Authority:
1115
Missouri
Approval Date: April 29, 1998
Effective Date: May 1, 1998
Status:
Terminated
Authority:
1115
Missouri
Approval Date: October 10, 2012
Effective Date: July 1, 2025
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: July 1, 1980
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: July 1, 1989
Effective Date: November 1, 2022
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: October 24, 2019
Effective Date: October 1, 2020
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: June 9, 2023
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: July 1, 1988
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: July 1, 2003
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: January 16, 2024
Effective Date: July 1, 2024
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: July 1, 1998
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: August 26, 2010
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: No Approval Date
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: June 30, 2017
Effective Date: July 1, 2012
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: November 19, 2008
Effective Date: April 1, 2009
Status:
Terminated
Authority:
1915 (c)
Montana
Approval Date: June 30, 2018
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (b4)
Montana
Approval Date: January 29, 2004
Effective Date: February 1, 2004
Status:
Pending
Authority:
1115
Montana
Approval Date: December 21, 2016
Effective Date: January 1, 2017
Status:
Terminated
Authority:
1915 (b4)
Montana
Approval Date: June 29, 2011
Effective Date: January 1, 2011
Status:
Approved
Authority:
1915 (b4)
Montana
Approval Date: July 1, 2022
Effective Date: July 1, 2022
Status:
Approved
Authority:
1115
Montana
Approval Date: November 2, 2015
Effective Date: December 21, 2021
Status:
Expired
Authority:
1115
Montana
Approval Date: August 31, 1993
Effective Date: July 1, 2022
Status:
Approved
Authority:
1915 (b1)
1915 (b2)
1915 (b4)
Montana
Approval Date: May 30, 2012
Effective Date: June 1, 2012
Link:
Status:
Approved
Authority:
1115
Montana
Approval Date: January 23, 2006
Effective Date: July 1, 2009
Status:
Terminated
Authority:
1915 (c)
Montana
Approval Date: June 20, 2024
Effective Date: July 1, 2024
Status:
Approved
Authority:
1915 (c)
Montana
Approval Date: August 27, 2001
Effective Date: July 1, 2009
Status:
Terminated
Authority:
1915 (c)
Montana
Approval Date: July 1, 1990
Effective Date: July 1, 2023
Status:
Approved
Authority:
1915 (c)
Montana
Approval Date: November 27, 2006
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Montana
Approval Date: April 8, 2016
Effective Date: April 8, 2016
Status:
Terminated
Authority:
1915 (c)
Montana
Approval Date: December 29, 2008
Effective Date: January 1, 2017
Status:
Terminated
Authority:
1915 (c)
Montana
Approval Date: October 17, 2015
Effective Date: October 17, 2015
Status:
Terminated
Authority:
1915 (c)
Nebraska
Approval Date: July 1, 1995
Effective Date: January 1, 2024
Status:
Approved
Authority:
1915 (b1)
1915 (b2)
1915 (b3)
1915 (b4)
Nebraska
Approval Date: July 10, 2006
Effective Date: August 1, 2009
Status:
Terminated
Authority:
1915 (c)
Nebraska
Approval Date: June 1, 1989
Effective Date: March 1, 2022
Status:
Approved
Authority:
1915 (c)
Nebraska
Approval Date: January 1, 2003
Effective Date: March 1, 2022
Status:
Approved
Authority:
1915 (c)
Nebraska
Approval Date: March 1, 2024
Effective Date: March 1, 2024
Status:
Approved
Authority:
1915 (c)
Nebraska
Approval Date: August 1, 1991
Effective Date: August 1, 2021
Status:
Approved
Authority:
1915 (c)
Nebraska
Approval Date: September 26, 2023
Effective Date: October 1, 2023
Status:
Approved
Authority:
1915 (c)
Nebraska
Approval Date: October 20, 2020
Effective Date: October 20, 2020
Status:
Terminated
Authority:
1115
Nebraska
Approval Date: June 28, 2019
Effective Date: July 1, 2019
Status:
Approved
Authority:
1115
Nebraska
Approval Date: September 30, 2014
Effective Date: September 24, 2014
Status:
Approved
Authority:
1915 (c)
Nebraska
Approval Date: September 30, 2017
Effective Date: July 7, 2015
Status:
Approved
Authority:
1915 (c)
Nevada
Approval Date: November 15, 2017
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (b1)
1915 (b4)
Nevada
Approval Date: No Approval Date
Effective Date: No Effective Date
Status:
Withdrawn
Authority:
1115
Nevada
Approval Date: September 18, 2019
Effective Date: October 1, 2019
Status:
Approved
Authority:
1915 (b4)
Nevada
Approval Date: June 28, 2013
Effective Date: July 1, 2013
Status:
Expired
Authority:
1115
Nevada
Approval Date: April 14, 2022
Effective Date: March 1, 2020
Status:
Expired
Authority:
1115
Nevada
Approval Date: No Approval Date
Effective Date: No Effective Date
Status:
Pending
Authority:
1115
Nevada
Approval Date: June 21, 2024
Effective Date: July 1, 2024
Status:
Approved
Authority:
1115
Nevada
Approval Date: December 29, 2022
Effective Date: January 1, 2023
Status:
Pending
Authority:
1115
Nevada
Approval Date: September 28, 2023
Effective Date: October 1, 2023
Status:
Approved
Authority:
1915 (c)
Nevada
Approval Date: January 1, 1990
Effective Date: January 1, 2023
Status:
Approved
Authority:
1915 (c)
Nevada
Approval Date: December 19, 2024
Effective Date: January 1, 2025
Status:
Approved
Authority:
1915 (c)
Nevada
Approval Date: July 1, 1992
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Nevada
Approval Date: June 30, 2014
Effective Date: June 30, 2014
Status:
Terminated
Authority:
1915 (c)
New Hampshire
Approval Date: August 7, 2015
Effective Date: October 1, 2022
Status:
Approved
Authority:
1915 (b1)
1915 (b4)
New Hampshire
Approval Date: January 5, 2016
Effective Date: January 5, 2016
Status:
Expired
Authority:
1115
New Hampshire
Approval Date: May 29, 2020
Effective Date: March 1, 2020
Status:
Expired
Authority:
1115
New Hampshire
Approval Date: March 4, 2015
Effective Date: January 1, 2016
Status:
Expired
Authority:
1115
New Hampshire
Approval Date: March 17, 2023
Effective Date: April 1, 2023
Status:
Approved
Authority:
1915 (b1)
1915 (b4)
New Hampshire
Approval Date: July 10, 2018
Effective Date: July 10, 2018
Status:
Pending
Authority:
1115
New Hampshire
Approval Date: November 1, 1993
Effective Date: November 1, 2021
Status:
Approved
Authority:
1915 (c)
New Hampshire
Approval Date: July 1, 1984
Effective Date: July 1, 2022
Status:
Approved
Authority:
1915 (c)
New Hampshire
Approval Date: September 1, 1987
Effective Date: September 1, 2021
Status:
Approved
Authority:
1915 (c)
New Hampshire
Approval Date: January 1, 2003
Effective Date: January 1, 2021
Status:
Approved
Authority:
1915 (c)
New Jersey
Approval Date: April 14, 2011
Effective Date: April 15, 2011
Status:
Expired
Authority:
1115
New Jersey
Approval Date: January 31, 2003
Effective Date: March 1, 2003
Status:
Expired
Authority:
1115
New Jersey
Approval Date: October 2, 2012
Effective Date: October 1, 2012
Status:
Approved
Authority:
1115
New Jersey
Approval Date: March 1, 1988
Effective Date: March 1, 2011
Status:
Terminated
Authority:
1915 (c)
New Jersey
Approval Date: November 1, 2017
Effective Date: November 1, 2017
Status:
Terminated
Authority:
1915 (c)
New Jersey
Approval Date: April 1, 1991
Effective Date: April 1, 2009
Status:
Terminated
Authority:
1915 (c)
New Jersey
Approval Date: October 1, 1988
Effective Date: October 1, 2011
Status:
Terminated
Authority:
1915 (c)
New Mexico
Approval Date: December 30, 2009
Effective Date: January 1, 2010
Status:
Expired
Authority:
1115
New Mexico
Approval Date: January 11, 1999
Effective Date: March 31, 1999
Status:
Expired
Authority:
1115
New Mexico
Approval Date: October 16, 2024
Effective Date: January 1, 2019
Status:
Approved
Authority:
1115
New Mexico
Approval Date: July 1, 1988
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
New Mexico
Approval Date: October 1, 1990
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
New Mexico
Approval Date: September 21, 2006
Effective Date: October 1, 2020
Status:
Approved
Authority:
1915 (c)
New Mexico
Approval Date: June 18, 2020
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
New Mexico
Approval Date: July 1, 1991
Effective Date: July 1, 2010
Status:
Terminated
Authority:
1915 (c)
New Mexico
Approval Date: July 29, 2008
Effective Date: August 1, 2008
Status:
Terminated
Authority:
1915 (c)
New Mexico
Approval Date: September 21, 2006
Effective Date: October 1, 2009
Status:
Terminated
Authority:
1915 (c)
New York
Approval Date: September 14, 2019
Effective Date: September 14, 2019
Status:
Approved
Authority:
1915 (b4)
New York
Approval Date: May 13, 2020
Effective Date: July 1, 2020
Link:
Status:
Approved
Authority:
1915 (b4)
New York
Approval Date: September 29, 2006
Effective Date: October 1, 2006
Status:
Expired
Authority:
1115
New York
Approval Date: July 15, 1997
Effective Date: December 7, 2016
Status:
Pending
Authority:
1115