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
Status:
Approved
Authority:
1915 (c)
Alabama
Approval Date: October 21, 2021
Effective Date: October 21, 2021
Status:
Approved
Authority:
1915 (c)
Alabama
Approval Date: June 14, 2019
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (b1)
1915 (b3)
1915 (b4)
Alabama
Approval Date: October 1, 2002
Effective Date: October 1, 2020
Status:
Approved
Authority:
1915 (c)
Alabama
Approval Date: September 30, 1981
Effective Date: October 1, 2020
Status:
Approved
Authority:
1915 (c)
Alabama
Approval Date: April 1, 1992
Effective Date: October 1, 2020
Status:
Approved
Authority:
1915 (c)
Alabama
Approval Date: February 22, 2003
Effective Date: February 22, 2021
Status:
Approved
Authority:
1915 (c)
Alabama
Approval Date: October 21, 2021
Effective Date: October 21, 2021
Status:
Approved
Authority:
1115
Alaska
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Alaska
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Alaska
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Alaska
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Arkansas
Approval Date: July 1, 1991
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Arkansas
Approval Date: December 1, 2002
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Arkansas
Approval Date: December 4, 1997
Effective Date: January 1, 2021
Status:
Approved
Authority:
1915 (b4)
California
Approval Date: June 6, 2018
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
California
Approval Date: March 17, 1995
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (b1)
1915 (b4)
Colorado
Approval Date: December 8, 2020
Effective Date: January 1, 2021
Status:
Approved
Authority:
1915 (b1)
1915 (b3)
1915 (b4)
Colorado
Approval Date: June 6, 2012
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Colorado
Approval Date: January 26, 2007
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Connecticut
Approval Date: August 16, 2021
Effective Date: August 16, 2021
Status:
Approved
Authority:
1915 (b4)
Connecticut
Approval Date: January 1, 1999
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (c)
Connecticut
Approval Date: March 22, 2011
Effective Date: April 1, 2021
Status:
Approved
Authority:
1915 (c)
Connecticut
Approval Date: July 1, 1987
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Connecticut
Approval Date: June 29, 2015
Effective Date: April 1, 2021
Status:
Approved
Authority:
1915 (b4)
Connecticut
Approval Date: January 1, 1984
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (c)
Connecticut
Approval Date: September 20, 2017
Effective Date: October 1, 2021
Status:
Approved
Authority:
1915 (b4)
District of Columbia
Approval Date: October 28, 2020
Effective Date: November 1, 2020
Status:
Approved
Authority:
1915 (c)
Florida
Approval Date: January 5, 2021
Effective Date: April 1, 2021
Link:
Status:
Approved
Authority:
1915 (b1)
1915 (b4)
Georgia
Approval Date: October 1, 1997
Effective Date: April 1, 2021
Status:
Approved
Authority:
1915 (c)
Georgia
Approval Date: April 1, 1992
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Hawaii
Approval Date: July 1, 1981
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Illinois
Approval Date: October 1, 1986
Effective Date: October 1, 2021
Status:
Approved
Authority:
1915 (c)
Illinois
Approval Date: October 1, 1986
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Illinois
Approval Date: January 19, 2021
Effective Date: January 19, 2021
Status:
Approved
Authority:
1115
Indiana
Approval Date: March 17, 2015
Effective Date: April 1, 2021
Status:
Approved
Authority:
1915 (b1)
1915 (b4)
Indiana
Approval Date: October 1, 2001
Effective Date: July 16, 2020
Status:
Approved
Authority:
1915 (c)
Indiana
Approval Date: April 1, 2002
Effective Date: July 16, 2020
Status:
Approved
Authority:
1915 (c)
Indiana
Approval Date: December 10, 2021
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (b4)
Iowa
Approval Date: July 1, 1995
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Kentucky
Approval Date: October 16, 2015
Effective Date: January 1, 2021
Link:
Status:
Approved
Authority:
1915 (b1)
Kentucky
Approval Date: October 1, 1987
Effective Date: October 1, 2020
Status:
Approved
Authority:
1915 (c)
Maine
Approval Date: July 1, 1987
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Maine
Approval Date: July 1, 2007
Effective Date: January 1, 2021
Status:
Approved
Authority:
1915 (c)
Maryland
Approval Date: March 1, 2003
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Maryland
Approval Date: September 25, 2014
Effective Date: October 1, 2020
Status:
Approved
Authority:
1915 (b4)
Minnesota
Approval Date: January 1, 1998
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (b4)
Minnesota
Approval Date: April 1, 1992
Effective Date: April 1, 2021
Status:
Approved
Authority:
1915 (c)
Minnesota
Approval Date: October 1, 1987
Effective Date: October 1, 2020
Status:
Approved
Authority:
1915 (c)
Minnesota
Approval Date: March 21, 2005
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (b1)
Missouri
Approval Date: September 24, 2021
Effective Date: October 1, 2021
Status:
Approved
Authority:
1915 (b4)
Missouri
Approval Date: October 24, 2019
Effective Date: October 1, 2020
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: July 1, 1998
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Missouri
Approval Date: No Approval Date
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Montana
Approval Date: June 30, 2018
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (b4)
Montana
Approval Date: November 27, 2006
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Nebraska
Approval Date: August 1, 1991
Effective Date: August 1, 2021
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: July 1, 1992
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
New Hampshire
Approval Date: November 1, 1993
Effective Date: November 1, 2021
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 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 York
Approval Date: May 13, 2020
Effective Date: July 1, 2020
Link:
Status:
Approved
Authority:
1915 (b4)
New York
Approval Date: October 23, 2020
Effective Date: November 1, 2020
Status:
Approved
Authority:
1915 (b4)
North Dakota
Approval Date: April 1, 2008
Effective Date: June 1, 2021
Status:
Approved
Authority:
1915 (c)
Ohio
Approval Date: July 1, 1999
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Ohio
Approval Date: December 1, 2002
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Ohio
Approval Date: December 9, 2011
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Ohio
Approval Date: June 21, 2016
Effective Date: October 1, 2021
Status:
Approved
Authority:
1915 (b4)
Oklahoma
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Oklahoma
Approval Date: July 1, 1988
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Oklahoma
Approval Date: July 1, 2003
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Oregon
Approval Date: June 27, 2013
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (b4)
Oregon
Approval Date: October 1, 2006
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (c)
Pennsylvania
Approval Date: December 17, 2014
Effective Date: January 1, 2022
Link:
Status:
Approved
Authority:
1915 (b1)
1915 (b2)
1915 (b4)
Pennsylvania
Approval Date: July 1, 2008
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Pennsylvania
Approval Date: July 1, 1998
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Pennsylvania
Approval Date: October 1, 1991
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
South Carolina
Approval Date: July 1, 2003
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
South Carolina
Approval Date: October 1, 1988
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
South Carolina
Approval Date: October 1, 1991
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (c)
South Carolina
Approval Date: December 11, 2008
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (c)
South Carolina
Approval Date: July 29, 2020
Effective Date: August 1, 2020
Status:
Approved
Authority:
1915 (c)
South Carolina
Approval Date: July 29, 2020
Effective Date: August 1, 2020
Status:
Approved
Authority:
1915 (b4)
South Dakota
Approval Date: October 1, 1988
Effective Date: October 1, 2021
Status:
Approved
Authority:
1915 (c)
Texas
Approval Date: May 13, 2015
Effective Date: June 1, 2020
Status:
Approved
Authority:
1915 (b4)
Texas
Approval Date: May 25, 2021
Effective Date: June 1, 2021
Status:
Approved
Authority:
1915 (b4)
Utah
Approval Date: July 1, 1987
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Utah
Approval Date: June 22, 2020
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Utah
Approval Date: December 22, 2021
Effective Date: January 1, 2022
Status:
Approved
Authority:
1915 (c)
Utah
Approval Date: July 1, 2007
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Utah
Approval Date: July 1, 1998
Effective Date: July 1, 2021
Status:
Approved
Authority:
1915 (c)
Utah
Approval Date: July 1, 1992
Effective Date: July 1, 2020
Status:
Approved
Authority:
1915 (c)
Virginia
Approval Date: April 1, 2005
Effective Date: July 1, 2021
Link:
Status:
Approved
Authority:
1915 (b1)
1915 (b4)