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: 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
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: July 1, 1993
Effective Date: July 1, 2021
Arkansas
Approval Date: July 1, 1991
Effective Date: July 1, 2021
Arkansas
Approval Date: December 1, 2002
Effective Date: July 1, 2021
Arkansas
Approval Date: December 4, 1997
Effective Date: January 1, 2021
California
Approval Date: June 6, 2018
Effective Date: July 1, 2021
California
Approval Date: March 17, 1995
Effective Date: January 1, 2022
Colorado
Approval Date: December 8, 2020
Effective Date: January 1, 2021
Connecticut
Approval Date: August 16, 2021
Effective Date: August 16, 2021
Connecticut
Approval Date: January 1, 1999
Effective Date: January 1, 2022
Connecticut
Approval Date: March 22, 2011
Effective Date: April 1, 2021
Connecticut
Approval Date: June 29, 2015
Effective Date: April 1, 2021
Connecticut
Approval Date: January 1, 1984
Effective Date: January 1, 2022
Connecticut
Approval Date: September 20, 2017
Effective Date: October 1, 2021
Florida
Approval Date: January 5, 2021
Effective Date: April 1, 2021
Link:
Georgia
Approval Date: April 1, 1992
Effective Date: July 1, 2021
Hawaii
Approval Date: July 1, 1981
Effective Date: July 1, 2021
Illinois
Approval Date: October 1, 1986
Effective Date: October 1, 2021
Illinois
Approval Date: October 1, 1986
Effective Date: July 1, 2021
Indiana
Approval Date: March 17, 2015
Effective Date: April 1, 2021
Indiana
Approval Date: December 10, 2021
Effective Date: January 1, 2022
Kentucky
Approval Date: October 16, 2015
Effective Date: January 1, 2021
Link:
Maryland
Approval Date: March 1, 2003
Effective Date: July 1, 2021
Maryland
Approval Date: September 25, 2014
Effective Date: October 1, 2020
Minnesota
Approval Date: January 1, 1998
Effective Date: July 1, 2020
Minnesota
Approval Date: April 1, 1992
Effective Date: April 1, 2021
Minnesota
Approval Date: March 21, 2005
Effective Date: July 1, 2021
Missouri
Approval Date: June 2, 2021
Effective Date: June 2, 2021
Missouri
Approval Date: September 24, 2021
Effective Date: October 1, 2021
Missouri
Approval Date: July 1, 1988
Effective Date: July 1, 2021
Missouri
Approval Date: July 1, 2003
Effective Date: July 1, 2021
Missouri
Approval Date: July 1, 1998
Effective Date: July 1, 2021
Missouri
Approval Date: No Approval Date
Effective Date: July 1, 2020
Montana
Approval Date: June 30, 2018
Effective Date: July 1, 2020
Montana
Approval Date: November 27, 2006
Effective Date: July 1, 2020
Nebraska
Approval Date: August 1, 1991
Effective Date: August 1, 2021
Nevada
Approval Date: November 15, 2017
Effective Date: January 1, 2022
New Hampshire
Approval Date: November 1, 1993
Effective Date: November 1, 2021
New Hampshire
Approval Date: September 1, 1987
Effective Date: September 1, 2021
New Mexico
Approval Date: July 1, 1988
Effective Date: July 1, 2021
New Mexico
Approval Date: October 1, 1990
Effective Date: July 1, 2021
New York
Approval Date: May 13, 2020
Effective Date: July 1, 2020
Link:
New York
Approval Date: October 23, 2020
Effective Date: November 1, 2020
North Dakota
Approval Date: April 1, 2008
Effective Date: June 1, 2021
Ohio
Approval Date: July 1, 1999
Effective Date: July 1, 2021
Ohio
Approval Date: December 1, 2002
Effective Date: July 1, 2021
Ohio
Approval Date: June 21, 2016
Effective Date: October 1, 2021
Oklahoma
Approval Date: July 1, 1993
Effective Date: July 1, 2021
Oklahoma
Approval Date: July 1, 1988
Effective Date: July 1, 2021
Oklahoma
Approval Date: July 1, 2003
Effective Date: July 1, 2021
Oregon
Approval Date: June 27, 2013
Effective Date: January 1, 2022
Oregon
Approval Date: October 1, 2006
Effective Date: January 1, 2022
Pennsylvania
Approval Date: December 17, 2014
Effective Date: January 1, 2022
Link:
Pennsylvania
Approval Date: July 1, 2008
Effective Date: July 1, 2021
Pennsylvania
Approval Date: July 1, 1998
Effective Date: July 1, 2021
Pennsylvania
Approval Date: October 1, 1991
Effective Date: July 1, 2021
South Carolina
Approval Date: July 1, 2003
Effective Date: July 1, 2021
South Carolina
Approval Date: October 1, 1988
Effective Date: July 1, 2021
South Carolina
Approval Date: October 1, 1991
Effective Date: January 1, 2022
South Carolina
Approval Date: December 11, 2008
Effective Date: January 1, 2022
South Carolina
Approval Date: July 29, 2020
Effective Date: August 1, 2020
South Carolina
Approval Date: July 29, 2020
Effective Date: August 1, 2020
South Dakota
Approval Date: October 1, 1988
Effective Date: October 1, 2021
Texas
Approval Date: May 13, 2015
Effective Date: June 1, 2020
Texas
Approval Date: May 25, 2021
Effective Date: June 1, 2021
Utah
Approval Date: December 22, 2021
Effective Date: January 1, 2022
Utah
Approval Date: July 1, 1998
Effective Date: July 1, 2021
Virginia
Approval Date: April 1, 2005
Effective Date: July 1, 2021
Link:
Washington
Approval Date: September 16, 2021
Effective Date: October 1, 2021
West Virginia
Approval Date: No Approval Date
Effective Date: July 1, 2021
West Virginia
Approval Date: July 1, 2010
Effective Date: July 1, 2021
Wisconsin
Approval Date: March 15, 2017
Effective Date: January 1, 2022
Wisconsin
Approval Date: November 20, 2003
Effective Date: January 1, 2022
Wyoming
Approval Date: July 1, 1993
Effective Date: July 1, 2021