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Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations

As part of the U.S. Department of Health and Human Services’ ongoing effort to assist states with addressing the COVID-19 public health emergency, the Centers for Medicare & Medicaid Services (CMS) created a demonstration opportunity under the authority of section 1115(a) of the Social Security Act for states to test a variety of options to deliver the most effective care to their Medicaid beneficiaries as a result of the COVID-19 pandemic.  CMS also developed a standardized section 1915(c) home and community-based services (HCBS) waiver “Appendix K” template to streamline state requests for flexibilities in delivering home and community-based services (HCBS) to Medicaid beneficiaries during the COVID-19 pandemic.  The Appendix K template option is similarly available to states that provide HCBS coverage to beneficiaries under the authority of a section 1115(a) demonstration.  In accordance with these new opportunities, the states listed on this page have approved section 1115(a) demonstration programs to address the particular challenges raised by the COVID-19 pandemic in their state.

State Approval Type Title of Demonstration
Arizona

Appendix K Update
Appendix K Update

Amendment

Arizona Health Care Cost Containment System (PDF, 886.82 KB)
Arizona Health Care Cost Containment System (PDF, 1.06 MB)

Arizona Health Care Cost Containment System (PDF, 6.38 MB)

California Appendix K Update California Medi-Cal 2020 (PDF, 290.6 KB)
Delaware Appendix K Update
Amendment
Delaware Diamond State Health Plan (PDF, 1.1 MB)
Delaware Diamond State Health Plan (PDF, 113.89 KB)
Hawaii Appendix K Update
Appendix K Update
Hawaii QUEST Integration (PDF, 391.36 KB)
Hawaii QUEST Integration (PDF, 3.1 MB)
Hawaii New Demonstration Hawaii COVID-19 Public Health Emergency Demonstration
Massachusetts New Demonstration Massachusetts COVID-19 Public Health Emergency (PHE) Demonstration
Michigan Amendment Michigan 1115 Pathway to Integration (PDF, 478.06 KB)
New Hampshire New Demonstration New Hampshire COVID-19 Public Health Emergency (PHE) Demonstration
New Jersey Appendix K Update
Appendix K Update
New Jersey FamilyCare Comprehensive Demonstration (PDF, 2.06 MB)
New Jersey FamilyCare Comprehensive Demonstration (PDF, 540.53 KB)
New Mexico Appendix K Update
Appendix K Update
New Mexico Centennial Care 2.0 (PDF, 309.98 KB)
New Mexico Centennial Care 2.0 (PDF, 407.67 KB)
North Carolina New Demonstration North Carolina COVID-19 Public Health Emergency Demonstration
Rhode Island Appendix K Update (3/24/20)
Appendix K Update (5/1/20)
Appendix K Update (5/7/20)
Appendix K Update (9/3/20)
Appendix K Update (3/17/21)
Rhode Island Comprehensive Demonstration
Rhode Island New Demonstration Rhode Island COVID-19 Public Health Emergency Demonstration
Tennessee Appendix K Update TennCare II (PDF, 2.03 MB)
Texas Amendment Texas Healthcare Transformation and Quality Improvement Program (PDF, 646.4 KB)
Texas Appendix K Update CMS Attachment K Approval (PDF, 448.07 KB)
Vermont Appendix K Update Vermont Global Commitment to Health (PDF, 607.34 KB)
Vermont Amendment Vermont Global Commitment to Health (PDF, 2.31 MB)
Washington New Demonstration Washington COVID-19 Public Health Emergency