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/Demonstration Program | Action Approved | Approval Date | Approval |
Arizona Health Care Cost Containment System | Appendix K | 04/06/2020 | CMS Approval |
Appendix K | 08/31/2020 | CMS Approval | |
Amendment | 01/19/2021 | CMS Approval | |
Appendix K | 04/16/2021 | CMS Approval | |
Appendix K | 08/12/2022 | CMS Approval | |
California Advancing and Innovating Medi-Cal (CalAIM) | Update to Special Terms and Conditions | 07/27/2020 | CMS Approval |
Amendment | 01/14/2022 | CMS Approval | |
Update to Special Terms and Conditions and Appendix K | 10/09/2020 | CMS Approval | |
Update to Special Terms and Conditions | 03/01/2021 | CMS Approval | |
Update to Special Terms and Conditions | 04/05/2021 | CMS Approval | |
Appendix K | 09/08/2022 | CMS Approval | |
Delaware Diamond State Health Plan | Appendix K | 09/28/2020 | CMS Approval |
Amendment | 11/24/2020 | CMS Approval | |
Appendix K | 12/21/2021 | CMS Approval | |
Appendix K | 03/10/2022 | CMS Approval | |
Hawaii COVID-19 Public Health Emergency Demonstration | New Demonstration | 06/25/2020 | CMS Approval |
Hawaii QUEST Integration | Appendix K | 03/25/2021 | CMS Approval |
Appendix K | 04/08/2020 | CMS Approval | |
Appendix K | 09/25/2020 | CMS Approval | |
Healthy Indiana Plan | Amendment | 07/26/2022 | CMS Approval |
Iowa Wellness Plan | Amendment | 1/27/2022 | CMS Approval |
Kansas KanCare | Amendment | 08/15/2022 | CMS Approval |
Massachusetts MassHealth | Update to Special Terms and Conditions | 08/06/2020 | CMS Approval |
Update to Special Terms and Conditions | 11/25/2020 | CMS Approval | |
Update to Special Terms and Conditions | 03/24/2021 | CMS Approval | |
Massachusetts COVID-19 Public Health Emergency (PHE) Demonstration | New Demonstration | 12/30/2020 | CMS Approval |
Michigan 1115 Pathway to Integration | Amendment | 10/27/2020 | CMS Approval |
Montana Plan First | Amendment | 1/14/2022 | CMS Approval |
New Hampshire COVID-19 Public Health Emergency (PHE) Demonstration | New Demonstration | 05/29/2020 | CMS Approval |
New Hampshire Building Capacity for Transformation | Update to Special Terms and Conditions | 06/12/2020 | CMS Approval |
New Jersey FamilyCare Comprehensive Demonstration | Appendix K | 05/15/2020 | CMS Approval |
Appendix K | 09/25/2020 | CMS Approval | |
Appendix K | 09/09/2021 | CMS Approval | |
Appendix K | 05/07/2021 | CMS Approval | |
New Mexico Centennial Care 2.0 1115 Medicaid Demonstration | Amendment | 03/04/2022 | CMS Approval |
Appendix K | 05/19/2021 | CMS Approval | |
Appendix K | 10/09/2020 | CMS Approval | |
Appendix K | 05/12/2020 | CMS Approval | |
New York Medicaid Redesign Team | Update to Special Terms and Conditions | 08/10/2020 | CMS Approval |
North Carolina COVID-19 Public Health Emergency Demonstration | New Demonstration | 06/25/2020 | CMS Approval |
Rhode Island Comprehensive Demonstration | Appendix K | 03/24/2020 | CMS Approval |
Appendix K | 05/01/2020 | CMS Approval | |
Appendix K | 05/07/2020 | CMS Approval | |
Update to Special Terms and Conditions | 07/27/2020 | CMS Approval | |
Appendix K | 09/03/2020 | CMS Approval | |
Appendix K | 03/17/2021 | CMS Approval | |
Appendix K | 09/15/2022 | CMS Approval | |
Rhode Island COVID-19 Public Health Emergency Demonstration | New Demonstration | 07/21/2020 | CMS Approval |
Texas Healthcare Transformation and Quality Improvement Program | Update to Special Terms and Conditions | 08/07/2020 | CMS Approval |
Amendment | 09/03/2020 | CMS Approval | |
Appendix K | 04/19/2021 | CMS Approval | |
Tennessee TennCare III | Appendix K | 06/19/2020 | CMS Approval |
Amendment | 04/26/2022 | CMS Approval | |
Utah Primary Care Network | Update to Special Terms and Conditions | 07/17/2020 | CMS Approval |
Vermont Global Commitment to Health | Appendix K | 05/22/2020 | CMS Approval |
Update to Special Terms and Conditions | 06/08/2020 | CMS Approval | |
Amendment | 12/03/2020 | CMS Approval | |
Appendix K | 02/24/2022 | CMS Approval | |
Washington COVID-19 Public Health Emergency Demonstration | New Demonstration | 04/21/2020 | CMS Approval |
Wisconsin Senior Care | Amendment | 06/07/2022 | CMS Approval |