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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
Arizona Health Care Cost Containment System (PDF, 886.82 KB)
Arizona Health Care Cost Containment System (PDF, 1.06 MB)
Hawaii Appendix K Update
Appendix K Update
Hawaii QUEST Integration (PDF, 391.36 KB)
Hawaii QUEST Integration (PDF, 971.18 KB)
Hawaii New Demonstration Hawaii COVID-19 Public Health Emergency Demonstration
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 New Mexico Centennial Care 2.0 (PDF, 309.98 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)
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)
Vermont Appendix K Update Vermont Global Commitment to Health (PDF, 607.34 KB)
Washington New Demonstration Washington COVID-19 Public Health Emergency