This page provides federal resources that are helpful during emergencies and disasters. We also created Medicaid & CHIP disaster preparedness toolkits to provide states and territories with additional disaster-related information.
Federal Disaster Resources
On April 15, 2026, the President of the United States issued a proclamation that the 2026 Hawaii Flooding constitutes an emergency. Your submission to CMS on May 15, 2026 detailed federal Medicaid requirements that pose issues or challenges for the health care delivery system in Hawaii. Below, please find a response to your request for a waiver, pursuant to section 1135 of the Act, to address the challenges posed by the 2026 Hawaii Flooding PHE. To the extent the requirements the state requested to waive or modify apply to the Children's Health Insurance Program (CHIP), the state may apply the approved flexibilities to CHIP.
On April 15, 2026, the President of the United States issued a proclamation that the 2026 Hawaii Flooding constitutes an emergency. Below, please find a response to each of your requests for waivers or modifications, pursuant to section 1135 of the Act, to address the challenges posed by the 2026 Hawaii Flooding PHE.
On April 11, 2026, the President of the United States issued a proclamation that 2026 Super Typhoon
Sinlaku constitutes an emergency by the authorities vested in the President by the Constitution and the
laws of the United States. During a public health emergency, the Centers for Medicare and Medicaid
Services (CMS) may approve the use of section 1135 authority to help ensure that sufficient health care
items and services are available to meet the needs of individuals enrolled in CMS programs and to ensure
that health care providers that furnish such items and services in good faith, but are unable to comply with
one or more of such requirements, may be reimbursed for such items and services and exempted from
sanctions for such noncompliance, absent any determination of fraud or abuse. This authority took effect as
of April 17, 2026, with a retroactive effective date of April 11, 2026. The emergency period will terminate,
and section 1135 waivers will no longer be available, upon termination of the PHE, including any
extensions.
On April 15, 2026, the President of the United States issued a proclamation retroactive to March 10, 2026,
that the 2026 Hawaii Flooding constitutes an emergency. Below, please find a response to each of your
requests for modifications, pursuant to section 1135 of the Act, to address the challenges posed by the
2026 Hawaii Flooding.
On April 11, 2026, the President of the United States issued a proclamation that 2026 Super Typhoon
Sinlaku constitutes an emergency by the authorities vested in the President by the Constitution and the
laws of the United States. During a public health emergency, the Centers for Medicare and Medicaid
Services (CMS) may approve the use of section 1135 authority to help ensure that sufficient health care
items and services are available to meet the needs of individuals enrolled in CMS programs.
On April 15, 2026, the President of the United States issued a proclamation retroactive to March 10, 2026,
that the 2026 Hawaii Flooding constitutes an emergency. Below, please find a response to each of your
requests for modifications, pursuant to section 1135 of the Act, to address the challenges posed by the 2026
Hawaii Flooding.
On April 11, 2026, the President of the United States issued a proclamation that the 2026 Super Typhoon
Sinlaku constitutes an emergency by the authorities vested in the President by the Constitution and the
laws of the United States. Below, please find a response to each of your requests for waivers or modifications, pursuant to section 1135 of the Act, to address the challenges posed by the 2026 Super Typhoon Sinlaku.
On April 11, 2026, the President of the United States issued a proclamation that 2026 Super
Typhoon Sinlaku constitutes an emergency by the authorities vested in the President by the
Constitution and the laws of the United States. Below, please find a response to your waiver request, pursuant to section
1135 of the Act, to address the challenges posed by 2026 Super Typhoon Sinlaku.
On December 12, 2025, the President of the United States issued a proclamation declaring an emergency
in the State of Washington due to severe storms, straight-line winds, flooding, landslides, and mudslides,
with the declaration retroactive to December 9, 2025. Your submission to CMS on February 13, 2026 detailed federal Medicaid requirements that pose issues or challenges for the health care delivery system in Washington.
On December 12, 2025, the President of the United States issued a proclamation declaring an emergency
in the State of Washington due to severe storms, straight-line winds, flooding, landslides, and mudslides,
with the declaration retroactive to December 9, 2025.
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