Section 1115 of the Social Security Act allows the Secretary of the Department of Health and Human Services to approve state Medicaid demonstration projects that promote the objectives of the program but may not otherwise be allowed under the Medicaid statute. CHA provides an overview of the current approved Section 1115 demonstration waiver landscape and identifies whether these waivers are consistent with CHA's Section 1115 waiver principles for children's coverage, which assess how waivers impact children.
CHA highlights four categories of waivers: delivery system reform, multi-component, adult expansion, and targeted population and/or services waivers. The map shows the key themes of existing waivers in each state and includes links to brief waiver summaries. The map does not highlight nor include summaries of pending waivers or amendments and approved demonstrations with a focus on family planning services, HIV/AIDs or services for senior citizens.
State waiver summaries
State waiver categories and themes by state
PDF: List of waiver theme and category descriptions
Delivery system/payment reform Specific population/services Adult Medicaid expansion
Multi-component No approved waiver
*Indicates a state has multiple approved waivers.
Hawaii and Alaska, not visible on the map, have approved multi-component and specific population/services waivers, respectively.
- Kaiser Family Foundation
- Centers for Medicare and Medicaid Services (CMS)
We continue to monitor state waiver actions and identify trends and will provide relevant, timely updates as appropriate.
CHA contact: Rachel Bonesteel