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When a State wants to use its Medicaid program in a way that does not fit the requirements of the Social Security Act, they will frequently turn to Section 1115 of the Act which allows States to seek a waiver of limiting requirements.

For example, States have used Section 1115 Research and Demonstration waivers to address

• patient freedom of choice
• limited length of patient lock-in to managed care providers
• 90-day retroactive Medicaid eligibility
• service comparability
• limitations on groups of Medicaid eligibles
• FQHC services as mandatory Medicaid services
• and PPS reimbursement to FQHCs for services to new groups of eligibles created under the waiver.

Click Here for the latest Medicaid § 1115 Waiver and Post Deficit Reduction Act (DRA)State Plan Amendments report and matrix - State Policy Report #22. 

Centers for Medicare and Medicaid Services (CMS) waiver page, which contains state-by-state information on current and pending waivers

The Role of Section 1115 Waivers in Medicaid and CHIP: Looking Back and Looking Forward - The Kaiser Commission on Medicaid and the Uninsured, Issue Paper, March 2009.

Model Legislation: Requiring legislative approval of state 1115 waiver submissions 

PCA Conference Call on 1115 Waiver Renewals - January 25, 2011

THE FOLLOWING DOCUMENTS PROVIDE DETAILED EXAMINATION 1115 WAIVER:

06-16-2009		Current FQHC-Specific Language in Medicaid 1115 Waivers and SPAs - State Policy Report #24 (84kb)
12-01-2007		1115 Waiver and State Plan Amendment Matrix - State Policy Report #19 (December 2007) (317kb)
12-01-2007		1115 Waiver Regulations (954kb)
12-01-2007		Summary of legal aspects (71kb)

THE FOLLOWING DOCUMENTS EXAMINE 1115 WAIVERS BY SPECIFIC STATE:

State Concept Papers

01-01-2004		Connecticut (2078kb)
06-01-2005		Georgia (658kb)
10-01-2006		Louisiana (768kb)
12-01-2005		Nebraska (539kb)
11-01-2004		New Hampshire (945kb)
06-01-2006		Oklahoma (549kb)
09-01-2006		South Carolina (360kb)

Pending Applications:

06-01-2006		Montana (386kb)
06-01-2005		Michigan (462kb)

New Approved Waivers

03-01-2006		Arkansas (159kb)
09-01-2005		California (103kb)
10-01-2005		Florida (134kb)
01-01-2006		Hawaii (1386kb)
07-01-2005		Iowa (1556kb)
10-01-2005		Kentucky Partnership (201kb)
01-01-2005		Massachusetts (1008kb)
10-01-2006		New York (398kb)
10-01-2005		Oklahoma (52kb)
01-01-2002		Oregon (718kb)
06-01-2005		Tennessee (736kb)
09-01-2005		Vermont (292kb)

Approved State Plan Amendments:

06-06-2008		Maine (7kb)
06-06-2008		Missouri (21kb)
06-06-2008		Pennsylvania (11kb)
06-06-2008		South Carolina (17kb)
06-06-2008		Virginia (20kb)
06-01-2005		West Virginia (235kb)
06-06-2008		Wisconsin (72kb)

Benchmark

06-06-2008		Idaho (26kb)
06-06-2008		Idaho (105kb)
06-06-2008		Kansas (623kb)
06-06-2008		Kentucky (978kb)

Archives

12-07-2007		Emerging Issues in Medicaid and SCHIP #1: Tennessee’s New Definition of “Medically Necessary” (370kb)
07-01-2005		Emerging Issues in Medicaid and SCHIP #2: Medicaid Reform: Privatization and Health Savings Accounts (169kb)