Section 1115 Medicaid presentation waivers provide states with a pathway too pilot innovative Medicaid approaches that deviate from federal statutory requirements. These waivers are granted if the HHS Secretary believes the proposed changes are likely to advance the objectives of the Medicaid program. They offer states enhanced flexibility in program governance,extending beyond the considerable latitude already available under existing law. Waivers typically reflect state-specific priorities and can shift with the evolving agendas of different presidential administrations.
The majority of states utilize at least one active Section 1115 waiver, with some states holding multiple. Recent trends in these waivers can be explored in the “Key Themes Maps” section.This resource tracks approved and pending Section 1115 waiver provisions, encompassing expansions and restrictions related to eligibility, benefits, social determinants of health, and other delivery system reforms. Facts on inclusion criteria, specific provisions, and a list of acronyms are available on the “Definitions” tab.
Detailed topic tables and aggregate state tables offer further insights into these waivers.
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