Waiver 1115 Information

Section 1115 Medicaid waivers allow states to explore new options for providing health coverage to persons who would otherwise not be eligible and allow states to examine innovative ways to deliver care by waiving certain requirements of the Medicaid Act.

While waivers can be important tools that can help states respond to the needs of low-income individuals, they also present concerns for health advocates working to protect the rights of Medicaid enrollees and promote transparency in state waiver processes.

Sec. 1115 of the Social Security Act allows the Secretary of Health and Human Services to waive some requirements of the Medicaid Act so that states can test novel approaches to improving medical assistance for low-income people.

Under the current administration, several states are seeking waivers to impose harmful cuts and restrictions. The first set of harmful waivers have been approved for Kentucky and Arkansas, with a number of states seeking to enact similar changes to Medicaid. Learn more about Medicaid waivers and how the National Health Law Program is combating the Trump administration’s illegal use of waivers to weaken Medicaid.

View 1115 Waiver Resources By State

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  • Acceso al cuidado con California Children’s Services durante la COVID-19

    Puede seguir obteniendo los servicios médicos necesarios de California Children’s Services (CCS) durante la Emergencia de Salud Pública (PHE) de COVID-19. El Departamento de Cuidado y Servicios de salud de California (DHCS) ha establecido flexibilidades temporales tanto para Medi-Cal como para CCS para asegurar que los niños obtengan servicios de manera fácil y segura durante la PHE. Los niños pueden recibir su revisión médica anual de CCS, controles del niño sano, servicios de clínica de control para niños en alto riesgo, terapia física (TF), terapia ocupacional (TO), equipo médico duradero (DME) y suministros, y todos los demás servicios calificados de CCS.

  • Access to Care Through California Children’s Services During COVID-19

    You can keep getting medically necessary California Children’s Services (CCS) during the COVID-19 Public Health Emergency (PHE). The Department of Health Care Services (DHCS) has put in place temporary flexibilities for both Medi-Cal and CCS, to make sure children get services easily and safely during the PHE. Children can still get their CCS annual medical review, well-child visits, High Risk Infant Follow-Up Services, physical therapy (PT), occupational therapy (OT), durable medical equipment (DME) and supplies, and all other CCS-qualified services. Acceso al cuidado con California Children’s Services durante la COVID-19 (Spanish) COVID-19 期內通過加州兒童服務接進護理 (Chinese)

  • Medicaid Coverage of Pregnancy Care Delivered via Telehealth

    Telehealth holds great promise and is a powerful tool that can help support the provision of pregnancy care. However, it is also important to recognize some guardrails that must be put in place to allow for the safe and equitable implementation of telehealth in the context of pregnancy care.

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