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

results in North Carolina.
  • Injunction prohibiting changes to home health and personal care services: AHHC

    External Source

    For full publication text, download document.

  • Supreme Court won’t hear challenge to Medicaid beneficiaries’ victory

    On October 21, 2002, the Supreme Court let stand a lawsuit accusing North Carolina of condemning poor children to inadequate dental care by keeping Medicaid reimbursement for dentists so low that most of the state's dentists won't see covered patients. The state had argued without success in federal district court and the court of appeal that it cannot be sued by people who claim that the state is not following federal Medicaid law. The Supreme Court on Monday declined without comment to hear the state's appeal.   Only 16 percent of North Carolina's dentists will accept patients enrolled in the health program for the poor and disabled. Had the Supreme Court reviewed the case and ruled in the state's favor, it would have prevented nursing home residents or doctors from demanding that laws governing Medicaid be enforced, said Jane Perkins, a lead attorney on the lawsuit who works at the National Health Law Program in Chapel Hill. "if states succeeded in making this argument, which is also before the Supreme Court in the Westside Mothers case, it would mean that the federal government would be the only entity that can enforce the Medicaid Act. The plaintiffs…

  • Fact Sheet: NC Health Check

    This fact sheet provides an overview of EPSDT in North Carolina.

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