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 Waivers and Demonstrations and Washington.
  • Washington Medicaid Transformation Project Demonstration Extension Request

    In comments to the Department of Health and Human Services, the National Health Law Program urges HHS to ensure that appropriate guardrails are placed on any Medicaid funding for prison, jail, and other institutional re-entry, to ensure that it is used strictly for services that aid in reentry and that is primarily used for home and community based services. We also urge HHS to reject Washington's request to waive the Institutions for Mental Diseases (IMD) exclusion for certain psychiatric and substance use disorder facilities.

  • Washington Medicaid Transformation Project Demonstration Extension Request

    In comments to the Department of Health and Human Services, the National Health Law Program urges HHS to ensure that appropriate guardrails are placed on any Medicaid funding for prison, jail, and other institutional reenty, to ensure that it is used strictly for services that aid in re-entry and that is primarily used for home and community based services. We also urge HHS to reject Washington's request to waive the Institutions for Mental Diseases (IMD) exclusion for certain psychiatric and substance use disorder facilities.

  • Letter to CMS Administrator Tom Scully from Washington State Congressional Dele

    External Source

    Letter to CMS Administrator Tom Scully from Washington State Congressional Delegation

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