Primer: State Plan Amendments v. Section 1115 Waivers

Executive Summary

Tension and confusion can arise over how HHS allows states to change their Medicaid programs, whether through a state plan amendment (SPA) or a Section 1115 project. To help guard against the impoper use of Section 1115 waivers, advocates must know the distinctions between Section 1115 waivers and SPAs. This primer outlines these distinctions.

Related Content

  • There are no resources at this time. Please check back later.

Medicaid's 56th Anniversary
Medicaid 56th anniversary imageNHeLP has defended Medicaid for over 50 years. This week, we are celebrating the 56th anniversary of Medicaid and recommitting to our efforts to protect and advance health rights for all. Join us in celebration with a donation today! Happy Birthday Medicaid!

DONATE NOW