Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State

This page aggregates tracking information on pending and approved Section 1115 Medicaid waivers. Scroll down or click on the links below to jump to resources such as an overview map and figure, detailed waiver topic tables, and explanatory briefs.

For information on Section 1115 waiver approvals related to COVID-19, see our Medicaid Emergency Authority Tracker.

 

Work Requirement Waivers:
Approved and Pending as of April 16, 2021

In February 2021, CMS under the Biden Administration sent letters to all states with approved work requirements to begin the process of withdrawing these waiver authorities because CMS has “preliminarily determined” that work requirements do not promote Medicaid program objectives. Subsequently, CMS sent letters notifying Arkansas, Michigan, New Hampshire, and Wisconsin of its final decision to withdraw work requirement waiver authorities in these states. Medicaid work requirements had been a key Section 1115 waiver priority under the Trump Administration, which had approved work requirement waivers in some states (see table below). Although CMS under the Biden Administration has not yet acted on any pending work requirement waivers, it is expected to reject these requests.
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Waivers with Eligibility and Enrollment Restrictions:
Approved and Pending as of April 16, 2021

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Waivers with Benefit, Copay, and Healthy Behavior Provisions:
Approved and Pending as of April 16, 2021

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Waivers with Behavioral Health Provisions:
Approved and Pending as of April 16, 2021

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Section 1115 Medicaid Waivers: Approved and Pending as of April 16, 2021 

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Use the drop-down menu to sort the map by waiver topic.

Source: KFF analysis of approved and pending waiver applications posted on Medicaid.gov.
Note: On February 12, 2021, CMS under the Biden Administration sent letters to states with approved work requirements to begin the process of withdrawing these waiver authorities (see Work Requirement table for more information).

 

Section 1115 Medicaid Waivers Approved as of April 16, 2021

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Section 1115 Medicaid Waivers Pending as of April 16, 2021

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Section 1115 Waiver Tracker Definitions

The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

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Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California.