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.
Landscape of Approved vs. Pending Section 1115 Medicaid Demonstration Waivers, April 16, 2021
Tracker contents:
- Detailed Topic Tables:
- Map: All Approved and Pending Waivers by Topic
- State Tables:
- Definitions and Other Notes
- Related Briefs and Resources
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 Benefit, Copay, and Healthy Behavior Provisions:
Approved and Pending as of April 16, 2021
Section 1115 Medicaid Waivers: Approved and Pending as of April 16, 2021
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).