1115 Demonstration Waivers

What is a Section 1115 Demonstration Waiver?

Section 1115 waivers provide states an avenue to test new approaches in Medicaid. These waivers are typically designed to demonstrate how changes to program requirements can be used to improve access to care, increase efficiencies, or lower costs without increasing federal Medicaid expenditures. Examples of the types of flexibilities states may seek to test with an 1115 waiver include:

  • Expanding eligibility to individuals who are not otherwise Medicaid or CHIP eligible
  • Providing services not otherwise covered by the state’s Medicaid program or federal law
  • Utilizing new and innovative service delivery systems for providing services in Medicaid 

    How to Weigh in on These Changes

    Prior to applying for a new 1115 waiver demonstration, states must publish public notice and conduct two public hearings within a public comment period of at least 30 days. States must also provide for tribal consultation prior to submitting a waiver application. Go to the links below, to read about the waivers and comment opportunities will be listed on the page.

      Current and Past Waivers

        Contact Information

        Questions related to what is covered by Medicaid, write to: 1115waivers@dhcfp.nv.gov


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