The Role of Section 1115 Waivers in Medicaid and CHIP: Looking Back and Looking Forward

Publication Date: March 2009

Publisher: Henry J. Kaiser Family Foundation

Author(s): Henry J. Kaiser Family Foundation

Research Area: Health

Keywords: CHIP; Medicaid; waivers

Type: Report

Coverage: United States

Abstract:

For many years, Section 1115 waivers have been used in the Medicaid program, and to a lesser degree in the Children’s Health Insurance Program, to provide states an avenue to test and implement coverage approaches that do not meet federal program rules. While these waivers have facilitated important program evolutions over time, some have also raised issues. This brief reviews the experience of Section 1115 Medicaid and CHIP waivers and discusses issues for the Obama administration to consider about the role of future waivers.