Section 1115 of the Social Security Act gives states the flexibility to design and improve their programs, and to demonstrate and evaluate state-specific policy approaches to better serve Medicaid populations.

When a state submits an 1115 waiver proposal, the Centers for Medicare and Medicaid Services (CMS) reviews the proposal to determine whether its stated objectives are aligned with federal policies and regulations.  Demonstrations must be “budget neutral” to the federal government, which means that, during the course of the project, federal Medicaid expenditures will not be more than federal spending without the demonstration.  Generally, section 1115 demonstrations are approved for an initial five-year period and can be extended for up to an additional three to five years, depending on the populations served.

About Utah’s 1115 Waiver

Waiver Application

Full Public Notice

Abbreviated Public Notice

Waiver Documents

Monitoring Reports

Evaluation Plan Documents

Public Hearings

Public Comments

Annual Public Forum

Phase-Out Plan

CMS Website for Section 1115 Waivers and Public Notice