Your Source for Health Reform

Topic: 1115 Waiver



Section 1115 waivers give States the flexibility to try out ways of improving their Medicaid system. The Illinois demo is being used to focus on population health management, build up the healthcare workforce, and improve long term services and supports infrastructure, choice, and coordination.


Medicaid Integration Tracker Illinois

Watch for timely updates on implementation of Medicaid care coordination initiatives and other Illinois reforms such as the 1115 Waiver and the Balancing Incentive Program through this reform tracker from the National Association of States United for Aging and Disabilities.

Illinois Health System Change Overview 2014

This April 2014 overview by the Make Medicare Work Coalition details major changes experienced by the Illinois health system, including the SMART Act, ACA system improvement efforts, and the 1115 Path to Transformation Waiver and what providers need to know.

The ACA and Section 1115 Medicaid Demonstration Waivers

This Kaiser Family Foundation brief explains Section 1115 Medicaid Demonstration Waivers under the Affordable Care Act. States have obtained or are seeking approval through Section 1115 waivers to implement Medicaid expansion in ways that extend beyond the flexibility provided by the law. Section 1115 Medicaid demonstration waivers provide states with a way to test approaches in Medicaid that differ from federal program rules. States are still accessing enhanced federally matched funds.

CMS Approval Letter for Cook County Early Medicaid Expansion

October 2012 letter from CMS Director Marilyn Tavenner to the Illinois Health & Family Services approving the 1115 demonstration waiver to expand Medicaid in Cook County prior to 2014.