1115 Waiver

The 1115 Waiver is a program that allows states to customize their Medicaid rules beyond federal guidelines to better meet local healthcare needs. By obtaining this waiver from the federal government, states can test and implement innovative initiatives such as new care models, coverage options, or payments, often focusing on improving access, quality, and cost-efficiency. Essentially, it provides flexibility for states to design and manage Medicaid programs in ways that best serve their populations, while still adhering to overall federal requirements.