Medicaid Demonstration & Care Management Waivers: An OPEN MINDS Market Intelligence Report

Medicaid waivers allow states to operate their Medicaid programs differently from standard federal rules. These rules include who is covered, what benefits are provided, how services are delivered, and comparability requirements based on waiver type. Medicaid Section 1115 waivers, also known as demonstration waivers, were created in 1962 via amendments to the Social Security Act. These waivers can be used to test new innovative services, programs, and models for Medicaid programs. Medicaid Section 1915(b) waivers, also known as care management waivers, was enacted in 1981 as a part of the Omnibus Budget Reconciliation Act (P.L. 97-35). These . . .