Section 1115 Waiver Demonstration

Welcome to the DHCS Section 1115 Waiver Demonstration Resource Page. The Department of Health Care Services (DHCS), through collaboration and consultation with the Legislature and stakeholders received federal approval of a five-year, “Bridge to Reform” Section 1115 waiver proposal on November 2, 2010. This webpage provides resources to those who are interested in the waiver and would like to contribute to the effort.

DHCS has created an e-mail service (listserv) for interested stakeholders such as advocates, consumers, counties, legislative staff, providers, and state associations to register to receive relevant updates on department program initiatives or new projects where stakeholder input is desired. This e-mail service will be used to notify interested stakeholders on the waiver renewal efforts.

Subscribe here if you wish to be added to this e-mail service.

Please email questions, comments, or concerns to WaiverRenewal@dhcs.ca.gov

All documents posted on this page are in Adobe Acrobat (PDF) format except when stated.

Latest News

• 1115 Waiver Amendment Approval Letter and Special Terms and Conditions: Indian Health Services Facilities and Tribal Facilities - 11-W-00193/9 (April 5, 2013)
• 11-W-00193/9 - Special Terms and Conditions (April 5, 2013)
• 11-W-00193/9 - Expenditure Authority (April 5, 2013)

Waiver Amendment Submissions - (NEW)

• Medi-Cal Managed Care Rural County Expansion Amendment- Submitted May 3, 2013
• DY 8 & 9 HCCI Rollover Amendment - Submitted April 29, 2013

Waiver Renewal Resources 

• 1115 Waiver Amendment Approval Letter and Special Terms and Conditions: Healthy Families Program Transition - December 31, 2012
• Approval of DSRIP Category 5 HIV Transition Projects—Supplements to Attachment P & Q - November 19, 2012
• Approval letter and 1115 Waiver Attachment G Supplement 1; Cost Claiming Protocols for Services Provided Under the LIHP - August 13, 2012
• 1115 Waiver Amendment Approval Letter and Special Terms and Condition - June 28, 2012
• 1115 Expenditure Authority - Updated March 30, 2012
• CBAS Amendment Approval - March 30, 2012
• CBAS Amendment: Approved Standard Terms and Conditions - March 30, 2012
• Approval Letter for Attachment P & Q - March 17, 2011
• 1115 Waiver Approval Letter (DHCS) - November 2, 2010
• 1115 Waiver Approval Letter (CMS) - November 2, 2010
• 1115 Waiver Authority
• Important Update-CMS 60 day Extension Request
• Important Update-CMS 60 day Extension Request-Approval
• Draft Concept Paper - October 19, 2009
• Final Concept Paper - December 16, 2009 

Waiver Development [Archives]

• DHCS Director's Message (2009)
• Approval of 1115 Waiver for Stakeholder Committee Recorded Conference (November 4, 2010)
• Medical Home Webinar (February 26, 2010)
• Stakeholder Information
• Resource Documents
• June 11, 2009 CA Senate Office of Research - Medicaid Waiver Workshop
• Kaiser Commission Publications on Medicaid and the Uninsured
• 1115 Waivers for other states