Arizona Section 1115 Demonstration Project Waiver

The 1115 Waiver refers to section 1115 of the Social Security Act (SSA). States must comply with Title XIX (Medicaid) and Title XXI (Children's Health Insurance Program) of the SSA. Since Arizona began providing Medicaid on October 1, 1982, AHCCCS has been exempt from specific provisions of the SSA, pursuant to an 1115 Research and Demonstration Waiver.

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What is in the 1115 Waiver

Arizona's 1115 Waiver includes the following:

  • Provisions in the SSA and corresponding regulations AHCCCS is exempt from
  • Terms and conditions that AHCCCS must fulfill
  • Approved federal budget amounts

Waiver Approved

December 30, 2013
On December 27, 2013, CMS approved Arizona’s 1115 Waiver amendment request that will allow AHCCCS to use SNCP funding for Phoenix Children’s Hospital and continue uncompensated care payments to I.H.S. and 638 facilities, through December 31, 2014.

More information, including the provisions of all of Arizona's Waiver and Expenditure Authorities and accompanying Special Terms and Conditions can be found in the links below. Additional background regarding this amendment is available on the "Waiver History" tab at the top of this page.

CMS Approval Letter 6/27/14  [PDF]
Waiver Authorities 4/16/2013  [PDF]
Expenditure Authorities 12/26/13 [PDF]
Special Terms and Conditions 6/27/14  [PDF]
Budget Neutrality 2012-2016 4/16/2013  [PDF]