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.

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

April 6, 2012
On April 6, 2012, CMS approved two new programs critical to Arizona's net healthcare delivery system- the Safety Net Care Pool and the Indian Health Services/Tribal 638 facilities supplemental payment programs. These two new programs were approved under Arizona's Section 1115 Research and Demonstration Waiver. 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 the two new waivers is available on the "Waiver History" tab at the top of this page:

2012 Amendment Fact Sheet
CMS Approval Letter
Waiver and Expenditure Authorities
Special Terms and Conditions
AHCCCS 2012-2016 Budget Neutrality [13KB]