CMS Waiver Approvals | advancingstates.org

Below you will find a list of CMS Waiver Approvals. These letters are also linked on the State Materials page. Related materials and templates can be found under the CMS section of the Federal Guidance page. We will update this page weekly, but you can also visit the CMS websites linked below for the most current information.

Click here to jump to the Appendix K approvals.
Click here to jump to the Section 1115 approvals.

Section 1135 Waiver Approvals

Click here to view all Section 1135 approval letters on the CMS website.

Alabama (added 3.24)
- Response to second request (added 5.11)
Alaska (added 4.2)
- Additional Flexibilities Granted (added 5.21)
- Response to second request (added 5.29)
- More flexibilites granted (added 6.4)
- Response to third request (added 6.16)
- Response to fourth request (added 8.19)
- Response to fifth request (added 12.23)
Arkansas (added 4.2)
- Waiver request (added 4.2)
- Response to second request (added 5.5)
Arizona (added 3.24)
- Response to second request (added 5.6)
- Response to eighth request (added 6.1)
- Response to 10th request (added 7.9)
California (added 3.24)
- Waiver request (added 3.26)
- Approval of additional flexibilities (added 5.11)
- Additional flexibility (added 8.19)
Colorado (added 3.26)
- Additional flexibility (added 6.18)
Connecticut (added 3.27)
- Approval of additional flexibilities (added 5.15)
- Response to second request (added 6.18)
- Response third request (added 8.24)
Delaware (added 3.27)
- Response to second request (added 6.9)
District of Columbia (added 4.4)
- Approval of additional flexibilities (added 5.11)
Georgia
- Waiver request
- Response to second request (added 5.15)
Hawaii (added 3.26)
Florida (3.16)
Idaho (added 3.26)
Illinois (added 3.24)
- Waiver request (added 3.26)
Indiana (added 3.25)
- Waiver request (added 3.26)
- Approval of additional flexibilities from first request (added 5.15)
Iowa (added 3.25)
- Response to second request (added 5.5)
- Response to third request (added 8.12)
Kansas (added 3.25)
Kentucky (added 3.25)
- Response to third request (added 12.18)
Louisiana (added 3.24)
- Waiver request (added 3.26)
- Response to second and third request (added 5.12)
- Additional flexibilities (added 8.12)
Maine (added 4.8)
- Waiver request (added 4.8)
- Response to third request (added 5.29)
Mariana Islands (added 4.15)
Maryland (added 3.26)
- Response to second request (added 5.6)
- Response to third request (added 8.6)
- Response to fourth request (added 8.31)
Massachusetts (added 3.26)
- Waiver request (added 3.26)
- Approval of additional flexibilities (added 5.11)
- Response to third request (added 6.18)
- Response to third and fifth request (added 10.29)
- Response to fourth request (added 12.23)
Michigan (added 4.8)
- Waiver request (added 4.8)
- Approval of additional flexibilities (added 9.24)
Minnesota (added 3.27)
- Waiver request (added 3.27)
- Response to second request (added 5.11)
- Response to second request (added 11.2)
- Response to third request (added 1.12.21)
Mississippi (added 3.24)
- Waiver request (added 3.26)
- Response to second request (added 6.1)
Missouri (added 3.25)
- Waiver request (added 3.26)
- Approval of additional flexibilities from first request (added 5.15)
- Response to third and fourth request (added 7.31)
Montana (added 3.30)
- Response to second request (added 6.25)
- Response to third request (added 11.5)
Nebraska (added 4.2)
- Waiver request (added 4.2)
- Response to second request (added 5.11)
Nevada (added 4.8)
- Response to second request (added 12.18)
New Hampshire (added 3.24)
- Waiver request (added 3.26)
- Response to second request (added 5.28)
- Response to third request (added 6.30)
New Jersey (added 3.24)
- Waiver request (added 3.26)
- Response to second and third request (added 6.15)
New Mexico (added 3.24)
- Response to second request (added 7.2)
New York (added 3.26)
- Response to secoond request (added 5.6)
- Additional flexibilities (added 6.16)
- Additional flexibilities (added 6.23)
- Additional flexibilites (added 8.6)
- Additional flexibilities for second request (added 8.19)
- Revised flexibilites related to second request (added 10.6)
North Carolina (added 3.24)
- Waiver request (added 3.26)
- Response to third request (added 8.28)
North Dakota (added 3.25)
- Response to second request (added 5.28)
Ohio (added 4.24)
- Additional Flexibilities (added 5.29)
Oklahoma (added 3.25)
- Response to second request (added 6.9)
Oregon (added 3.25)
- Waiver request (added 3.26)
- Response to second request (added 5.11)
- Additional flexibilities (added 8.20)
- Additional flexibilities (added 9.18)
- Response to second request (added 12.2)
Pennsylvania (added 3.27)
- Waiver request (added 3.27)
- Additional flexibilities (added 6.9)
- Response to third request (added 7.30)
- Revised flexibilities related to initial request (added 10.6)
Puerto Rico (added 4.15)
Rhode Island (added 3.25)
- Waiver request (added 3.26)
- Additional Flexibilites Granted (added 5.21)
South Carolina (added 3.31)
- Additional flexibilities (added 6.16)
- Additional flexibilities granted (added 7.7)
South Dakota (added 3.25)
- Waiver request (added 3.26)
- Response to second request (added 8.31)
Tennessee (added 3.31)
- Additional flexibilities (added 6.9)
- Response to third request (added 8.18)
Texas (added 3.30)
- Response to second and third request (added 5.28)
- Additional flexibilities (added 7.24)
- Response to fourth request (added 9.30)
- Response to initial request (added 11.25)
U.S. Virgin Islands (added 4.8)
Utah (added 4.10)
- Additional flexibilities (added 6.15)
Vermont (added 3.30)
- Response to second and third request (added 5.29)
Virginia (added 3.24)
- Modified approval (added 5.21)
Washington (3.19)
- Waiver request (added 3.26)
- Response to second request (added 5.6)
- Additional flexibilities (added 6.18)
West Virginia (added 3.30)
- Additional flexibilities (added 6.9)
Wisconsin (added 4.21)
- Waiver request (added 4.21)
- Response to second request (added 6.9)
Wyoming (added 3.27)
- Response to second request (added 7.28)

Appendix K Waiver Approval Letters

Click here to view all approved Appendix K documents on the CMS website.

Alabama approval letter (added 6.4)
Alaska approval letter (added 3.25)
- Combined Appendix K
Arizona approval letter (added 4.8)
- Combined Appendix K (added 4.8)
Arkansas approval letter (added 4.14)
- Combined Appendix K (added 4.14)
California approval letter (added 4.2)
Colorado approval letter (added 3.26)
- Combined Appendix K (added 3.26)
Connecticut approval letter (added 3.31)
- Combined Appendix K (added 3.31)
Delaware approval letter (added 4.9)
- Combined Appendix K (added 4.9)
District of Columbia approval letter (added 4.20)
- Combined Appendix K (added 4.20)
Florida approval letter (added 4.20)
- Combined Appendix K (added 4.20)
Georgia approval letter (added 4.10)
Hawaii (added 3.27)
- Combined Appendix K (added 3.27)
Idaho approval letter (added 9.10)
- Aged and Disabled Waiver (added 9.10)
- Developmental Disabilities Waiver (added 9.10)
Illinois approval letter (added 5.13)
- Combined Appendix K (added 5.13)
Indiana approval letter (added 5.29)
Iowa approval letter (added 3.31)
- Combined Appendix K (added 3.31)
Kansas approval letter (added 4.1)
- Combined Appendix K (added 4.1)
Kentucky approval letter (added 3.25)
- Combined Appendix K
Louisiana approval letter (added 4.15)
- Combined Appendix K (added 4.15)
Maine approval letter (added 5.15)
- Combined Appendix K (added 5.15)
Maryland approval letter (added 4.24)
- Combined Appendix K (added 4.24)
Massachusetts approval letter (added 5.1)
- Combined Appendix K (added 5.1)
Michigan approval letter (added 6.23)
- Combined Appendix K (added 6.23)
Minnesota approval letter (added 3.30)
- Combined Appendix K (added 3.30)
Mississippi (added 4.9)
Missouri (added 5.28)
Montana approval letter (added 5.1)
- Combined Appendix K (added 5.1)
Nebraska Approval letter (added 4.21)
- Appendix K Submission to CMS (added 3.31)
- Nebraska Approval letter updated (added 12.18)
Nevada approval letter (added 4.16)
- Combined Appendix K (added 4.16)
New Hampshire approval letter (added 5.12)
- Combined Appendix K (added 5.12)
New Mexico approval letter (added 3.30)
- Combined Appendix K (added 3.30)
New York approval letter (updated 9.4)
- Combined Appendix K (updated 9.4)
North Carolina approval letter (added 4.9)
North Dakota approval letter (added 4.9)
Ohio approval letter (added 5.15)
Oklahoma approval letter (added 4.4)
- Combined Appendix K (added 4.4)
Oregon approval letter (added 4.29)
- Combined Appendix K (added 4.29)
Pennsylvania approval letter (added 3.24)
Rhode Island approval letter(added 3.25)
- Comprehensive Demonstration
South Carolina approval letter (added 4.24)
South Dakota approval letter (added 4.9)
Tennessee approval letter (added 5.8)
- Combined Appendix K (added 5.8)
Texas approval letter (added 6.9)
Utah approval letter (added 4.20)
- Combined Appendix K (added 4.20)
Virginia approval letter (added 4.21)
- Combined Appendix K (added 4.21)
Washington approval letter (added 3.24)
West Virginia approval letter (3.19)
Wisconsin approval letter (added 5.21)
- Combined Appendix K (added 5.21)
Wyoming approval letter (added 3.31)
- Combined Appendix K (added 3.31)

Section 1115(a) Demonstrations Related to COVID-19

Connecticut approval letter (added 7.24)
- Connecticut application (added 7.24)
Hawaii approval letter (added 7.7)
- Hawaii application (added 7.7)
New Hampshire approval letter (added 7.7)
- New Hampshire application (added 7.7)
North Carolina approval letter (added 7.7)
- North Carolina application (added 7.7)
Rhode Island approval letter (added 7.24)
- Rhode Island application (added 7.24)
Washington approval letter (added 4.22)
- WA application (added 4.22)