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Public Comments

Section 1115 demonstrations, which enable States to test coverage and delivery system approaches in Medicaid and CHIP, have a significant and varied impact on Medicaid and CHIP beneficiaries, providers, States, Tribes, and local governments. The Centers for Medicare & Medicaid Services (CMS) values public input into the demonstration review process and has provided a platform for public submission of comments. Listed below is a description of the process and timelines for the Federal public comment process. For more information, please see the State Health Official (SHO) letter or regulation.

Once a State’s 30-day public comment period has ended, the State will submit an application to CMS. Within 15 days of receipt of the application, CMS will determine whether the application is complete. CMS will send the State written notice informing the State of receipt of the complete application, the date on which the Secretary received the application, and the start date of the 30-day Federal public notice period. If CMS determines that the application is not complete, CMS will notify the State of any missing elements in the application.  

There will be a 30-day Federal comment period for the general public and stakeholders to submit comments. CMS will not act on the demonstration request until 15 days, at a minimum, after the conclusion of the public comment period. CMS will continue to accept comments beyond the 30-day period; however, CMS cannot guarantee that comments received after the 30-day comment period will be considered due to the need for timely Federal review of a State's request. Therefore, CMS strongly encourages comments to be submitted within the 30-day Federal comment period.

Comment on Pending Demonstration Applications

To comment on a specific pending demonstration, browse the list below and select a specific demonstration application or search by State or program name.  Follow the link to submit your comments.

CMS will review and post comments received, but will not respond to each individual comment. See the list below to view pending Section 1115 Demonstrations Open for Public Comments

Sign up for Email Announcements

If you would like to be notified of new applications, sign up to receive email updates. CMS will announce the start and end date of each Demonstration application’s public comment period by email to all interested parties.

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Send Feedback

CMS is continuously making efforts to improve the demonstration and public comment processes. Please send us your feedback. Email 1115DemoRequests@cms.hhs.gov

Pending 1115 Demonstration Applications Open for Comments


State Official Program Name Waiver Authority Status details
State Official Program Name Waiver Authority Status details
Current: Approved Demonstration
Expired: Expired Demonstration
Pending: Demonstration Request Pending
Pending — Comment Period Open: Demonstration Request Pending with a 30 day open public comment period.
Persons with disabilities having problems accessing the 1115 Transparency PDF files may call Annette Pearson at 410-786-0429 for assistance.