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1115 Waivers

CMS Announces End of Approving Section 1115 Medicaid Demonstration Waivers’ Inclusion of Non-Medical Programs

Hooper, Lundy & Bookman·September 30, 2026
CMS Announces End of Approving Section 1115 Medicaid Demonstration Waivers’ Inclusion of Non-Medical Programs

The Centers for Medicare and Medicaid Services (CMS) has issued a directive informing state Medicaid directors that it will no longer approve Section 1115 waiver applications that include non-medical programs. This policy change impacts initiatives previously focused on social determinants of health, such as housing, transportation, and nutrition assistance, by excluding them from federal matching funds.

HNH Insight

This update signals a significant shift in federal policy regarding the 'Health-Related Social Needs' (HRSN) framework, effectively halting the expansion of Medicaid-funded nutrition and housing support programs through the 1115 waiver pathway.

Read original article on Hooper, Lundy & Bookman
Medicaid
1115 Waiver
CMS
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