Medicaid 1115 Waiver Extension

On July 11, 2018, EOHHS submitted a request to the Centers for Medicare and Medicaid Services (CMS) an extension of the current Medicaid 1115 Waiver which is anticipated to take effect January 1, 2019 and end December 31, 2023. The request seeks to continue all current authorities with some changes essential to successfully transform the Medicaid program. On December 20, 2018 EOHHS received approval from CMS. Following the approval, EOHHS and CMS worked together to make necessary technical corrections to the Special Terms and Conditions of the 1115 Waiver; the technical corrections were approved on November 19, 2019. Below are links to the approval documents. 

If you have any questions, concerns, or comments please send a message to the Waiver Extension Mailbox at

RI Comprehensive 1115 Demonstration Waiver Approval


RI Comprehensive 1115 Demonstration Waiver Request


Supporting Documents

Response to Comments Received During 30-Day Public Comment Period, (3/23/18-4/23/18)

Updates at the EOHHS Taskforce Meetings

Phase 1 Stakeholder Input on 1115 Waiver Extension