Medicaid State Plan And 1115 Waiver
The Medicaid State Plan is a document that serves as a contract between the State and the federal government that delineates Medicaid eligibility standards, provider requirements, payment methods, and health benefit packages. A Medicaid State Plan is submitted by each state and is approved by the Centers for Medicare and Medicaid Services (CMS). To make changes to the Medicaid State Plan, the state must submit a State Plan Amendment (SPA) to CMS for review and approval.
- The RI Medicaid State Plan is not currently available in electronic format. To view the paper state plan, please contact: Kathryn.Thomas@ohhs.ri.gov or visit here for a scanned PDF version.
- See Proposed SPAs that are currently posted for public input.
- Final approved versions of SPAs since 2010 can be found on the CMS website.
The Medicaid 1115 Waiver constitutes the legal authority granted to the State by federal government to pursue innovations that improve health care access, quality and outcomes and further the goals of the Medicaid and CHIP Programs. The terms and conditions of the State’s Medicaid 1115 Waiver act as a contract that establishes the scope of the State’s flexibility under federal law relative to the Medicaid State Plan.
- Current Medicaid 1115 Demonstration Waiver
- Annual Demonstration Monitoring Report for the 2024 calendar year, submitted to the Centers for Medicare and Medicaid Services
- Final Interim Evaluation Report on Current Medicaid 1115 Waiver
- For former 1115 Waivers, past extension application materials and background documents, and EOHHS Taskforce meetings see Archive.
States generally must renew Medicaid 1115 waivers every five years, and to make changes to the waiver between those renewals, the State must submit a request to CMS for review and approval. To view information about Rhode Island’s waiver renewal process and any proposed amendments, see the following links: Waiver Extension | Executive Office of Health and Human Services and Proposed Waiver Amendments.
Executive Office of Health and Human Services
3 West Road
Cranston, RI 02920
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State of Rhode Island