Waiver Extension

Medicaid 1115 Waiver Extension

Rhode Island operates the majority of its Medicaid program through an 1115 waiver. The 1115 waiver (“the Demonstration”) has been in place since 2009. The Demonstration provides medical and behavioral health services to eligible beneficiaries, as well as serving as a means for the state to test pilots and other cutting-edge projects to improve the Medicaid program. The Demonstration is currently authorized for five years through 2023. To continue the Demonstration for another five-year period, the state is submitting an extension request to the Centers for Medicare and Medicaid Services (CMS).  A full copy of the waiver extension can be found below under Extension Application Materials.

Public Notice and Comment Period

States seeking authority for 1115 waivers applications or extensions must provide notice to the public and an opportunity to comment.

The public will have 30 days to provide comment on the proposed waiver extension request, beginning September 30, 2022, and concluding on November 1, 2022.  A copy of both the formal and abbreviated documents providing notice to the public of EOHHS’s intent to submit a request for a five-year extension of the Demonstration can be found below under Extension Application Materials.

During the public comment period, the public is invited to provide written comments to EOHHS via US postal service or electronic mail, as well as make comments verbally during several public hearings that will be hosted at geographically diverse locations around the state.

Three public hearings will be held to discuss the proposed waiver extension request. Public hearings will be held on the following dates, times, and locations:

Public Hearing #1

Public Hearing #2

Public Hearing #3

October 12, 2022
5:30-7:00 p.m.
Pawtucket Public Library
13 Summer Street
Pawtucket, RI 02860

Also available for virtual participation:
Zoom link: https://us02web.zoom.us/j/85040776334?pwd=WlMvRHNLZnBkYkxETTBOcDN6aWo5QT09

Zoom Dial-In: 888 788 0099
Meeting ID: 850 4077 6334
Passcode: 226735

October 25, 2022
3:00-4:30 p.m.
Peace Dale Library
1057 Kingstown Road
Peace Dale, RI 02879

Also available for virtual participation:
Zoom link: https://us02web.zoom.us/j/87616533965?pwd=NFFpWnJFQkVnekp4NnlicG54Z2JUZz09

Zoom Dial-In: 888 788 0099
Meeting ID: 876 1653 3965
Passcode: 867253

October 27, 2022
5:30-7:00 p.m.
Woonsocket Public Library
303 Clinton Street
Woonsocket, RI 02895

Also available for virtual participation:
Zoom link:

Zoom Dial-In: 888 788 0099
Meeting ID: 815 4981 1005
Passcode: 132667

In addition to the above public hearings, EOHHS will also accept public comment on the proposed extension request during the Health System Transformation Project (HSTP) Accountable Entity (AE) Advisory Committee Meeting on October 18, 2022, 8:30am at 3 West Road, Virks Building, 1st Floor Training Room, Cranston, RI 02920. Also available for virtual participation:

Zoom link: https://us02web.zoom.us/j/84460354854?pwd=R1BydGE1ZlN4ZVNpNkxFUTd4cHR4dz09.
Zoom Dial-In: 888 788 0099
Meeting ID: 844 6035 4854
Passcode: 311195

To request interpreter services or other accommodations at any of these events, please notify the Executive Office at OHHS.RIMedicaidWaiver@ohhs.ri.gov at least five (5) business days in advance. Interpreter services will be made available at no cost to the person requesting.

Si necesita servicios de interpretación en cualquiera de estos eventos, por favor solicítelos a la Oficina Ejecutiva al correo electrónico
OHHS.RIMedicaidWaiver@ohhs.ri.gov con al menos cinco (5) días hábiles de antelación. Los servicios de interpretación están a disposición de los solicitantes de forma gratuita.

Para solicitar serviços de intérprete em qualquer um destes eventos, por favor, notifique o Gabinete Executivo através do endereço OHHS.RIMedicaidWaiver@ohhs.ri.gov com, pelo menos, cinco (5) dias úteis de antecedência. Os serviços de intérprete serão disponibilizados sem custo para a pessoa que solicita. 

If you have any questions, concerns, or comments on the waiver extension draft or the public notice and comment period please send a message to the Waiver Extension Mailbox at OHHS.RIMedicaidWaiver@ohhs.ri.gov.

Extension Application Materials

Current Demonstration Approval


Additional information about the Demonstration can be found at: 


For former 1115 Waivers, past extension application materials and background documents, and EOHHS Taskforce meetings, see Archive.