This page provides federal resources that are helpful during emergencies and disasters. We also created Medicaid & CHIP disaster preparedness toolkits to provide states and territories with additional disaster-related information.
Federal Disaster Resources
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Texas for multiple section 1135 flexibilities on March 30, 2020. Your follow-up communication to CMS on January 14, 2021 indicated Texas’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the Territory of the United States Virgin Islands for multiple section 1135 flexibilities on April 7, 2020. Your follow-up communication to CMS on January 13, 2021 indicated the United State Virgin Islands’ response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Washington for multiple section 1135 flexibilities on March 19, 2020. Your follow-up communication to CMS on January 19, 2021 indicated Washington’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Virginia for multiple section 1135 flexibilities on May 19, 2020. Your follow-up communication to CMS on December 31, 2020 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Virginia and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Utah for multiple section 1135 flexibilities on April 10, 2020. Your follow-up communication to CMS on January 15, 2021, indicated Utah’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of New Jersey for multiple section 1135 flexibilities on March 23, 2020 Your follow-up communication to CMS on January 14, 2021 indicated New Jersey’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Michigan for multiple section 1135 flexibilities on April 6, 2020. Your follow-up communication to CMS on January 14, 2021 indicated Michigan’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Virginia for multiple section 1135 flexibilities on May 19, 2020. Your follow-up communication to CMS on January 22, 2021 indicated Virginia's response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the Commonwealth of Kentucky for multiple section 1135 flexibilities on March 25, 2020. Your follow-up communication to CMS on January 14, 2021 indicated Kentucky’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the District of Columbia (DC) for multiple section 1135 flexibilities on April 3, 2020. Your follow-up communication to CMS on January 13, 2021 indicated DC’s response to the COVID-19 pandemic has delayed its ability to submit a state plan amendment (SPA) to fulfill the requirements outlined in section 1006(b) of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities Act (“SUPPORT Act”).
The Centers for Medicare & Medicaid Services (CMS) granted initial approval to the State of California for multiple section 1135 flexibilities on March 23, 2020, and subsequent approvals on May 8, 2020, and August 19, 2020. Your follow-up communication to CMS on December 24, 2020, detailed additional federal requirements that also pose issues or challenges for California's health care delivery system and requested a waiver or modification of those other requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Minnesota for multiple section 1135 flexibilities on March 27, 2020. Your follow-up communication to CMS on January 3, 2021 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Minnesota and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Alaska for multiple section 1135 flexibilities on April 2, 2020 and subsequent approvals on May 15, 2020, May 29, 2020, June 3, 2020, June 15, 2020, and August 19, 2020. Your follow-up communication to CMS on December 18, 2020 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Alaska and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Massachusetts for multiple section 1135 flexibilities on March 26, 2020. Your follow-up communication to CMS on July 9, 2020 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Massachusetts and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Nevada for multiple section 1135 flexibilities on April 7, 2020. Your follow-up communication to CMS on December 15, 2020 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Nevada and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Kentucky for multiple section 1135 flexibilities on March 25, 2020. Your follow-up communication to CMS on December 17, 2020 detailed additional federal requirements that also pose issues or challenges for the health care delivery system in Kentucky and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Oregon for multiple section 1135 flexibilities on March 25, 2020, May 8, 2020, August 20, 2020, September 16, 2020 and December 2, 2020. Your follow-up communication to CMS on November 25, 2020 detailed an additional federal requirement that also poses issues or challenges for the health care delivery system in Oregon and requested a waiver or modification of that additional requirement.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Oregon for multiple section 1135 flexibilities on March 25, 2020, May 8, 2020, August 20, 2020, and September 16, 2020. Your follow-up communication to CMS on September 23, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Oregon and requested a waiver or modification of those additional requirements related to Oregon’s Wildfires Public Health Emergency (PHE), declared on September 15, 2020.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Texas for multiple section 1135 flexibilities on March 30, 2020 and subsequently on May 22, 2020, July 23, 2020 and September 30, 2020. Your initial request submitted to CMS on March 25, 2020 detailed two federal requirements that pose issues or challenges for the health care delivery system in Texas that we are now able to approve.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Montana for multiple section 1135 flexibilities on March 30, 2020. Your follow-up communication to CMS on November 2, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Montana and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Minnesota for multiple section 1135 flexibilities on March 27, 2020. Your follow-up communication to CMS dated October 27, 2020, includes a request for an additional flexibility we can now approve. Attached, please find a response to your request for waivers or modifications, pursuant to section 1135 of the Social Security Act (Act), to address the challenges posed by COVID-19.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Massachusetts for multiple section 1135 flexibilities on March 26, 2020. Your follow-up communication to CMS on April 23, 2020 and September 29, 2020 detai1ed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Massachusetts and requested a waiver or modification of those additional requirements.
On August 23, 2020, the President of the United States issued a proclamation that Hurricane Laura constitutes an emergency by the authorities vested in him by the Constitution and the laws of the United States, including sections 201 and 301 of the National Emergencies Act (50 U.S.C. 1601 et seq.), and consistent with section 1135 of the Social Security Act (Act).
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Pennsylvania for multiple section 1135 flexibilities on March 27, 2020. Your initial 1135 request detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Pennsylvania and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of New York for multiple section 1135 flexibilities on March 26, 2020. Your follow-up communication to CMS on July 17, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in New York and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Texas for multiple section 1135 flexibilities on March 30, 2020 and subsequently on May 22, 2020 and July 23, 2020. Your follow-up communication to CMS on September 18, 2020 detailed two additional federal requirements that also pose issues or challenges for the health care delivery system in Texas and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Michigan for multiple section 1135 flexibilities on April 6, 2020. Your initial 1135 request included requests for additional flexibilities we can now approve.
The Centers for Medicare & Medicaid Services (CMS) granted an approval to the State of Oregon for multiple section 1135 flexibilities on March 25, 2020; May 8, 2020; and August 20, 2020. Your COVID-19 1115 application to CMS on April 17, 2020 detailed a number of federal requirements that pose issues or challenges for the health care delivery system in Oregon and requested approval of those additional components.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Maryland for multiple section 1135 flexibilities on March 26, 2020. Your follow-up communication to CMS on August 25, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Maryland and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of South Dakota for multiple section 1135 flexibilities on March 24, 2020. Your follow-up communication to CMS on July 23, 2020 detailed an additional federal requirement that also poses issues or challenges for the health care delivery system in South Dakota and requested a waiver or modification of that additional requirement.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of North Carolina for multiple section 1135 flexibilities on March 23, 2020. Your follow-up communication to CMS on August 13, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in North Carolina and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Connecticut for multiple section 1135 flexibilities on March 23, 2020. Your follow-up communication to CMS on July 20, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Connecticut and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an approval to the State of Oregon for multiple section 1135 flexibilities on March 25, 2020 and May 8, 2020. In addition, your COVID-19 1115 application to CMS on April 17, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Oregon and requested approval of those additional components.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of New York for multiple section 1135 flexibilities on March 26, 2020. Your follow-up communication to CMS on July 17, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in New York and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Alaska for multiple section 1135 flexibilities on April 2, 2020. Your follow-up communication to CMS on July 6, 2020, detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Alaska and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of California for multiple section 1135 flexibilities on March 23, 2020. Your original communication to CMS on March 16, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in California and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Tennessee for multiple section 1135 flexibilities on March 31, 2020. Your follow-up communication to CMS on July 7, 2020 detailed a number of additional federal requirements that also pose issues challenges for the health care delivery system in Tennessee and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Louisiana for multiple section 1135 flexibilities on March 23, 2020. Your follow-up communications to CMS on March 28, 2020 detai1ed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Louisiana and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Iowa for multiple section 1135 flexibilities on March 25, 2020. Your follow-up communication to CMS on August 4, 2020, detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Iowa and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of New York for multiple section 1135 flexibilities on March 26, 2020. Your follow up communication to CMS on July 17, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in New York and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Maryland for multiple section 1135 flexibilities on March 26, 2020 and May 6, 2020. Your follow-up communication to CMS on July 30, 2020, detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Maryland and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Missouri for multiple section 1135 flexibilities on March 25, 2020. Your follow-up communications to CMS on May 1, 2020 and July 6, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Missouri and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Pennsylvania for multiple section 1135 flexibilities on March 27, 2020. Your follow-up communication to CMS on July 23, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Pennsylvania and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Wyoming for multiple section 1135 flexibilities on March 27, 2020. Your follow-up communication to CMS on July 20, 2020 detai1ed an additional federal requirement that also pose issues or challenges for the health care delivery system in Wyoming and requested a waiver or modification of that additional requirement.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Texas for multiple section 1135 flexibilities on both March 30, 2020 and subsequently on May 22, 2020. Your follow-up communication to CMS on both March 28, 2020, and the 1115 request dated April 22, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Texas and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Arizona for multiple section 1135 flexibilities on March 23, 2020. Your follow-up communication to CMS on July 8, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Arizona and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of South Carolina for multiple section 1135 flexibilities on March 31, 2020. Your initial 1135 request included a request for additional flexibilities we can now approve.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of New Mexico for multiple section 1135 flexibilities on March 23, 2020. Your follow-up communication to CMS on June 16, 2020 detai1ed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in New Mexico and requested a waiver or modification of those additional requirements.
Your follow-up communication to CMS on June 23, 2020 detai1ed an additional federal requirement that also poses issues or challenges for the health care delivery system in New Hampshire and requested a waiver or modification of this additional requirement.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Montana for multiple section 1135 flexibilities on March 30, 2020. Your follow-up communication to CMS on June 18, 2020 detai1ed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Montana and requested a waiver or modification of those additional requirements.
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