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
Section 1135 Waiver Flexibilities - New York Coronavirus Disease 2019 (March 23, 2020 Communication)
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 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 Washington for multiple section 1135 flexibilities on March 19, 2020, as well as a subsequent approval on May 6, 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 Connecticut for multiple section 1135 flexibilities on March 27, 2020. Your follow-up communication to CMS on May 29, 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 initial approval to the State of Colorado for multiple section 1135 flexibilities on March 26, 2020. Your initial request included a request for additional flexibility that we can now approve.
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 detailed 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.
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.
Section 1135 Waiver Flexibilities - New York Coronavirus Disease 2019 (March 23, 2020 Communication)
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 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 Alaska for multiple section 1135 flexibilities on April 2, 2020. Your follow-up communication to CMS on June 8, 2020 detai1ed 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 New Jersey for multiple section 1135 flexibilities on March 23, 2020. Your follow-up communication to CMS on April 29, 2020 and May 14, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in New Jersey 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 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 Pennsylvania for multiple section 1135 flexibilities on March 27, 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 West Virginia for multiple section 1135 flexibilities on March 30, 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 Delaware for multiple section 1135 flexibilities on March 27, 2020. Your follow-up communication to CMS on May 29, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Delaware 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 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 Oklahoma for multiple section 1135 flexibilities on March 24, 2020. Your follow-up communication to CMS on April 15, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Oklahoma 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 Wisconsin for multiple section 1135 flexibilities on April 20, 2020. Your follow-up communication to CMS on June 3, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Wisconsin 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 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 Mississippi for multiple section 1135 flexibilities on March 23, 2020. Your follow-up communication to CMS on April 1, 2020 detai1ed an additional federal requirement that also pose issues or challenges for the health care delivery system in Mississippi 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 April 17, 2020 detai1ed 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 Alaska for multiple section 1135 flexibilities on April 2, 2020. Your follow-up communication to CMS on May 26, 2020, detai1ed an additional federal requirement that also pose issues or challenges for the health care delivery system in Alaska and requested a waiver or modification of the additional requirement.
The Centers for Medicare and Medicaid Services (CMS) granted an initial approval to the State of Ohio for multiple section 1135 flexibilities on April 22, 2020. Your initial April 14, 2020 communication and your May 18, 2020 communication included requests for additional flexibilities we can now approve.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Vermont for multiple section 1135 flexibilities March 30, 2020. Your follow-up communications to CMS on April 9 and April 15, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Vermont 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 Maine for multiple section 1135 flexibilities on April 7, 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 Hampshire for multiple Section 1135 flexibilities on March 23, 2020. Your follow-up communications to CMS sent on March 26, 2020 detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in New Hampshire 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. Your follow-up communication to CMS on both March 28, 2020 and the 1115 request dated April 20, 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 North Dakota for multiple section 1135 flexibilities on March 24, 2020. Your initial request included a request for additional flexibilities we can now approve. In addition, your follow-up communication to CMS on April 6, 2020 detai1ed a federal requirement that also pose issues or challenges for the health care delivery system in North Dakota and requested a waiver or modification of that additional requirement.
The Centers for Medicare & Medicaid Services (CMS) is granting an initial approval to the state of Virginia for multiple Section 1135 flexibilities. This approval letter replaces CMS’ March 23, 2020 approval letter. Your communication to CMS on April 14, 2020 and updated on April 23, 2020 detai1ed a number of federal requirements that also pose issues or challenges for the health care delivery system in Virginia and requested a waiver or modification of these requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the state of Rhode Island for multiple Section 1135 flexibilities on March 27, 2020. Your follow-up communication to CMS on March 26, 2020, April 7, 2020, and May 4, 2020 detai1ed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Rhode Island 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 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 Missouri for multiple Section 1135 flexibilities on March 25, 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 Georgia for multiple Section 1135 flexibilities on April 1, 2020. Your follow-up communication to CMS on April 19, 2020 detailed an additional federal requirement that also poses issues or challenges for the health care delivery system in Georgia and requested a waiver or modification of the additional requirement.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the state of Indiana for multiple Section 1135 flexibilities on March 25, 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 Connecticut for multiple Section 1135 flexibilities on March 27, 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 Louisiana for multiple section 1135 flexibilities on March 23, 2020. Your follow-up communications to CMS on March 28 and April 20, 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 Minnesota for multiple section 1135 flexibilities on March 27, 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 Nebraska for multiple section 1135 flexibilities on April 2, 2020. Your follow-up communication to CMS on May 4, 2020, detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Nebraska and requested a waiver or modification of those additional requirements.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the District of Columbia for multiple section 1135 flexibilities on April 3, 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 Commonwealth of Massachusetts for multiple section 1135 flexibilities on March 26, 2020. Your follow-up communication to CMS on April 23, 2020 detailed 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.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the State of Alabama for multiple section 1135 flexibilities on March 23, 2020. Your follow-up communication to CMS on March 26, 2020, detailed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Alabama 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. Attached, please find a response to your requests for waivers or modifications, pursuant to section 1135 of the Social Security Act (Act), to address the challenges posed by COVID-19. This approval addresses those requests related to Medicaid.
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 initial request to CMS on March 16, 2020 and your follow-up communication to CMS on April 10, 2020 included requests for flexibilities we can now approve.
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 initial 1135 request included a request for additional flexibilities we can now approve. Attached, please find a response to your requests for waivers or modifications, pursuant to section 1135 of the Social Security Act (Act), to address the challenges posed by COVID-19. This approval addresses those requests related to Medicaid.
The Centers for Medicare & Medicaid Services (CMS) granted an initial approval to the state of Maryland for multiple Section 1135 flexibilities on March 27, 2020. Your follow-up communication to CMS on May 1, 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 Washington for multiple section 1135 flexibilities on March 19, 2020. Your initial 1135 request included a request for additional flexibilities we can now approve. Attached, please find a response to your requests for waivers or modifications, pursuant to section 1135 of the Social Security Act (Act), to address the challenges posed by COVID-19. This approval addresses those requests related to Medicaid.
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 March 17, 2020 communication and follow-up communication 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 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 Iowa for multiple section 1135 flexibilities on March 25, 2020. Your follow-up communication to CMS on April 1, 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 Arkansas for multiple Section 1135 flexibilities on April 2, 2020. Your follow-up communication to CMS on April 23, 2020 detai1ed a number of additional federal requirements that also pose issues or challenges for the health care delivery system in Arkansas and requested a waiver or modification of those additional requirements.
On March 13, 2020, pursuant to section 1135(b) of the Act, the Secretary of the United States Department of Health and Human Services invoked his authority to waive or modify certain requirements of titles XVIII, XIX, and XXI of the Act as a result of the consequences of the COVID-19 pandemic, to the extent necessary, as determined by the Centers for Medicare & Medicaid Services (CMS)
On March 13, 2020, pursuant to section 1135(b) of the Act, the Secretary of the United States Department of Health and Human Services invoked his authority to waive or modify certain requirements of titles XVIII, XIX, and XXI of the Act as a result of the consequences of the COVID-19 pandemic, to the extent necessary, as determined by the Centers for Medicare & Medicaid Services (CMS)
On March 13, 2020, pursuant to section 1135(b) of the Act, the Secretary of the United States Department of Health and Human Services invoked his authority to waive or modify certain requirements of titles XVIII, XIX, and XXI of the Act as a result of the consequences of the COVID-19 pandemic, to the extent necessary, as determined by the Centers for Medicare & Medicaid Services (CMS)
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