Cynthia Shirk

Document Type


Publication Date



This document provides an overview of the different types of waiver authorities that are used to test new approaches to service delivery and financing of Medicaid and the State Children’s Health Insurance Program (SCHIP). The document describes the structure and evolution of statewide section 1115 research and demonstration waivers and explains the “program waiver” options that are available under sections 1915(b) (“Freedom of Choice” Waivers) and 1915(c) (“Home- and Community-Based Services” Waivers) of the Medicaid statute.

Open Access




To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.