Delivery Systems
Waivers, SPAs, and Other Authorities
Medicaid agencies use a variety of federal authorities, including waivers and state plan amendments, to provide covered services. 1115 waivers are a key lever for innovation to meet state- and territory-identified goals for health and wellness of Medicaid members.

Resources
Amid growing challenges in rural health care access, states are leveraging Medicaid policy tools to drive meaningful change....
Medicaid Meets Public Health: A Blueprint for Collaboration
Strengthening collaboration between public health and Medicaid agencies is key to improving population health. This resource outlines agency...
Medicaid innovation pathway: How 1115 waivers work
Medicaid leaders face a long runway when trying to improve their programs and meet state and territory goals...
Medicaid-focused Opportunities from the Center for Medicare and Medicaid Innovation (CMMI)
This resource captures all the current model opportunities that Center for Medicare and Medicaid Innovation (CMMI) has released...
State of the direct care workforce: Data & insight for Medicaid leaders and advocates
Challenges within the direct care workforce threaten the health and wellbeing of millions. Here’s a look at the...