Section 1115 Waiver - Medicaid Eligibility for Flint Residents

Click here for information about health care coverage for people impacted by Flint water.

Flint Waiver Progress Report     (Archived Reports)
(updated on the last Tuesday of every month)

Medicaid coverage will be available in Flint to cover children up to age 21 and pregnant women as part of the ongoing efforts to help people affected by the Flint water crisis. 

The Michigan Department of Health and Human Services (MDHHS) intends to submit a waiver extension request to the Centers for Medicare & Medicaid Services (CMS) for the Flint Michigan Section 1115 Demonstration (Project Number 11-W-00302/5)

The overarching goal of the MDHHS waiver application is to “identify and address any physical or behavioral health issues associated with actual or potential exposure to lead hazards.” The Demonstration expands eligibility of all Medicaid benefits for low-income children (up to age 21 including children born to eligible pregnant women) and pregnant women (through twelve months post-delivery) served by the Flint water region from
April 1, 2014, through September 30, 2025. The specific eligibility modifications included:

    • Increase income threshold to offer coverage to children in households with incomes 
      from 212% federal poverty level (FPL) up to and including 400% FPL.
    • Increase income threshold to offer coverage to pregnant women in households with 
      incomes from 195% FPL up to and including 400% FPL.
    • Eliminate cost sharing and Medicaid premiums for eligible children and pregnant 
      women served by the Flint water system.

1115 Waiver Extension Application
Flint, MI Waiver Extension Application (Draft)

PUBLIC NOTICE

Public Hearing, Review of Documents, and Comment Submission

In compliance with the public notice process as specified in 42 CFR 431.408, public hearings are scheduled for the date, time and location below:

October 20, 2025, from 5:30 p.m. to 7:30 p.m.
MSU College of Human Medicine
200 East 1st Street
Flint, MI 48502

October 21, 2025, from 1:00 p.m. to 3:00 p.m.
Virtual Hearing hosted by Michigan Department of Health and Human Services
Registration Link (not required for attendance):
https://somdhhs.adobeconnect.com/ezxmx6uk1aoc/event/registration.html
Event Link: https://somdhhs.adobeconnect.com/r379h66yrlro/

This public hearing will provide an overview and discussion of the demonstration waiver extension. All interested parties will be provided the opportunity to provide comments on the Flint Waiver demonstration waiver extension application. 

Paper copies are available at the Health Services located in the Capitol Commons Center, 400 S. Pine St., Lansing, MI 48913. You may also request a hard copy of the complete §1115 waiver application, stakeholder notice, and waiver summary by contacting msapolicy@michigan.gov.

Any interested party wishing to submit comments or view projected changes may do so by submitting a request in writing by November 16, 2025 to: 

Michigan Department of Health and Human Services                   OR                MSAPolicy@michigan.gov
Health Services
Medicaid Policy Section
P.O. Box 30479
Lansing, MI 48909-7979

All comments on this topic should include a “Section 1115 – Flint Waiver Extension” reference somewhere in the written submission or the subject line if by e-mail.

STATE PLAN AMENDMENTS (SPA)

Flint Waiver History:

2023
Flint Waiver Evaluation Design, approved
Approved Section 1115 Waiver Documents

2021
Flint Waiver Renewal, approved
Revised Interim Evaluation Report - Approved

2020
Flint Waiver Renewal, submitted
Waiver Amendment Application
Waiver Extension Application
Public Notice

2017
Flint Waiver - Updated STCs, approved

2016
Flint Waiver, approved