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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

    Public Notice

    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:

    September 23, 2025, from 1:00 p.m. to 3:30 p.m.
    Medicaid Advisory Committee (MAC) Public Meeting
    Capitol Commons Center, Conference Room 6E
    400 South Pine Street
    Lansing, MI 48933 Conference Line: 248-509-0316
    Conference ID: 516 428 75#

    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

    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 7, 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)

    SPA MI 16-0100 Flint Approval
    SPA MI 16-0005 CHIP Approval for MAGI Eligibility
    SPA MI 16-0004 TCM Coverage Approval
    SPA MI 16-0008 TCM Payment Approval
    SPA MI 16-0017 CHIP Lead Abatement Approval
    SPA MI-16-0110 Medicaid Eligibility Process Submission
    SPA MI 16-1000 TCM ABP Approval

     

    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