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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. On Thursday, March 3, the federal Centers for Medicare and Medicaid Services (CMS) approved the state's waiver, which was submitted on February 14, 2016, to provide short- and long-term health support.


Waiver Amendment Application
Public Notice 


Approved Section 1115 Waiver Documents

Approval of the waiver request means Michigan's Medicaid and Children's Health Insurance Program services will be available to approximately 15,000 residents who were served by the Flint water system. The Michigan Department of Health and Human Services and the State Budget Office will work with the state Legislature to ensure Flint residents have access to the health resources they need.

The state is working to implement changes to its eligibility systems so that it can process applications as quickly as possible. Information about how to apply for coverage will be provided to residents in the coming weeks. This waiver allows the state of Michigan to dedicate case managers to help individuals with:

  • Coordinating primary care physicians and behavioral health providers, Medicaid health plans and others to ensure access to all necessary health services;
  • Providing nutrition support;
  • Improving access to educational and social support and services that may be available in the community to assist them with their individual needs.

Those eligible for coverage include children up to the age of 21 and are being served, or who were served, by Flint's water system between April 2014 and a future date when the water system is deemed safe. Pregnant women and their children also will be made eligible. Coverage is available to all income levels. Individuals with income over 400 percent of the federal poverty level - which is $47,520 for one person or $97,200 for a family of four - will need to buy into the program in order to receive full Medicaid benefits.


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



Public notice has been issued regarding State Plan Amendment requests to CMS to assist in addressing health impacts from potential lead exposure in Flint, Michigan.

Public Notice

Any interested party wishing to submit comments or view projected changes may do so by submitting a request in writing by June 30, 2016 to: 

MDHHS/Medical Services Administration                    OR      
Program Policy Division
PO Box 30479
Lansing MI 48909-7979 or e-mail