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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)

     

    Flint Michigan Section 1115 Demonstration Public Forum

    The Michigan Department of Health and Human Services (MDHHS) will host a virtual public forum to provide an update on the progress of the Flint Michigan Section 1115 Demonstration and provide the public with an opportunity to share comments, questions and feedback.

    Date: Wednesday, Sept. 30, 2026
    Time: Noon–1 p.m. ET
    Location: Virtual
    Join the forum: Webinar Registration - Zoom

    The forum will focus on activities and progress during Demonstration Year 10, which covers Oct. 1, 2025, through Sept. 30, 2026. Topics are expected to include:

    • An overview of the Flint Michigan Section 1115 Demonstration.
    • Demonstration Year 10 implementation and program updates.
    • Enrollment and service trends.
    • Monitoring and evaluation activities.
    • An opportunity for participants to provide comments, questions and feedback regarding the progress of the demonstration.

    Comments received during the public forum will be summarized in the Demonstration Year 10 Annual Monitoring Report, consistent with the demonstration’s Special Terms and Conditions and 42 CFR 431.420(c).

     

    STATE PLAN AMENDMENTS (SPA)

     

    Flint Waiver History:

    2026
    Interim Evaluation Report - Approved
    Flint Waiver Renewal, approved

    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