Current emergencies

Hurricane Milton – Florida (2024)  

Secretary Becerra used his authority in the Public Health Service Act to declare a public health emergency (PHE) on October 08, 2024, giving us the flexibility to support our beneficiaries in the State of Florida, effective retrospectively since October 05, 2024. 

• 2024 Hurricane Milton (Florida) 1812f Waiver Findings (PDF)
• 2024 Hurricane Milton (Florida) Public Health Emergency Determination
• 2024 Hurricane Milton (Florida) 1135 Waiver Secretarial Approval
  • Apply for an 1135 waiver or submit a public health emergency (PHE)-related inquiry 
    • Get a quick-start guide to learn how to submit an 1135 waiver (PDF) or a PHE inquiry (PDF)
    • Watch our YouTube training videos: 
      • 1135 Waiver/Flexibility Requests 
      • PHE-related Inquiry Requests 
• Waiver requests related to the Physician Self-Referral Law (commonly referred to as the “Stark Law”) should not be submitted via the web portal. For these requests, please visit the Physician Self-Referral Spotlight Page for additional information.
• You can read the blanket waivers for the 2024 Hurricane Milton (Florida) (PDF) (updated 10/18/24)
• Special enrollment periods for 2024 Hurricane Milton (Florida) victims (PDF) 
• Disaster Preparedness Toolkit for State Medicaid Agencies

Hurricane Helene – South Carolina and Tennessee (2024)  

Secretary Becerra used his authority in the Public Health Service Act to declare a public health emergency (PHE) on September 30, 2024, giving us the flexibility to support our beneficiaries in the State of South Carolina, effective retrospectively since September 25, 2024, and the State of Tennessee, effective retrospectively since September 26, 2024.

• Letter to Health Care Leaders and Stakeholders on Impacts of Hurricane Helene from Secretary Becerra (10/09/24)
• 2024 Hurricane Helene (South Carolina and Tennessee) 1812f Waiver Findings (PDF)
• 2024 Hurricane Helene (South Carolina and Tennessee) Public Health Emergency Determination
• 2024 Hurricane Helene (South Carolina and Tennessee) 1135 Waiver Secretarial Approval
  • Apply for an 1135 waiver or submit a public health emergency (PHE)-related inquiry 
    • Get a quick-start guide to learn how to submit an 1135 waiver (PDF) or a PHE inquiry (PDF)
    • Watch our YouTube training videos: 
      • 1135 Waiver/Flexibility Requests 
      • PHE-related Inquiry Requests 
• Waiver requests related to the Physician Self-Referral Law (commonly referred to as the “Stark Law”) should not be submitted via the web portal. For these requests, please visit the Physician Self-Referral Spotlight Page for additional information.
• You can read the blanket waivers for the 2024 Hurricane Helene (South Carolina and Tennessee (PDF) (updated 10/18/24)
• Special enrollment periods for 2024 Hurricane Helene (South Carolina and Tennessee) victims (PDF) 
• Disaster Preparedness Toolkit for State Medicaid Agencies

Hurricane Helene – North Carolina (2024)  

Secretary Becerra used his authority in the Public Health Service Act to declare a public health emergency (PHE) on September 28, 2024, giving us the flexibility to support our beneficiaries in the State of North Carolina, effective retrospectively since September 25, 2024. 

• Letter to Health Care Leaders and Stakeholders on Impacts of Hurricane Helene from Secretary Becerra (10/09/24)
• 2024 Hurricane Helene (North Carolina) 1812f Waiver Findings (PDF)
• 2024 Hurricane Helene (North Carolina) Public Health Emergency Determination
• 2024 Hurricane Helene (North Carolina) 1135 Waiver Secretarial Approval
  • Apply for an 1135 waiver or submit a public health emergency (PHE)-related inquiry 
    • Get a quick-start guide to learn how to submit an 1135 waiver (PDF) or a PHE inquiry (PDF)
    • Watch our YouTube training videos: 
      • 1135 Waiver/Flexibility Requests 
      • PHE-related Inquiry Requests 
• Waiver requests related to the Physician Self-Referral Law (commonly referred to as the “Stark Law”) should not be submitted via the web portal. For these requests, please visit the Physician Self-Referral Spotlight Page for additional information.
• You can read the blanket waivers for the 2024 Hurricane Helene (North Carolina) (PDF) (updated 10/18/24)
• Special enrollment periods for 2024 Hurricane Helene (North Carolina) victims (PDF) 
• Disaster Preparedness Toolkit for State Medicaid Agencies

Hurricane Helene – Florida and Georgia (2024)  

Secretary Becerra used his authority in the Public Health Service Act to declare a public health emergency (PHE) for the State of Florida on September 26, 2024, giving us the flexibility to support our beneficiaries in Florida, effective retrospectively since September 23, 2024 and for the State of Georgia on September 27, 2024, giving us the flexibility to support our beneficiaries in Georgia, effective retrospectively since September 24, 2024. 

• Letter to Health Care Leaders and Stakeholders on Impacts of Hurricane Helene from Secretary Becerra (10/09/24)
• 2024 Hurricane Helene (Florida) 1812f Waiver Findings (PDF)
• 2024 Hurricane Helene (Florida) Public Health Emergency Determination
• 2024 Hurricane Helene (Florida) 1135 Waiver Secretarial Approval
• 2024 Hurricane Helene (Georgia) 1812f Waiver Findings (PDF)
• 2024 Hurricane Helene (Georgia) Public Health Emergency Determination
• 2024 Hurricane Helene (Georgia) 1135 Waiver Secretarial Approval
  • Apply for an 1135 waiver or submit a public health emergency (PHE)-related inquiry 
    • Get a quick-start guide to learn how to submit an 1135 waiver (PDF) or a PHE inquiry (PDF)
    • Watch our YouTube training videos: 
      • 1135 Waiver/Flexibility Requests 
      • PHE-related Inquiry Requests 
• Waiver requests related to the Physician Self-Referral Law (commonly referred to as the “Stark Law”) should not be submitted via the web portal. For these requests, please visit the Physician Self-Referral Spotlight Page for additional information.
• You can read the blanket waivers for the 2024 Hurricane Helene (Florida and Georgia) (PDF) (updated 10/18/24)
• Special enrollment periods for 2024 Hurricane Helene (Florida) victims (PDF) 

Disaster Preparedness Toolkit for State Medicaid Agencies

Hurricane Francine – Louisiana (2024)  

Secretary Becerra used his authority in the Public Health Service Act to declare a public health emergency (PHE) on September 12, 2024, giving us the flexibility to support our beneficiaries in the State of Louisiana, effective retrospectively since September 10, 2024. 

• 2024 Hurricane Francine (Louisiana) 1812f Waiver Findings (PDF)
• 2024 Hurricane Francine (Louisiana) Public Health Emergency Determination
• 2024 Hurricane Francine (Louisiana) 1135 Waiver Secretarial Approval
  • Apply for an 1135 waiver or submit a public health emergency (PHE)-related inquiry 
    • Get a quick-start guide to learn how to submit an 1135 waiver (PDF) or a PHE inquiry (PDF)   
    • Watch our YouTube training videos: 
      • 1135 Waiver/Flexibility Requests 
      • PHE-related Inquiry Requests 
• Waiver requests related to the Physician Self-Referral Law (commonly referred to as the “Stark Law”) should not be submitted via the web portal. For these requests, please visit the Physician Self-Referral Spotlight Page for additional information.
• You can read the blanket waivers for the 2024 Hurricane Francine (Louisiana) (PDF) (09/12/24)
• Special enrollment periods for 2024 Hurricane Francine (Louisiana) victims (PDF) 
• Disaster Preparedness Toolkit for State Medicaid Agencies

Hurricane Debby – Georgia and South Carolina (2024)  

Secretary Becerra used his authority in the Public Health Service Act to declare a public health emergency (PHE) on August 07, 2024, giving us the flexibility to support our beneficiaries in the States of Georgia and South Carolina, effective retrospectively since August 04, 2024. 

• 2024 Hurricane Debby (Georgia) 1812f Waiver Findings (PDF)
• 2024 Hurricane Debby (South Carolina) 1812f Waiver Findings (PDF)
• 2024 Hurricane Debby (Georgia and South Carolina) Public Health Emergency Determination
• 2024 Hurricane Debby (Georgia and South Carolina) 1135 Waiver Secretarial Approval
  • Apply for an 1135 waiver or submit a public health emergency (PHE)-related inquiry 
    • Get a quick-start guide to learn how to submit an 1135 waiver (PDF) or a PHE inquiry (PDF)   
    • Watch our YouTube training videos: 
      • 1135 Waiver/Flexibility Requests 
      • PHE-related Inquiry Requests 
• Waiver requests related to the Physician Self-Referral Law (commonly referred to as the “Stark Law”) should not be submitted via the web portal. For these requests, please visit the Physician Self-Referral Spotlight Page for additional information.
• You can read the blanket waivers for the 2024 Hurricane Debby (Georgia and South Carolina) (PDF) (08/08/24)
• Special enrollment periods for 2024 Hurricane Debby (Georgia and South Carolina) victims (PDF) 
• Disaster Preparedness Toolkit for State Medicaid Agencies

Hurricane Debby – Florida (2024)  

Secretary Becerra used his authority in the Public Health Service Act to declare a public health emergency (PHE) on August 06, 2024, giving us the flexibility to support our beneficiaries in Florida, effective retrospectively since August 01, 2024. 

• 2024 Hurricane Debby (Florida) 1812f Waiver Findings (PDF) (PDF)
• 2024 Hurricane Debby (Florida) Public Health Emergency Determination
• 2024 Hurricane Debby (Florida) 1135 Waiver Secretarial Approval
  • Apply for an 1135 waiver or submit a public health emergency (PHE)-related inquiry 
    • Get a quick-start guide to learn how to submit an 1135 waiver (PDF) or a PHE inquiry  (PDF)   
    • Watch our YouTube training videos: 
      • 1135 Waiver/Flexibility Requests 
      • PHE-related Inquiry Requests 
• Waiver requests related to the Physician Self-Referral Law (commonly referred to as the “Stark Law”) should not be submitted via the web portal. For these requests, please visit the Physician Self-Referral Spotlight Page for additional information.
• You can read the blanket waivers for the 2024 Hurricane Debby (Florida) (PDF) (08/07/24)
• Special enrollment periods for 2024 Hurricane Debby (Florida) victims (PDF) 
• Disaster Preparedness Toolkit for State Medicaid Agencies

Hurricane Beryl – Texas (2024)  

Secretary Becerra used his authority in the Public Health Service Act to declare a public health emergency (PHE) on July 12, 2024, giving us the flexibility to support our beneficiaries in Texas, effective retrospectively since July 05, 2024. 

• 2024 Hurricane Beryl (Texas) Public Health Emergency Determination
• 2024 Hurricane Beryl (Texas) 1135 Waiver Secretarial Approval
  • Apply for an 1135 waiver or submit a public health emergency (PHE)-related inquiry 
    • Get a quick-start guide to learn how to submit an 1135 waiver (PDF) or a PHE inquiry (PDF)   
    • Watch our YouTube training videos: 
      • 1135 Waiver/Flexibility Requests 
      • PHE-related Inquiry Requests 
• Waiver requests related to the Physician Self-Referral Law (commonly referred to as the “Stark Law”) should not be submitted via the web portal. For these requests, please visit the Physician Self-Referral Spotlight Page for additional information.
• You can read the blanket waivers for the 2024 Hurricane Beryl (Texas) (PDF)
• Special enrollment periods for 2024 Hurricane Beryl (Texas) victims (PDF) 
• Disaster Preparedness Toolkit for State Medicaid Agencies

Wildfires - Hawaii (2023)

Secretary Becerra used his authority in the Public Health Service Act to declare a public health emergency (PHE) on August 11, 2023, giving us the flexibility to support our beneficiaries in Hawaii, effective retrospectively since August 8, 2023. As a result of the continued consequences of the wildfires, a PHE extension has been signed on October 31, 2023, allowing us to continue to support our beneficiaries in Hawaii, for an additional 90 days if needed.

• 2023 State of Hawaii Wildfires (Hawaii) 1812(f) Waiver (PDF)
• 2023 State of Hawaii Wildfires (Hawaii) Public Health Emergency Determination
• 2023 State of Hawaii Wildfires (Hawaii) 1135 Waiver Secretarial Approval
  • Apply for an 1135 waiver or submit a public health emergency (PHE)-related inquiry 
    • Get a quick-start guide to learn how to submit an 1135 waiver (PDF) or a PHE inquiry (PDF) 
    • Watch our YouTube training videos: 
      • 1135 Waiver/Flexibility Requests
      • PHE-related Inquiry Requests
• Waiver requests related to the Physician Self-Referral Law (commonly referred to as the “Stark Law”) should not be submitted via the web portal. For these requests, please visit the Physician Self-Referral Spotlight Page for additional information.
• You can read the blanket waivers for the 2023 State of Hawaii Wildfires (PDF) (8/18/2023)
• Special enrollment periods for 2023 State of Hawaii Wildfires (Hawaii) victims (PDF)
• Disaster Preparedness Toolkit for State Medicaid Agencies