Section 1115 Waiver Update e-Memo

Good Morning,

DBH will begin accepting 1115 Facility Waiver Request Forms from providers in Region I and early adopters. The form attached is required for each facility where a provider intends to provide services. Forms should be routed back to the MPASS Unit no later than June 26, 2019. 

If you have questions please feel free to reach out to the Medicaid Services Section mailbox at or Brad Lentz at

Farina Brown

Deputy Director

Division of Behavioral Health