Public Comment Period Now Open for 1115 Demonstration Waiver Renewal

The Department of Health Care Finance (DHCF) intends to submit a five-year renewal request of the District of Columbia’s Section 1115 Demonstration to the Centers for Medicare & Medicaid Services (CMS) for review and approval. DHCF is proposing to extend the current demonstration, focused on behavioral health, and implement an updated program design that broadens the focus to address social determinants of health. Accordingly, DHCF is proposing to rename the demonstration, “Whole-Person Care Transformation.”

DHCF has three proposed demonstration renewal goals:

  1. Continue to maximize access to quality behavioral health services,
  2. Improve health outcomes during transitions to reduce health disparities and drive sustainable transformation through reentry and health-related social need (HRSN) services, and
  3. Develop and maintain infrastructure to support the delivery of reentry and HRSN services.

The proposed draft renewal application and other related materials are available on DHCF’s website:

DHCF will be accepting public comments on the proposed renewal application from April 1, 2024 through 6:00 pm on April 30, 2024. Additional instructions on how to submit written comments, as well as information about three public hearings DHCF will hold during the comment period, are available on the website. For further information, please contact DHCF at