1915(c) Waiver Numbering System
As of October 13, 2016
Database Terminology
Old System
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25
0123.R00.01
0123.R00.02
0123.R01.00
0123.R01.01
0123.R01.02
0123.R02.00
0123.R02.01
0123.R02.02
0123.R02.03
0123.R03.00
0123.R03.01
0123.R03.02
0123.R04.00
0123.R04.01
0123.R04.02
X X X X
X X X
X X X X
X X X X
X X X
X
X
X
X X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Expired
X X X X X
Expired
0123.R00.00
Expired
0123.01
0123.02
0123.90
0123.90.01
0123.90.02
0123.90.R1
0123.90.R1.01
0123.90.R1.02
0123.90.R1.03
0123.90.R2
0123.90.R2.01
0123.90.R2.02
0123.90.R3
0123.90.R3.01
0123.90.R3.02
Original Waiver (CO Authority – assumes
waiver serves individuals who are dually
eligible for Medicaid and Medicare)
Original Waiver/First Amendment
Original Waiver/Second Amendment
First Renewal (upon RO approval)
First Renewal/First Amendment
First Renewal/Second Amendment
Second Renewal (upon approval)
Second Renewal/First Amendment
Second Renewal/Second Amendment
Second Renewal/Third Amendment
Third Renewal (upon approval)
Third Renewal/First Amendment
Third Renewal/Second Amendment
Fourth Renewal (upon approval)
Fourth Renewal/First Amendment
Fourth Renewal/Second Amendment
New Numbering
System in
Waiver DB
Expired
0123
Waiver Year
X
X
X
X
X
X
X
X
X